Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:53:24'
		)
	),
	(int) 6 => array(
		'Attachment' => array(
			'id' => '1598',
			'record_id' => '117',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:55:19'
		)
	),
	(int) 7 => array(
		'Attachment' => array(
			'id' => '1617',
			'record_id' => '119',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 15:57:54'
		)
	),
	(int) 8 => array(
		'Attachment' => array(
			'id' => '1648',
			'record_id' => '111',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:36:24'
		)
	),
	(int) 9 => array(
		'Attachment' => array(
			'id' => '1650',
			'record_id' => '110',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:37:21'
		)
	),
	(int) 10 => array(
		'Attachment' => array(
			'id' => '1688',
			'record_id' => '120',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 10:43:35'
		)
	),
	(int) 11 => array(
		'Attachment' => array(
			'id' => '1715',
			'record_id' => '121',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 11:33:31'
		)
	),
	(int) 12 => array(
		'Attachment' => array(
			'id' => '1722',
			'record_id' => '122',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 11:57:20'
		)
	),
	(int) 13 => array(
		'Attachment' => array(
			'id' => '1783',
			'record_id' => '123',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1).jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1).jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1).jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1)_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 14:20:20'
		)
	),
	(int) 14 => array(
		'Attachment' => array(
			'id' => '1813',
			'record_id' => '124',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 16:18:21'
		)
	)
)
$thumbnail = array(
	'Attachment' => array(
		'id' => '1813',
		'record_id' => '124',
		'type' => 'course',
		'created_user_id' => '8779',
		'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg',
		'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
		'mime_type' => 'image/jpeg',
		'title' => '',
		'alt_text' => '',
		'description' => '',
		'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
		'active' => '1',
		'created' => '2024-08-07 16:18:21'
	)
)
$attachmentId = '1813'
$termId = (int) 6
$taxTerms = array(
	'Qualification' => array(
		(int) 3 => 'Primary',
		(int) 2 => 'KS3 (11-14)',
		(int) 1 => 'KS4 (14-16)',
		(int) 13 => 'KS5 (16-18)',
		(int) 5 => 'Young people not in education or work',
		(int) 18 => 'Graduates',
		(int) 19 => 'Employability programmes',
		(int) 20 => 'Career change',
		(int) 64 => 'T-Level'
	),
	'Course Type' => array(
		(int) 62 => 'Profession',
		(int) 63 => 'Work Experience',
		(int) 61 => 'Careers',
		(int) 59 => 'Creating Careers: A Step Ahead  Programme',
		(int) 21 => 'In person experiences',
		(int) 9 => 'Interactive',
		(int) 10 => 'Live Sessions',
		(int) 22 => 'Non-accredited programme',
		(int) 11 => 'Podcasts',
		(int) 60 => 'Skills in the Workplace',
		(int) 12 => 'Webinars'
	),
	'Age Bracket' => array(
		(int) 35 => '5 - 11',
		(int) 58 => '12 - 13',
		(int) 17 => '14 - 16',
		(int) 7 => '16 - 18',
		(int) 6 => '18+'
	)
)
$activeTerms = array(
	(int) 197 => '1',
	(int) 196 => '2',
	(int) 244 => '3',
	(int) 199 => '4',
	(int) 285 => '5',
	(int) 201 => '6',
	(int) 200 => '7',
	(int) 198 => '8',
	(int) 143 => '9',
	(int) 203 => '10',
	(int) 204 => '11',
	(int) 205 => '12',
	(int) 247 => '13',
	(int) 248 => '17',
	(int) 278 => '18',
	(int) 279 => '19',
	(int) 280 => '20',
	(int) 739 => '21',
	(int) 740 => '22',
	(int) 744 => '24',
	(int) 679 => '25',
	(int) 944 => '26',
	(int) 1405 => '27',
	(int) 945 => '28',
	(int) 680 => '29',
	(int) 681 => '30',
	(int) 1933 => '35',
	(int) 1403 => '36',
	(int) 1420 => '37',
	(int) 1520 => '38',
	(int) 1521 => '39',
	(int) 1533 => '40',
	(int) 1539 => '41',
	(int) 1550 => '42',
	(int) 1551 => '43',
	(int) 1573 => '44',
	(int) 1585 => '45',
	(int) 1595 => '46',
	(int) 1766 => '47',
	(int) 1748 => '48',
	(int) 1754 => '49',
	(int) 1760 => '50',
	(int) 1778 => '51',
	(int) 1736 => '52',
	(int) 1772 => '53',
	(int) 1943 => '54',
	(int) 1941 => '55',
	(int) 2035 => '56',
	(int) 2181 => '57',
	(int) 3043 => '58',
	(int) 4314 => '59',
	(int) 5264 => '60',
	(int) 6359 => '61',
	(int) 6357 => '62',
	(int) 5774 => '63',
	(int) 6356 => '64'
)
$terms = array(
	(int) 0 => '64'
)
$termName = 'Age Bracket'
$name = '18+'
$selectedTerms = array()
$termGroups = array(
	(int) 0 => array(
		(int) 0 => '64'
	)
)
$searchTerm = false
$termIds = array(
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		(int) 5 => '62',
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	(int) 122 => array(
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	(int) 111 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
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		(int) 0 => '13',
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		(int) 7 => '61',
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		(int) 10 => '6'
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	(int) 112 => array(
		(int) 0 => '13',
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		(int) 4 => '61',
		(int) 5 => '60',
		(int) 6 => '7',
		(int) 7 => '6'
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	(int) 114 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
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	(int) 115 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
		(int) 3 => '20',
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		(int) 5 => '62',
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		(int) 2 => '18',
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		(int) 5 => '62',
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		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
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	(int) 116 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
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	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
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			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61
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		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
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		'course_title' => 'Safeguarding Children - Level 2 eLearning',
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		'created' => '2024-08-07 14:44:58',
		'modified' => '2024-08-07 16:18:54'
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			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 14:45:26',
			'modified' => '2024-08-07 14:45:26'
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			'id' => '576',
			'course_id' => '124',
			'lesson_title' => 'Why is Safeguarding Children Important?',
			'description' => 'This session will cover the Level 2 training required for&nbsp;safeguarding children.&nbsp;<br /><br />As training in safeguarding children is usually tailored to each working environment, dependent on which area or group within the NHS or wider public health settings that you work in, there may be elements of your training that are not covered in this session or others covered here that are not applicable to you.<br /><br />In such cases, where you are unsure of whether something applies to your role or workplace, then you must refer to local policy or procedures.',
			'lesson_order' => '1',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 14:47:09',
			'modified' => '2024-08-07 14:47:09'
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			'description' => 'Learn how to spot the signs of abuse.',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 14:58:57',
			'modified' => '2024-08-07 14:58:57'
		),
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			'id' => '578',
			'course_id' => '124',
			'lesson_title' => 'Child Advocacy',
			'description' => 'Learn more about child advocacy.',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:12:19',
			'modified' => '2024-08-07 15:12:19'
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			'id' => '579',
			'course_id' => '124',
			'lesson_title' => 'Risk Factors for Maltreatment ',
			'description' => 'Learn more about Risk Factors for Maltreatment.',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:15:48',
			'modified' => '2024-08-07 15:15:48'
		),
		(int) 5 => array(
			'id' => '580',
			'course_id' => '124',
			'lesson_title' => 'When and Where Should I Refer a Child?',
			'description' => 'Learn more about where and when to refer a child.',
			'lesson_order' => '5',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:26:27',
			'modified' => '2024-08-07 15:26:27'
		),
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			'id' => '581',
			'course_id' => '124',
			'lesson_title' => 'Record Keeping Principles',
			'description' => 'Information on record keeping principles.',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:37:18',
			'modified' => '2024-08-07 15:37:18'
		),
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			'id' => '582',
			'course_id' => '124',
			'lesson_title' => 'Female Genital Mutilation',
			'description' => 'Learn more about Female Genital Mutilation.',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:43:58',
			'modified' => '2024-08-07 15:43:58'
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			'course_id' => '124',
			'lesson_title' => 'Session Summary',
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			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:48:19',
			'modified' => '2024-08-07 15:48:19'
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		(int) 9 => array(
			'id' => '584',
			'course_id' => '124',
			'lesson_title' => 'eAssessment',
			'description' => 'Welcome to the&nbsp;Safeguarding Children Level 2 eAssessment.<br />&nbsp;<br />To successfully complete this eAssessment, you need to achieve a score of at least 80%.',
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			'created_user_id' => '8779',
			'session_length' => '15 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:50:01',
			'modified' => '2024-08-07 15:50:01'
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			'field_label' => 'Learning Objectives',
			'description' => '• Describe what constitutes child maltreatment and be able to identify any signs of child abuse or neglect
• Be able to act as an effective advocate for a child or young person
• Describe the potential impact of the physical and mental health of a parent/carer on the well-being of a child or young person in order to be able to identify a child or young person at risk
• Be able to identify the professional role, responsibilities and professional boundaries and those of colleagues in a multi-disciplinary team and in a multi-agency setting
• Explain how and when to refer to social care if safeguarding/child protection is identified as a concern
• Be able to document safeguarding/child protection concerns in a format that informs the relevant staff and agencies appropriately
• Explain how to maintain appropriate records including being able to differentiate between fact and opinion
• Be able to identify the appropriate and relevant information and how to share it with other teams
• List key statutory and non-statutory guidance and legislation including the UN Convention on the Rights of the Child and Human Rights Act
• Describe the risk of female genital mutilation (FGM) in certain communities, be willing to ask about FGM in the course of taking a routine history, know whom to contact if a child makes a disclosure of impending or completed mutilation, be aware of the signs and symptoms and be able to refer appropriately for further care and support
• List the risk factors for radicalisation and know whom to contact regarding preventive action and support for those vulnerable young persons who may be at risk of, or are being drawn into, terrorist-related activity
• Be able to identify and refer a child suspected of being a victim of trafficking and/or sexual exploitation

Please note that you are expected to have worked through Safeguarding Children Level 1 before completing this Level 2 session. The assessment includes questions that specifically reference knowledge covered in Level 1.',
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			'course_id' => '124',
			'course_lesson_id' => '575',
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			'field_label' => 'Duration:',
			'description' => '20 minutes (knowledge chapters)
15 minutes (eAssessment)',
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			'course_lesson_id' => '576',
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			'field_label' => 'Why is Safeguarding Children Important?',
			'description' => 'Even thinking about the abuse of children is distressing, so it is important to know what to do if you are concerned that a child or young person might be or has been abused.

This session explains what safeguarding children and young people involves.

You will learn about the range of child abuse and how you might be able to recognise abuse in a child or young person. It also looks at what you should do if you are concerned that a child is being abused or neglected. It explains the steps that you need to take in order to protect children from further harm.

It is important to note that the term 'children' means children and young people from birth to their eighteenth birthday.

The session does not contain any photos or illustrations of injuries. If the session is very upsetting for you (possibly because of experiences in your own or others' lives), you should seek advice from your manager or occupational health department.',
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			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'Child Abuse',
			'description' => 'Someone may abuse or neglect a child or young person by inflicting harm, or by failing to act in preventing harm. This harm may be physical or psychological and includes the grooming and exploitation of children and young people. All types of abuse will affect the child's or young person's current and future mental and physical wellbeing.

Children and young people may be abused in a family, or in an institutional or wider community setting.

often than not the person responsible for the abuse has a close relationship or has spent time getting to know the child or young person.

Any child or young person can be at risk of harm, exploitation or abuse. Research shows that there are some children whose vulnerability places them at greater risk of harm. This can include (but is not limited to) babies and very young children due to their inherent need for support and intimate care. Those with physical disabilities and learning difficulties are also at increased risk, again due to their need for intimate care and support. Some behaviours of adolescent children may put them at greater risk (for example, more accessible online, experimental and risk-taking behaviours, running away from home, seeking older people’s company/companionship). This list is not exhaustive.',
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			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'image-hotspot',
			'field_label' => 'Child abuse is described in the categories shown.',
			'description' => 'Many children suffer from more than one form of abuse. Some level of emotional abuse is involved in all types of child maltreatment, though it may also occur within a relationship in isolation, such as in the case of coercive control.

This session will focus on the recognition of signs and behaviours that might suggest that a child is being maltreated/abused and therefore is at risk of significant harm and in need of protection.

Select the numbers to find out more information about categories of child abuse.',
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			'field_choices' => '{"width":500,"annotations":[{"top":5.17188,"left":209,"annotation":"Physical abuse\n\nPhysical abuse is deliberately hurting a child, causing injuries such as bruises, broken bones, burns or cuts.\n\nIt isn’t accidental - children who are physically abused suffer violence such as being hit, kicked, poisoned, burned, slapped or having objects thrown at them. Shaking or hitting babies can cause non-accidental head injuries (NAHI). Sometimes parents or carers will make up or cause the symptoms of illness in their child, perhaps giving them medicine they don’t need and making the child unwell – this is known as fabricated or induced illness (FII).\n\nThere’s no excuse for physically abusing a child. It causes serious, and often long-lasting, harm – and in severe cases, death."},{"top":18.1719,"left":297,"annotation":"Child sexual exploitation\n\nChild sexual exploitation (CSE) is a type of sexual abuse. Children in exploitative situations and relationships receive something such as gifts, money or affection as a result of performing sexual activities or others performing sexual activities on them.\n\nChildren or young people may be tricked into believing they're in a loving, consensual relationship. They might be invited to parties and given drugs and alcohol. They may also be groomed and exploited online.\n\nSome children and young people are trafficked into or within the UK for the purpose of sexual exploitation. Sexual exploitation can also happen to young people in gangs."},{"top":53.1719,"left":367,"annotation":"Bullying and cyberbullying\n\nBullying is behaviour that hurts someone else – such as name calling, hitting, pushing, spreading rumours, threatening or undermining someone.\n\nIt can happen anywhere – at school, at home or online. It’s usually repeated over a long period of time and can hurt a child both physically and emotionally.\n\nBullying that happens online, using social networks, games and mobile phones, is often called cyberbullying. A child can feel like there’s no escape because it can happen wherever they are, at any time of day or night."},{"top":115.172,"left":402,"annotation":"Domestic abuse\n\nDomestic abuse is any type of controlling, bullying, threatening or violent behaviour between people in a relationship. But it isn’t just physical violence – domestic abuse includes emotional, physical, sexual, financial or psychological abuse.\n\nAbusive behaviour can occur in any relationship. It can continue even after the relationship has ended. Both men and women can be abused or abusers.\n\nDomestic abuse can seriously harm children and young people. Witnessing domestic abuse is child abuse, and teenagers can suffer domestic abuse in their relationships."},{"top":187.172,"left":379,"annotation":"Sexual abuse\n\nA child is sexually abused when they are forced or persuaded to take part in sexual activities.\n\nThis doesn't have to be physical contact and it can happen online.\n\nSometimes the child won't understand that what's happening to them is abuse.\n\nThey may not even understand that it's wrong."},{"top":237.172,"left":304,"annotation":"Neglect\n\nNeglect is the ongoing failure to meet a child's basic needs and is the most common form of child abuse.\n\nA child may be left hungry or dirty, without adequate clothing, shelter, supervision, medical or healthcare.\n\nA child may be put in danger or not protected from physical or emotional harm.\n\nThey may not get the love, care and attention they need from their parents.\n\nA child who's neglected will often suffer from other abuse as well.\n\nNeglect is dangerous and can cause serious, long-term damage - even death."},{"top":243.172,"left":197,"annotation":"Online abuse\n\nOnline abuse is any type of abuse that happens on the web, whether through social networks, playing online games or using mobile phones. Children and young people may experience cyberbullying, grooming, sexual abuse, sexual exploitation or emotional abuse.\n\nChildren can be at risk of online abuse from people they know, as well as from strangers. Online abuse may be part of abuse that is taking place in the real world (for example bullying or grooming). Or it may be that the abuse only happens online (for example persuading children to take part in sexual activity online).\n\nChildren can feel like there is no escape from online abuse – abusers can contact them at any time of the day or night, the abuse can come into safe places like their bedrooms, and images and videos can be stored and shared with other people."},{"top":192.172,"left":107,"annotation":"Emotional abuse\n\nEmotional abuse is the ongoing emotional maltreatment of a child. It’s sometimes called psychological abuse and can seriously damage a child’s emotional health and development.\n\nEmotional abuse can involve deliberately trying to scare or humiliate a child or isolating or ignoring them.\n\nChildren who are emotionally abused are often suffering another type of abuse or neglect at the same time – but this isn’t always the case."},{"top":148.172,"left":135,"annotation":"Child trafficking\n\nChild trafficking and modern slavery are child abuse. Children are recruited, moved or transported and then exploited, forced to work or sold.\n\nChildren are trafficked for:\n\n- Child sexual exploitation\n- Benefit fraud\n- Forced marriage\n- Domestic servitude such as cleaning, childcare, cooking\n- Forced labour in factories or agriculture\n- Criminal activity such as pickpocketing, begging, transporting drugs, working on cannabis farms, selling pirated DVDs and bag theft\n\nMany children are trafficked into the UK from abroad, but children can also be trafficked from one part of the UK to another."},{"top":70.1719,"left":94,"annotation":"Harmful sexual behaviour\n\nHarmful sexual behaviour includes:\n\n- Using sexually explicit words and phrases\n- Inappropriate touching\n- Using sexual violence or threats\n- Full penetrative sex with other children or adults\n\nSexual behaviour between children is also considered harmful if one of the children is much older – particularly if one of the children is pre-pubescent and the other isn’t [1].\n\nHowever, a younger child can abuse an older child, particularly if they have power over them – for example, if the older child is disabled [2].\n\nIf you're not sure whether a sexual behaviour is harmful, find out about the signs, symptoms and effects of harmful sexual behaviour."},{"top":35.1719,"left":147,"annotation":"Grooming\n\nGrooming is when someone builds an emotional connection with a child to gain their trust for the purposes of sexual abuse, sexual exploitation or trafficking.\n\nChildren and young people can be groomed online or face to face, by a stranger or by someone they know, for example a family member, friend or professional.\n\nGroomers may be male or female. They could be any age.\n\nMany children and young people don't understand that they have been groomed or that what has happened is abuse."}]}',
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		),
		(int) 5 => array(
			'id' => '3663',
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			'description' => 'Child safeguarding concerns can be identified in many different ways. In some cases, a child presents to a healthcare setting and their injury or situation has clearly been caused by harm or abuse.

However, there are more subtle situations that may also need your attention.

When dealing with a child or an adult it is always recommended to take a ‘Think Family’ approach and consider whether the person is a carer or parent and how their presenting situation/illness/diagnosis may impact on them and their ability to care and support for others.

Explore the following scenarios and try to identify the safeguarding concern in each of the settings. ',
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			'field_choices' => '{"width":500,"annotations":[{"top":10.5,"left":286,"annotation":"GP surgery\n\nA 6-year-old boy repeatedly brought to surgery by his mother for minor illnesses such that his school attendance is only 85%. The mother herself has a history of repeated presentations with many symptoms."},{"top":27.5,"left":356,"annotation":"GU clinic\n\nA young teenager with mild learning difficulties and vulvar abrasions, accompanied by an adult male."},{"top":83.5,"left":395,"annotation":"Operating theatre\n\nAn 18-month-old boy who is noted to have a torn frenulum when being intubated. Further examination reveals bruising to both ears and the buttocks."},{"top":143.5,"left":421,"annotation":"Antenatal clinic\n\nA 17-year-old girl, usually accompanied everywhere by her 30-year-old husband, reveals that her husband is physically violent and emotionally controlling."},{"top":208.5,"left":374,"annotation":"Community paediatric service\n\nA 13-year-old girl with severe disability, confined to a wheelchair and with limited communication, found to have bruising of the inner thighs."},{"top":232.5,"left":298,"annotation":"Adult ward\n\nA 33-year-old female patient with pancreatitis who, when asked if she is the carer for any children or vulnerable adults, reveals that she is a single mother and that her 13-year-old daughter is at home minding her two younger children."},{"top":242.5,"left":204,"annotation":"Paediatric ward\n\nA 6-year-old girl admitted with an exacerbation of asthma who reveals to the play therapist a knowledge of sexual acts/behaviours that would not be expected for the child's age."},{"top":201.5,"left":115,"annotation":"Paediatric A&E\n\nA toddler aged 2 years with a swollen leg, refusing to weight bear, presented 5 days after the 'accident'."},{"top":103.516,"left":79,"annotation":"Dentist\n\nA 4-year-old girl with widespread dental caries which is progressing to a facial abscess. Her mother does not follow advice to stop giving her bottles of milk and juice despite dental and health visitor advice."},{"top":54.5,"left":124,"annotation":"Adult A&E\n\nA 16-year-old girl presenting repeatedly with self-harming who reveals that her family is forcing her into a marriage she doesn't want."},{"top":12.5,"left":163,"annotation":"Public health practitioner\n\nNotification of a sexually transmitted infection in a young child."}]}',
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		),
		(int) 6 => array(
			'id' => '3664',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'Think Family',
			'description' => 'A family focus alone may not be enough to address the problems faced by some parents with a mental health problem nor will it necessarily prevent a child from suffering harm. The adults' problems need to be addressed through specific clinical expertise and services, just as children's problems need to be, or those requiring a whole family approach.

A family focus should not be seen as an alternative to providing individual care, but must be considered alongside it.

The Think Family agenda recognises and promotes the importance of a whole-family approach which is built on the principles of 'Reaching out: think family' [3].

No Wrong Door
Contact with any service offers an open door into a system of joined-up support. This is based on more coordination between adult and children's services.

Looking at the Whole Family
Services working with both adults and children take into account family circumstances and responsibilities. For example, an alcohol treatment service combines treatment with parenting classes while supervised childcare is provided for the children.

Providing Support Tailored to Need
Working with families to agree a package of support best suited to their particular situation.

Building on Family Strengths
Practitioners work in partnerships with families recognising and promoting resilience and helping them to build their capabilities. For example, family group conferencing is used to empower a family to negotiate their own solution to a problem.
',
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			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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		),
		(int) 7 => array(
			'id' => '3665',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'The Crossing Bridges Family Model [4] can help staff to consider the parent, the child and the family as a whole when assessing the needs of and planning care packages for families with a parent suffering from a mental health problem.',
			'description' => 'The model illustrates how the mental health and wellbeing of the children and adults in a family where a parent is mentally ill are intimately linked in at least three ways, as shown in the diagram.

• Parental mental health problems can adversely affect the development, and in some cases the safety, of children
• Growing up with a mentally ill parent can have a negative impact on a person's adjustment in adulthood, including their transition to parenthood
• Children, particularly those with emotional, behavioural or chronic physical difficulties, can precipitate or exacerbate mental ill health in their parents/carers

The model also identifies that there are risks, stressors and vulnerability factors increasing the likelihood of a poor outcome, as well as strengths, resources and protective factors that enable families to overcome adversity.',
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			'attachment_id' => '1792',
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		(int) 8 => array(
			'id' => '3666',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'image-hotspot',
			'field_label' => 'Emotional Abuse',
			'description' => 'Emotional abuse is the hardest form of abuse for anyone in a healthcare setting to detect. It is very damaging and can cause severe, long-term harm to a child's intellectual and emotional development.

Some clues may be found by considering the status of the child for the parent or caregiver. Is the child the 'wrong' gender, born at a time of parental separation or violence, or seen as 'ill' or 'difficult'? Is the parent/carer overprotective?

Is there a suspicion of bullying, not only by a parent/carer but by others in the child's life, for example at school or online?

This component is a flipcard comprised of flippable cards containing display image. Select the front face image to flip to the back face of these card to display associated text.
How do children who are emotionally abused behave?

Select all of the images to find out about behaviours in emotionally abused children.',
			'field_order' => '8',
			'attachment_id' => '1793',
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			'field_choices' => '{"width":500,"annotations":[{"top":25.6875,"left":170,"annotation":"Babies\nApathetic, delayed development, non-demanding. The mother describes the baby as 'spoiled, attention seeking, in control, not loving her’."},{"top":78.6875,"left":424,"annotation":"Toddlers and pre-school children\nViolent, clingy, apathetic."},{"top":191.688,"left":167,"annotation":"School children\nWetting, soiling, relationship difficulties, non-attendance, anti-social behaviour."},{"top":266.688,"left":390,"annotation":"School children\nWetting, soiling, relationship difficulties, non-attendance, anti-social behaviour."}]}',
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		),
		(int) 9 => array(
			'id' => '3667',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'text-links',
			'field_label' => 'Dental neglect',
			'description' => 'Dental neglect can be defined as “the persistent failure to meet a child’s basic oral health needs, likely to result in the serious impairment of a child’s oral or general health or development." [5]

Poor oral health can impact on a child’s ability to eat, sleep, speak and socialise as well as potentially causing pain, infection, poor nutrition or impaired growth and development.

Concerning features or behaviours to be aware of once dental problems have been highlighted to parents or carers may include:

• Failure to take a child for dental care leading to severe untreated dental problems
• Missing appointments and not completing recommended dental treatment
• Failure to provide basic dental care at home (e.g. toothbrushing twice daily with fluoride toothpaste)
• Repeated general anaesthesia to remove teeth

There is a statutory requirement that children in care have regular dental checks including any necessary treatment or monitoring.

Select the hyperlink for further information on child oral health.',
			'field_order' => '7',
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			'external_thumb_src' => null,
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			'show_correct' => '0',
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		),
		(int) 10 => array(
			'id' => '3668',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'media-field',
			'field_label' => 'Neglect',
			'description' => 'When should you consider the possibility of neglect?


When the child:
• Consistently misses medical appointments 
• Lacks needed medical/dental care, immunisations or glasses
Seems ravenously hungry
• Is dirty
• Is wearing inadequate clothing for cold weather
• Is abusing alcohol or other drugs
• Says there is no one at home to provide care

When the parent or other adult caregiver:
• Appears to be indifferent to the child
• Seems apathetic or depressed
• Behaves irrationally or in a bizarre manner
• Is abusing alcohol or other drugs',
			'field_order' => '6',
			'attachment_id' => '1794',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'active' => '1',
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		),
		(int) 11 => array(
			'id' => '3669',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the behavioural symptoms of sexual abuse?',
			'description' => 'Select one or more options',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["soiling, secondary enuresis","self-harm","aggressive or sexualised behaviours","regression and poor school performance","running away from home or care"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
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		),
		(int) 12 => array(
			'id' => '3670',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the physical symptoms of sexual abuse?',
			'description' => 'Select three options ',
			'field_order' => '4',
			'attachment_id' => '1795',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["vaginal bleeding","scratches on the torso","vaginal itching","discharge or rectal bleeding"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '0',
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			'active' => '1',
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		),
		(int) 13 => array(
			'id' => '3671',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'multiple-choice',
			'field_label' => 'How might concerns about sexual abuse arise in a healthcare setting?  A child may:',
			'description' => 'Select four options a',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["be identified in indecent images","be pregnant","have mainly older friends","have a sexually transmitted infection with no clear explanation","be sexually active at a young age"]',
			'field_correct' => '0,1,3,4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
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		),
		(int) 14 => array(
			'id' => '3672',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Child sexual exploitation (CSE) is a type of sexual abuse where the child/young person receives something (for example, money, food, shelter, drugs) in return for sexual activities. There is a power imbalance between the perpetrator and victim. Staff in GUM clinics, GPs, CAMHS and Emergency Departments are well-placed to consider whether a young person might be subject to CSE. The difficulty is that most victims do not recognise that they are being exploited.

Vulnerability factors include:

• Previous abuse
• Young people in foster/residential care
• Young people who are missing (from education/home)
• Drug/alcohol use
• Poor self-esteem

The child or young person may be difficult to engage and display challenging behaviour. Local GUM and Emergency Department services should be able to signpost to local services that offer support and intervention as they work closely with the police and children's social care.',
			'field_order' => '2',
			'attachment_id' => null,
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			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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		),
		(int) 15 => array(
			'id' => '3673',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'media-field',
			'field_label' => 'Sexual Abuse',
			'description' => 'There are very few absolutely diagnostic signs of sexual abuse on examination. This is because often sexual abuse of children is by touching or kissing or other activities that do not involve significant physical force. Furthermore the genital area heals very quickly in young children: no signs may be present a few days after quite significant trauma. Forensic material also decays rapidly.

Examination of children suspected of having been sexually abused requires a doctor with specific expertise and training, facilities for photo documentation, sexually transmitted infection screening and management, and (where indicated) forensic testing. Forensic material (e.g. DNA from sperm) may be found on the child or his/her clothing/bedding.


This component is an accordion comprised of collapsible content panels containing display text. Select the item titles to toggle the visibility of these content panels.
Child sexual exploitation is a hidden crime. Young people often trust their abuser and don't understand that they're being abused. They may depend on their abuser or be too scared to tell anyone what's happening.

What can it involve?
It can involve violent, humiliating and degrading sexual assaults, including oral and anal rape. In some cases, young people are persuaded or forced into exchanging sexual activity for money, drugs, gifts, affection or status. Child sexual exploitation doesn't always involve physical contact and can happen online.

Child sexual exploitation (CSE) is a type of sexual abuse. Children in exploitative situations and relationships receive something such as gifts, money or affection as a result of performing sexual activities or others performing sexual activities on them.

Children or young people may be tricked into believing they're in a loving, consensual relationship. They might be invited to parties and given drugs and alcohol. They may also be groomed and exploited online.

Some children and young people are trafficked into or within the UK for the purpose of sexual exploitation. Sexual exploitation can also happen to young people in gangs.

Child trafficking and modern slavery
Child trafficking and modern slavery are child abuse. Children are recruited, moved or transported and then exploited, forced to work or sold. Children are trafficked for:

• Child sexual exploitation
• Benefit fraud
• Forced marriage
• Domestic servitude such as cleaning, childcare, cooking
Forced labour in factories or agriculture
• Criminal activity such as pickpocketing, begging, transporting drugs, working on cannabis farms, selling pirated DVDs and bag theft

Many children are trafficked into the UK from abroad, but children can also be trafficked from one part of the UK to another.

Gangs and young people
Children and young people involved with, or on the edges of, gangs might be victims of violence or they might be pressured into doing things like stealing or carrying drugs or weapons. They might be abused, exploited or put into dangerous situations.

For lots of young people, being part of a gang makes them feel part of a family so they might not want to leave. Even if they do, leaving or attempting to leave can be a really scary idea. They might be frightened about what will happen to them, their friends or their family if they leave.

Grooming
Grooming is when someone builds an emotional connection with a child to gain their trust for the purposes of sexual abuse, sexual exploitation or trafficking.

Children and young people can be groomed online or face-to-face, by a stranger or by someone they know - for example a family member, friend or professional.

Groomers may be male or female. They could be any age.

Many children and young people don't understand that they have been groomed or that what has happened is abuse.

Child sexual abuse online
When sexual exploitation happens online, young people may be persuaded, or forced, to:

• Send or post sexually explicit images of themselves
• Take part in sexual activities via a webcam or smartphone
• Have sexual conversations by text or online

Abusers may threaten to send images, video or copies of conversations to the young person's friends and family unless they take part in other sexual activity.

Images or videos may continue to be shared long after the sexual abuse has stopped.

It is a criminal offence to meet a child online and engage in a sexual conversation, or to arrange to meet the child in person for the intent to sexually abuse or exploit them.



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		),
		(int) 16 => array(
			'id' => '3674',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'media-field',
			'field_label' => 'Signs of Abuse',
			'description' => 'It can be difficult to spot signs of abuse in a child as there are not always physical signs that are obvious. In this chapter, we will look at signs of sexual abuse, particularly child sexual exploitation, emotional abuse and neglect as these are examples of abuse that can be difficult to identify.',
			'field_order' => '0',
			'attachment_id' => '1797',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'active' => '1',
			'created' => '2024-08-07 15:11:20',
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		),
		(int) 17 => array(
			'id' => '3675',
			'course_id' => '124',
			'course_lesson_id' => '578',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'The involvement of children in decision making about matters important to them not just empowers children, but also aids their development, their transition to adulthood and safeguards them against abuse and neglect. As described in the Munro Review of Child Protection [6] there is a recognition that in a 'system that has become over-bureaucratised and focused on meeting targets', we often lose focus of children’s needs and feelings.

Advocacy helps to bring that focus back. To make it happen, the central and local government must take steps to ensure that all children in care can access advocacy support if necessary, and that learning from individual advocacy cases is utilised to improve services for all children in care. This can be done through strengthening the statutory guidance, through the development of monitoring and regulatory framework, and through better-commissioning processes.',
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			'attachment_pos' => '0',
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			'active' => '1',
			'created' => '2024-08-07 15:15:03',
			'modified' => '2024-08-07 15:15:03'
		),
		(int) 18 => array(
			'id' => '3676',
			'course_id' => '124',
			'course_lesson_id' => '578',
			'field_type' => 'image-hotspot',
			'field_label' => 'The different presentations illustrate the wide variety of ways that child protection concerns can arise in different parts of the health service and that child protection issues are often not clear cut. Deciding whether or not a child is being abused is not the responsibility of any one person but requires professionals involved with the child and/or family/carers, such as the GP, lead nurse and doctor for child protection, paediatricians, other healthcare staff, social workers, school staff and police to work together.  ',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '1',
			'attachment_id' => '1799',
			'external_media_src' => null,
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			'field_choices' => '{"width":500,"annotations":[{"top":83.625,"left":40,"annotation":"Physician\nYou are a member of the medical team on-call in a large, acute NHS hospital and have decided to admit Paula, a 35-year-old single mother with a large pleural effusion requiring drainage. The history reveals that Paula lives with her 9- and 11-year-old daughters. Paula does not appear concerned that the two girls will be in the house alone overnight and says she wasn't planning to find someone to look after the girls.\n\nYou may suspect 'emotional abuse' and 'neglect'."},{"top":93.625,"left":82,"annotation":"GP\nYou are a GP and review a 13-year-old boy in the surgery with recurrent headaches. While you are examining him he reveals that he is being bullied via text messages and on social media websites. His mother is aware of it but does not know how to help.\n\nYou may suspect 'not clear but concerning'."},{"top":82.625,"left":129,"annotation":"Physiotherapist\nYou are a community physiotherapist reviewing Mohammed, aged 15, for ongoing knee pain, which he sustained playing football. Over the course of four appointments (two of which he did not attend) you establish that he rarely attends school and is part of a local gang.\n\nYou may suspect 'not clear but concerning'."},{"top":86.625,"left":181,"annotation":"Surgeon\nYou are the surgeon reviewing a 4-year-old boy with abdominal pain in A&E. As you go to examine him, he makes a sexually inappropriate comment that suggests he has knowledge of anal sex. His father, who is with the boy, appears to laugh off the comment.\n\nYou may suspect 'sexual abuse'."},{"top":84.625,"left":239,"annotation":"Nurse\nYou are the nurse running the cardiology clinic in December and you see that Mr Morgan is accompanied by a male child of about 5 years. The child resembles Mr Morgan and may be his grandson. The child is inappropriately dressed for the cold weather and is unkempt.\n\nYou may suspect 'not clear but concerning' and possibly 'neglect'."},{"top":81.625,"left":282,"annotation":"Dentist\nYou are a dentist seeing a 4-year-old girl with very bad dental caries. You notice that she has bruising to the neck. The child’s mother is unable to explain this.\n\nYou may suspect 'physical abuse' and 'neglect'."},{"top":76.625,"left":333,"annotation":"Anaesthetist\nYou are anaesthetising a 12-year-old post-pubertal girl for abdominal surgery. During the surgical preparation you notice that she has a number of opposing crescent shaped bruises to both breasts. You are concerned that these are bite marks.\n\nYou may suspect 'sexual abuse'."},{"top":82.625,"left":375,"annotation":"Triage nurse\nYou are the triage nurse in A&E. Molly is a 35-year-old mother of five children and attends the Emergency Department for the fourth time over the course of 2 months. She says her injury is due to walking into a door.\n\nYou may suspect 'domestic violence'."},{"top":102.625,"left":431,"annotation":"Midwife\nYou are a midwife booking in a 21-year-old primipara. You note she has several self-harm scars on the left arm and nictotine staining of the middle fingers. You ask her about any previous or current health concerns and she denies having any issues. The GP referral letter does not mention any mental health problems or substance misuse.\n\nYou may suspect 'not clear but concerning'."},{"top":74.625,"left":463,"annotation":"Midwife\nYou are a midwife booking in a 21-year-old primipara. You note she has several self-harm scars on the left arm and nictotine staining of the middle fingers. You ask her about any previous or current health concerns and she denies having any issues. The GP referral letter does not mention any mental health problems or substance misuse.\n\nYou may suspect 'not clear but concerning'."}]}',
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		),
		(int) 19 => array(
			'id' => '3677',
			'course_id' => '124',
			'course_lesson_id' => '578',
			'field_type' => 'paragraph',
			'field_label' => 'Child Advocacy',
			'description' => 'Child advocacy refers to a range of individuals, professionals and advocacy organisations who speak out on the best interests of children. An individual or organisation engaging in advocacy typically seeks to protect children's rights, which may be abridged or abused in a number of areas.

The requirement to listen to the wishes and feelings of looked-after children and young people has been established in our domestic legislation for over 20 years. Advocacy is now a recognised tool to supporting children and young people having their wishes and feelings heard.

Advocacy acts as a safety net for many children and young people in care, who do not have the natural support network of family to represent them, to support them and make sure they are involved in decisions and have their rights met.',
			'field_order' => '0',
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		),
		(int) 20 => array(
			'id' => '3678',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'multiple-choice',
			'field_label' => 'During a telephone consultation with a mother of 3 children, she discloses that she is struggling to manage one of her children's behaviours and she is at 'the end of her tether'. During the conversation you hear her shouting and swearing at the children, she admits to smacking the children and reports that she has no family support.  What should the practitioner do?',
			'description' => 'Select the four relevant options',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["share information with her GP or health visitor","seek consent to share information with the local safeguarding team for additional support","report to the local children's safeguarding hub","alert their organisational safeguarding lead","advise the mother to try a new parenting technique without further exploring her current situation or emotions"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:25:33',
			'modified' => '2024-08-07 15:25:33'
		),
		(int) 21 => array(
			'id' => '3679',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'media-field',
			'field_label' => 'Responding Appropriately',
			'description' => 'There is a statutory duty on all statutory organisations to safeguarding the child and young person.

Safeguarding and protecting those who may be at risk or suffering abuse is not something that can be achieved without a multi-agency approach. 

Suspecting concerns
Healthcare staff (or those providing health advice and support) in regular contact with families, parents, children and/or young people have a statutory duty to promote the health and well-being of children, identify any risks and refer to relevant organisations where a concern is suspected or identified.

It may not always be clear that a child is being maltreated.

Healthcare staff may suspect concerns with the well-being of a child or young person through contact with the child or young person directly, or through a conversation with their parent or guardian.

Whether they are considering maltreatment as one of a number of possibilities, staff need to know how to respond appropriately. Early intervention to support families where children's needs are not being met can have considerable benefit for the child or young person in the short and long term.

Designated safeguarding person
Each healthcare organisation (or public health provider) should have a responsible professional or, in larger organisations, a team to support staff and patients who use their services.

Each Integrated Care Board (ICB) has a statutory obligation to have a designated doctor and designated nurse for safeguarding. Their role is to ensure that health organisations are engaged with supporting safeguarding investigations, have effective policy and procedures in place, and are networked with other safeguarding multi-agency systems to ensure they are learning from local and national concerns.

Make sure you know who that person/team is and what arrangements/policies/procedures there are in place for your own organisation.


',
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			'attachment_pos' => '0',
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			'created' => '2024-08-07 15:25:33',
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		),
		(int) 22 => array(
			'id' => '3680',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'media-field',
			'field_label' => 'What are the risk factors for maltreatment?',
			'description' => 'Risk factors in child/young person
• Failure to meet parental expectations and aspirations, for example, disabled, wrong gender
• Born at wrong time, for example, when parents are more concerned with alcohol or a drug habit
• An unplanned birth
• Unwanted due to a breakdown in parental relationship
• Product of forced, coercive or commercial sex
• Looked-after children:
- Children become looked after when their birth parents are unable to provide ongoing care in either a temporary or permanent capacity
- Children can either be looked after as a result of voluntary agreement by their parents or as the result of a care order
- Children may be placed with kinship carers (family), network carers (extended family/friends) or foster carers depending on individual circumstances
• Social isolation, for example, normalisation of peer on peer intimidation or cyberbullying within the young person's school/peer group/gang
• Carer to an adult in the family
• Bereavement

Risk factors in the parents
• Poor self-esteem
• Indifference, intolerance or over-anxiousness
• Anti-social personality, poor interpersonal skills
• Disability
• Mental health problems
• Parental substance misuse - alcohol and drug abuse
• Parent abused as a child
• Self-neglect such as not taking prescribed medication or managing their illness to keep themselves well
• Drug (to include medication and illegal drugs) and alcohol misuse
• Physical disability or learning difficulties
• Bereavement

Risk factors in the family
• Single-parent families
• Domestic violence
• Multiple/closely spaced births
• Social isolation or a perceived lack of social support
• Poverty
• Young parental age
• Violence
• Living with step-parents
• Violence towards pets
• Where a combination of concerns occur such a mental health issues, drug and alcohol problems and domestic abuse, the risks to family members and especially the children increase
• Bereavement

It must be emphasised, however, that while certain factors often are present among families where maltreatment occurs, this does not mean that the presence of these factors will always result in child abuse and neglect. Many single parents do an excellent job of raising their child(ren) and, whilst there is a relationship between poverty and maltreatment, most people living in poverty do not harm their children. Similarly, parents with well-managed mental health difficulties may parent effectively.

Risk factors in the environment
• Dwelling and housing conditions
• Multiple resident environments
• Poverty
• Rented or temporary accommodation
• Homelessness
• Hate crime and the lack of community support increasing vulnerability
• Neighbourhood - criminal activity, gangs

Effects of maltreatment
Maltreatment can have major effects on all aspects of a child's health, development and well-being, both in the short and long term.

The impact of any maltreatment will vary between children/young people depending on the:

• Nature of the maltreatment
• Duration of the maltreatment
• Age of the child
• Individual child's reaction to the maltreatment
• Home/family environment
• Impact and speed of any intervention
• Consequences of the intervention
• Professional response and support

Long-term effects of child maltreatment can be:

• Drug and alcohol misuse
• Poor mental health
• Promiscuity and teen pregnancy
• Risk of perpetrating or being a victim of domestic violence
• Difficulty with job performance
• Self-harm or suicidal ideation
• Personality disorder
• Relationship problems

On the positive side, many children and young people, despite having suffered from maltreatment, overcome this adversity and go on to enjoy successful and contented lives.',
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		),
		(int) 23 => array(
			'id' => '3681',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'paragraph',
			'field_label' => 'Risk Factors for Child Maltreatment',
			'description' => 'Child maltreatment occurs across all socio-economic, religious, cultural, racial,and ethnic groups. While no specific causes have been definitively identified that lead a parent, other caregiver or someone in the child or young person's environment to abuse or neglect a child, research has identified a number of risk factors commonly associated with maltreatment.

It is important to be aware of the risk factors present in a child or their carers and environment that increase the likelihood that a child will be maltreated.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-07 15:25:33',
			'modified' => '2024-08-07 15:25:33'
		),
		(int) 24 => array(
			'id' => '3682',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'media-field',
			'field_label' => 'The following agencies have a duty to work collaboratively.',
			'description' => 'Children's Social Care (CSC)
Commonly referred to as social services, they take the lead in coordinating responses and support when there are concerns that a child needs extra support or protection from harm.

Education
Schools have a statutory responsibility, like healthcare organisations, to safeguard children and young people.

Health
All parts of the health service have a statutory responsibility to safeguard children and young people. This includes health visitors, public health practitioners, GPs and staff in secondary and tertiary healthcare e.g. specialist hospitals, private hospitals, mental health services, genitourinary and family planning services, dentists and professions allied to medicine.

Police
Safeguarding children is a fundamental part of the duties of all police officers. All forces have child abuse investigation units which undertake criminal enquiries in cases of suspected child abuse

Family Justice System
The Family Justice System is a network of organisations including family courts, the Children and Family Court Advisory Support Service (CAFCASS), the Child Support Agency and lawyers. Safeguarding children's welfare is a key consideration for all professionals working in the 
Family Justice System. In all cases, the child's welfare is the court's paramount consideration and the role of the court is to make decisions which are in the best interests of children based on the evidence before it and the law.

Other
All other local authority services (including adults' social care, housing, libraries, leisure and youth services), probation service, early years providers, secure settings, UKBA, voluntary and private sectors, faith organisations, etc.',
			'field_order' => '1',
			'attachment_id' => '1802',
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			'attachment_pos' => '1',
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		),
		(int) 25 => array(
			'id' => '3683',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'paragraph',
			'field_label' => 'Local policies may vary, but in general the following applies.',
			'description' => 'If you suspect child maltreatment
If you suspect child maltreatment, refer immediately to the most appropriate of the following agencies:

Local child social services
The police
The National Society for the Prevention of Cruelty to Children (NSPCC)
If the child needs admission, ensure that the paediatrician is aware of your concerns.

The local social services, police and NSPCC have statutory child protection powers to act immediately to secure the safety of the child.

Consider the safety of other children living with or in contact with the presumed perpetrator.

For further information on the choice of the most appropriate agency, go to Resources for a link to NICE, Child maltreatment - recognition and management.

If you suspect sexual abuse
• Do not perform an intimate examination, unless there is an urgent health need to do so 
• Only use open questions to enquire about the causes and circumstances of the presenting features and record these questions and responses verbatim
• Refer urgently to collect forensic evidence and assess the need for contraception and sexually transmitted infection prevention
- A forensic intimate examination should only be undertaken by professionals specifically trained in forensic aspects of sexual assaults. A general examination may be appropriate to assess their general health and to look for other injuries

If there is any uncertainty about suspected child maltreatment

If there is any uncertainty about suspected child maltreatment, or risk of immediate harm to the child, seek advice from a named or designated professional for child safeguarding or a more experienced senior colleague.

Confirm in writing, within 48 hours, any telephone referral to social services; they will formally acknowledge your written referral within 48 hours after receipt. Contact the local social services again if your referral has not been acknowledged within 3 working days.

Before referring, obtain consent from the child/young person or parent/carer to share confidential information unless there is reason to believe that this will increase the risk of harm to the child/young person. For further information see Resources for a link to Child maltreatment - recognition and management.

What should I document?
• Document all your concerns, including any minor concerns, and the details of any action you have taken, information you have shared and decisions you have made relating to those concerns
• If you share information about the child/young person, this should be recorded in the child's/young person's notes. If you share information about other members of the family, this should be recorded in their records if you have access to them
• If there is not enough evidence to support your concerns that a child/young person is being maltreated, or evidence arises that shows your concerns are incorrect, then this should also be recorded in the child/young person's record and their parent's/carer's record
• Ensure that the coding correctly reflects the current situation

If you have serious concerns about the welfare of a young person

You have serious concerns about the welfare of a young person (i.e. you are concerned that the young person might be at risk of significant harm). Here is a checklist to remind you what to do:

1. Make a note of your concerns and observations
2. Discuss with senior medical and nursing colleagues
3. Discuss what you are going to do and why with the child and their parent(s) or carer(s) - as long as this does not put them at increased risk
4. Notify and refer to children's social services by phone. In an emergency (e.g. the child absconds or parent tries to take the child), call the police
5. Participate in a strategy discussion with social services, police and other agencies (e.g. school)
6. If the strategy discussion concludes the young person is at risk of significant harm, a Section 47 Child Protection enquiry should be called
7. After completion of the enquiry, a case conference is held
8. The case conference decides whether or not the young person should be placed on the Child Protection Register and subject to a Child Protection Plan
',
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		),
		(int) 26 => array(
			'id' => '3684',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'image-hotspot',
			'field_label' => 'Rights of the Child',
			'description' => 'The United Nations Convention on the Rights of the Child (UNCRC) is an international human rights treaty that grants all children and young people (aged 17 years and under) a comprehensive set of rights. The UK signed the convention on 19 April 1990, ratified it on 16 December 1991 and it came into force on 15 January 1992.

The Joint Committee on Human Rights published its report on children’s rights in 2009. This report was produced in response and obligations set out in the UNCRC are protected in England and implementation of the convention is achieved.

Children have the right to be protected from being hurt and mistreated, whether physically or mentally.

Governments should ensure that children are properly cared for and protect them from violence, abuse and neglect by their parents, carers or anyone else who comes into contact with them.

Select the numbers to find out more information about child rights.',
			'field_order' => '4',
			'attachment_id' => '1803',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":20.1847,"left":35.2727,"annotation":"Children have the right to survival."},{"top":7.18466,"left":145.273,"annotation":"Children have the right to develop to the fullest."},{"top":19.1847,"left":236.273,"annotation":"Children have the right to participate fully in family, cultural and social life."},{"top":7.18466,"left":347.273,"annotation":"Children have the right to health and healthcare."},{"top":15.1847,"left":449.273,"annotation":"Children have the right to protection from all forms of violence."}]}',
			'field_correct' => null,
			'show_correct' => '0',
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		),
		(int) 27 => array(
			'id' => '3685',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'image-hotspot',
			'field_label' => 'What happens after your referral?',
			'description' => 'Select the images for information.',
			'field_order' => '3',
			'attachment_id' => '1804',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":67.5369,"left":153.273,"annotation":"Case conference\nAfter a referral, social care will make enquiries and the local child safeguarding organisation will call a multi-disciplinary case conference, where all involved will be invited and asked to send a report. In some cases, you will have limited information about the family but it is still worth sending a report.\n\nIn other cases, the family may have been registered for a while but the first you know about a child protection concern is through an invitation to write a report or to attend a case conference or child in need meeting."},{"top":75.3551,"left":386.273,"annotation":"Medical examination\nYou may be asked to carry out examinations of the children involved before a case conference. A paediatrician may be asked to examine the child if they attend secondary care or if a specialist examination is required. You may also need to examine a child presenting in an emergency situation, where an incident of abuse is suspected.\n\nIt is imperative that all facts and findings are recorded with accuracy and in considerable detail (preferably using a standard proforma) because the potential legal ramifications are not always apparent at the outset.\n\nHand-written notes and drawings may be seen in court. Clear, well written notes are important documents on which your formal typewritten report must be based.\n\nMedical notes, including all diagrams and photos, must always be dated and signed, with the times that any interviews or observations were made."}]}',
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			'show_correct' => '0',
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			'modified' => '2024-08-07 15:36:13'
		),
		(int) 28 => array(
			'id' => '3686',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'media-field',
			'field_label' => 'Child Protection Procedures',
			'description' => 'Child Safeguarding Practice Reviews (CSPRs) are undertaken when a child dies (including death by suspected suicide), and abuse or neglect is known or suspected to be a factor in the death. 

Additionally, Local Safeguarding Children's Boards may decide to conduct an CSPR whenever a child has been seriously harmed and the case gives rise to concerns about the way in which local professionals and services worked together to safeguard and promote the welfare of children (including inter-agency and inter-disciplinary working):

• Each agency involved with the child or young person contributes a report outlining and analysing its involvement with the child
• Information is gathered by the independent reviewer who produces the CSPR

Please note that although these reviews are known as CSPRs in England, they are known as Case Management Reviews (CMRs) in Northern Ireland, learning reviews in Scotland, and Child Practice Reviews (CPRs) in Wales.

Healthcare staff, including public health practitioners, having regular contact with parents, children and young people have an important role (and a duty of care) in helping to keep children safe.

It is not always clear that a child is being maltreated:

• You may encounter behaviours or signs that should lead them to consider maltreatment as one of a number of possible diagnoses to explain the child’s presentation. Alternatively, the indicators of abuse may be stronger, leading healthcare staff to suspect that a child is being maltreated
• You need to respond appropriately and effectively when they consider or suspect that a child is being maltreated, and understand the importance of sharing concerns with colleagues and other agencies
• To respond effectively, you need to know who other key safeguarding agencies are, what their roles are and have an understanding of the next steps in the child protection process',
			'field_order' => '2',
			'attachment_id' => '1805',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:36:13',
			'modified' => '2024-08-07 15:36:13'
		),
		(int) 29 => array(
			'id' => '3687',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'image-hotspot',
			'field_label' => 'Sharing Information',
			'description' => 'How do you share relevant information with other teams?

Select the images for information.',
			'field_order' => '3',
			'attachment_id' => '1806',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":51.4915,"left":93.2727,"annotation":"Information sharing\nThe Children Act 2004 [7] places upon healthcare staff both an obligation to share information and an obligation to co-operate to safeguard and promote the welfare of children. If healthcare professionals have concerns about sharing information with others, they should obtain advice from named or designated professionals for safeguarding children. This should be undertaken as soon as possible to ensure little delay to the safety of the child or young person.\n\nIf concerns are based on information given by a child, healthcare professionals should explain to the child why they are unable to maintain confidentiality on this occasion, explore the child's concerns about sharing this information; and reassure the child that they will continue to be kept informed about what is happening.\n\nWhen gathering collateral information from other health disciplines and agencies, professionals need to use their judgement about whether to explain to the family the need to gather this information for the overall assessment of the child."},{"top":16.0369,"left":387.273,"annotation":"Sharing dilemmas\nAll healthcare professionals sometimes have difficulty deciding whether or not to divulge what is, in most situations, confidential medical information. For example, a GP may find themselves having to support both the parent and child through the child protection process, and this may be a barrier to sharing information about child maltreatment concerns.\n\nIn this situation, it is recommended that each of the two parties should be cared for by a different GP in the practice; to enable both to act as advocate for their patient while working together in the best interests of the child.\n\nThere are constant tensions between the way general practice works (a confidential service based on a relationship of trust) and the need to share information in order to protect children from abuse and neglect.\n\nThe law is clear that where concerns are evident, then it is necessary to share concerns and key elements of information to aid the Local Authority in undertaking their investigation and supporting the child effectively. This will include the necessity of sharing information about the parent or guardian."},{"top":183.037,"left":117.273,"annotation":"Your professional obligation\n In the event of a child protection concern, the expectation is that GPs and other healthcare professionals should disclose information, though consent should usually be sought first, provided this does not endanger the child.\n\nThe GMC would seek justification from a GP or doctor who did not disclose. The GMC's 0-18 years guidance advises that 'you will be able to justify raising a concern, even if it turns out to be groundless, if you have done so honestly, promptly, on the basis of reasonable belief and through the appropriate channels’.\n\nThe central conundrum is that it is often not possible to determine whether or not there is a child protection risk until after the information has been shared between agencies. However, in order to maintain a confidential service, the threshold of concern for professionals that triggers such a sharing should remain high. This is a complex area and healthcare professionals are advised to seek advice from their defence organisation in difficult situations."},{"top":211.136,"left":402.284,"annotation":"Early intervention\nThe aim of the Common Assessment Framework (CAF) (and similar multi-disciplinary frameworks in other jurisdictions) is to identify at the earliest opportunity a child's or young person's additional needs which are not being met by the universal services they are receiving. CAF is intended to provide timely and coordinated support to meet those needs.\n\nCAF can be an important tool for early interventions in safeguarding. It is designed for use when:\n\n- You are concerned about how well a child is progressing. You might be concerned about their health, welfare, behaviour, progress in learning or any other aspect of their well-being\n- The child, their parent or another person may have raised a concern with you\n- The needs are unclear, or broader than your service can address\n- A common assessment would help identify the needs of a child, and/or get other services to help meet them"}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:43:14',
			'modified' => '2024-08-07 15:43:14'
		),
		(int) 30 => array(
			'id' => '3688',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'paragraph',
			'field_label' => 'Staff should be given clear direction as to what information should be recorded and in what format. The following questions are a guide:',
			'description' => '• What information do staff need to know in order to provide a high-quality response to the child/young person concerned?
• What information do staff need to know in order to keep a child/young person safe under the service’s duty to protect people from harm?
• What information is not necessary?
• What is the basis for any decision to share (or not) information with a third party?
• All entries must provide factual information, e.g. times, dates, names of people contacted

Avoid expressions of opinion (remember that the person you are writing about may have the right to read what you have said).

• There should be a clear link between evidence recorded and actions planned/recommended
• All contact with the child/young person and alleged perpetrator must be recorded
• Record the exact words the child/young person and alleged perpetrator used
• All consultation with a manager and/or senior manager must be recorded
• When contacting other agencies the questions asked and information received must be recorded
• If a decision is made not to contact the police, the details of why this decision was made and on whose authority it was made must be recorded

All telephone calls, those received and made in relation to the abuse, must be recorded even if there was no reply to outgoing calls

• Those who attend strategy meetings must be named
• The decisions taken at all meetings must be recorded
• It is essential to demonstrate how an assessment of risk, responsibility, rights, autonomy and protection of the child/young person was undertaken
• If no investigation is to take place, the reasons why and on whose authority this decision was taken must be recorded
• All entries to be completed with the name of each person making an entry printed, signed and dated
• A professional analysis of evidence, recommendations and rationale for these
• Use body maps to illustrate physical injuries
• When contacting other agencies the questions asked and information received must be recorded',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:43:14',
			'modified' => '2024-08-07 15:43:14'
		),
		(int) 31 => array(
			'id' => '3689',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'media-field',
			'field_label' => 'When and how should information be recorded?',
			'description' => '• Records must be kept from the time that a concern, allegation or disclosure is made
• Each entry must be dated and timed

The name of the person recording the information must be written in full. Do not use initials.

• All records must be legible and, if written, should be in black ink
• Any alterations to records must be made by drawing a single line through a word(s)
• Correction fluid must not be used
• All records concerned with safeguarding children are strictly confidential

Health professionals must record all information in line with the record-keeping guidance of their own professional body.',
			'field_order' => '1',
			'attachment_id' => '1807',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:43:14',
			'modified' => '2024-08-07 15:43:14'
		),
		(int) 32 => array(
			'id' => '3690',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'media-field',
			'field_label' => 'Record-Keeping Principles',
			'description' => 'Best practice in record keeping is based on the key principles of partnership, openness and accuracy.

• Good-quality case recording is essential in ensuring:
• Continuity of service to individuals when staff are unavailable or change, or when a service resumes after a period of time
• Effective risk-management practices to safeguard the well-being of individuals in receipt of services, especially in emergency situations
• Clarity of the assessment process and decision making in relation to the mental capacity of all service users/patients
• Effective partnerships between staff, individuals, their families and carers and other providers
• Clarity of information for everyone involved in the planning and delivery of services, and in the event of investigations, inquiries or audits
• Adequate information for staff and managers working to ensure the best possible utilisation of available resources
• Support for people and carers receiving services with specific communication needs so that they may contribute to and access their records and key information

Information should be recorded in accordance with the following key principles:

• All relevant information must be recorded
• Manual records must be legible, signed and dated
• Records must be contemporaneous and kept up to date
• Records must be written in plain English and prejudice must be avoided
• Records must be accurate and adequate
• Records must clearly distinguish between statements of fact and opinion
• Managers must oversee, monitor and review all records
• Records should be kept securely
• Manual records moved to a new location must be monitored
• Professional analysis, thinking, rationale for all decisions
• Show management involvement, sign off all key decision points
• Show referral by line manager to senior management/press office as needed


',
			'field_order' => '0',
			'attachment_id' => '1808',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:43:14',
			'modified' => '2024-08-07 15:43:14'
		),
		(int) 33 => array(
			'id' => '3691',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'paragraph',
			'field_label' => 'Gillick Competence',
			'description' => 'The right of a child under 16 years to consent to medical examination and treatment, including immunisation, was decided by the House of Lords in Gillick v West Norfolk and Wisbech AHA [1986] where a mother of a girl under 13 years objected to Department of Health advice that allowed doctors to give contraceptive advice and treatment to children without parental consent.

Gillick competency applies mainly to medical advice but it is also used by practitioners in other settings. Medical professionals need to consider Gillick competency if a young person under the age of 16 wishes to receive treatment without their parents' or carers' consent or, in some cases, knowledge.

Please see Resources in the   drawer for links to more support.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 34 => array(
			'id' => '3692',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Young people from their teenage years onwards can be particularly vulnerable to getting involved with radical groups through direct contact with members, or increasingly, through the internet. This can put a young person at risk of being drawn into criminal activity and has the potential to cause significant harm.',
			'field_order' => '3',
			'attachment_id' => '1809',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 35 => array(
			'id' => '3693',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'media-field',
			'field_label' => 'Young people from their teenage years onwards can be particularly vulnerable to getting involved with radical groups through direct contact with members, or increasingly, through the internet. This can put a young person at risk of being drawn into criminal activity and has the potential to cause significant harm.',
			'description' => 'The Counter-Terrorism and Security Act 2015 contains a duty on specified authorities to have due regard to the need to prevent people from being drawn into terrorism. This is also known as the Prevent duty.

PREVENT is part of the Government counter-terrorism strategy. It's designed to tackle the problem of terrorism at its roots, preventing people from supporting terrorism or becoming terrorists themselves.

PREVENT operates in the 'pre-criminal space'. It is about supporting individuals who are at risk of radicalisation, becoming terrorists or supporting terrorism. It is not about any particular ideology - it covers all forms of extremism.

PREVENT it about:
• Noticing - vulnerability to radicalisation, changes in behaviour, ideology, and other signs of extremist exploitation
• Checking - your concerns out with your line manager to help determine a proportionate response
• Sharing - your concerns, where appropriate, with partner agencies and as far as possible being open and honest with the individual around your duty to share concerns

These forms of terrorism include:
• Far right extremists
• Al-Qa’ida-influenced groups
• Environmental extremists
• Animal rights extremists

',
			'field_order' => '2',
			'attachment_id' => '1810',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 36 => array(
			'id' => '3694',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'text-links',
			'field_label' => 'Female Genital Mutilation (FGM)',
			'description' => '<a href="https://www.nhs.uk/conditions/female-genital-mutilation-fgm/">Female genital mutilation (FGM)</a> is a procedure where the female genitals are deliberately cut, injured or changed, but there's no medical reason for this to be done.<br><br>FGM is usually carried out on young girls between infancy and the age of 15, most commonly before puberty starts. It's illegal in the UK and is child abuse.<br><br>It is a criminal offence under the Female Genital Mutilation Act 2003 [8].',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 37 => array(
			'id' => '3695',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'media-field',
			'field_label' => 'Female Genital Mutilation Act 2003',
			'description' => 'This Act of Parliament in the United Kingdom applying to England, Wales and Northern Ireland. Female genital mutilation (FGM) is illegal in the UK. Each nation in the UK has policy and guidance to help prevent FGM and take action to protect any child who has been affected. FGM has been a criminal offence in the UK since 1985. 

In 2003, it also became a criminal offence for UK nationals or permanent UK residents to take their child abroad to have female genital mutilation.

All NHS England organisations and Local Authorities should have processes in place to ensure that the mandatory reporting of FGM cases is undertaken in a timely way and fully supported by the organisation.

The duty to report cases of FGM sits with the individual who identifies the concern; this duty can not be passed to anyone else and reporting must be undertaken as soon as possible.',
			'field_order' => '1',
			'attachment_id' => '1811',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 38 => array(
			'id' => '3696',
			'course_id' => '124',
			'course_lesson_id' => '583',
			'field_type' => 'bullet-points',
			'field_label' => 'Key Points',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Maltreatment of children and young people presents in a wide variety of ways","There are factors relating to the child/young person, parent(s)/carer(s), the family and the environment that increase the risk of maltreatment","All healthcare staff need to respond appropriately and effectively when they consider or suspect that a child is being maltreated, and understand the importance of sharing concerns with colleagues and other agencies","Responsibility for safeguarding children is shared and good record keeping by healthcare professionals is essential to facilitate communication","It is important to make accurate, coded and contemporaneous records and also to document discussions, decisions and actions about safeguarding"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:49:06',
			'modified' => '2024-08-07 15:49:06'
		),
		(int) 39 => array(
			'id' => '3697',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'What would you do if you saw a colleague in your workplace hitting a paediatric patient who was misbehaving?',
			'description' => 'Choose the correct option ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Immediately report the incident to you manager or safeguarding leadd","Tell the child that is what to expect if they misbehave","Tell your colleague that you will report it if they do it again"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 40 => array(
			'id' => '3698',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Who are potential abusers of children?',
			'description' => 'Choose one or more options',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Adults","Other patients","Trust employees","Family members","Other children"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 41 => array(
			'id' => '3699',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What makes an effective advocate for a child or young person at risk of maltreatment?',
			'description' => 'Choose three options and select Submit.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["They listen to what the child is saying","They believe everything that the parents tell them","If appropriate they see the child on their own","They always act in the child's best interests"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 42 => array(
			'id' => '3700',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What actions should be taken by a staff member when a child discloses that they are being maltreated?',
			'description' => 'Choose five options ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Document what is said","Don't promise to keep a secret","Follow safeguarding procedure","Discuss the information with an appropriate person","Do nothing as you are just there to listen","Listen to the child"]',
			'field_correct' => '0,1,2,3,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 43 => array(
			'id' => '3701',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'Single parents who are isolated in the community with no family or social network to help or support them can often be very challenging. If we are supporting a parent in this situation and they have a very young baby, they state they are struggling to manage with day-to-day tasks, they are very stressed and not sleeping well.  Should we be worried about their safety and the safety of the baby?',
			'description' => 'Choose the correct option',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Yes","No"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 44 => array(
			'id' => '3702',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the potential child vulnerability factors that may lead to child maltreatment?',
			'description' => 'Choose four options',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Having a disability","Communication difficulties","Being a looked after child","Bing an only child","Being aged under one"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 45 => array(
			'id' => '3703',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the roles and responsibilities of clinical managers in regard to safeguarding issues?',
			'description' => 'Choose three options',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Dismissing any staff concerns","Offering guidance and support","Appropriately managing and escalating concerns","Appropriately disseminating information"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 46 => array(
			'id' => '3704',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is the responsibility of the local authority in relation to safeguarding children?',
			'description' => 'Choose three options ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["As the lead organisation, they have no responsibility to share information","Complete an assessment of the needs of children at risk","Promote interagency cooperation","Analyse the information gathered from an enquiry"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 47 => array(
			'id' => '3705',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where would you find information about how to make a referral to Children's Social Care/MASH?',
			'description' => 'Choose one or more options ',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Local Authority Safeguarding Children webpage","In the Safeguarding Children's Policy"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 48 => array(
			'id' => '3706',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'In a local family, where there is known domestic abuse which is witnessed by the children, the mother is concerned about her own safety and that of her children. She has no money to buy food for them and there is no heating in the house. You are aware that the father is dealing in drugs from the family home. What actions might you take?',
			'description' => 'Choose four options',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Tell the father that his actions are illegal","Refer to Social Care","Discuss possible options with the mother","Refer to the police","Discuss with colleagues\/line manager to ascertain what actions have already been taken"]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 49 => array(
			'id' => '3707',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are true?',
			'description' => 'Choose two options',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Wealthy parents do not abuse their children","If a child does not observe dosmestic abuse, they are unaffected by it","Children with disabilities are more vulnerable to abuse","Young people can be groomed into sexual exploitation"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 50 => array(
			'id' => '3708',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What should the details you record do?',
			'description' => 'Choose four options ',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Include your personal views about a parent\/carer","Be factual and not subjective","Include your observations and assessment","Include a plan of action","Reflect the child's wishes and feelings (if relevant)"]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 51 => array(
			'id' => '3709',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'You have evidence that a child is at risk of significant harm and you have asked the parents for their permission to make a referral to social care. The parents refuse permission. What action should you take?',
			'description' => 'Choose the two correct options',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Do not make referral as you do not have permission","Make your referral to social care without telling the parents","Tell them that you are making a referral to social care as it is in the best interest of the child"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 52 => array(
			'id' => '3710',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'You are making a referral to Children's Social Care and you are aware that the family have been previously known to Children's Social Care/MASH in another area. Is it relevant and appropriate to share this information?',
			'description' => 'Choose the correct option',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Yes","No"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 53 => array(
			'id' => '3711',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'How does the UN Convention on the rights of the child change the way children are viewed and treated?',
			'description' => 'Choose the correct option ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It ensures that children are treated as passive objects of care and charity","It ensures that children are kept quiet until they are spoken to","It ensures that children are treated as human beings with a distinct set of rights"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 54 => array(
			'id' => '3712',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'The United Nations Convention of the Rights of a Child (UNCRC) is a core part of the development of legislation to safeguarding children and young people. Is this:',
			'description' => 'Choose the correct option ',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 55 => array(
			'id' => '3713',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'FGM is defined as all procedures (not operations) which involve partial or total removal of the external female genitalia or injury to the female genital organs which is done for cultural or other non-therapeutic reasons.',
			'description' => 'Choose the correct option',
			'field_order' => '16',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 56 => array(
			'id' => '3714',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the health problems associated with FGM?',
			'description' => 'Choose five options ',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Fertility","Psychological and social consequences","There are no health problems associated with FGM","Severe pain and shock","Infection","Sexual dysfunction "]',
			'field_correct' => '0,1,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 57 => array(
			'id' => '3715',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following might make a child more susceptible to being radicalised?',
			'description' => 'Choose three options',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Bullying","Deprivation","Adolescence","Attending a place of worship"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 58 => array(
			'id' => '3716',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What might indicate that a child is being radicalised?',
			'description' => 'Choose three options ',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A child expresses interest in a bomb making experiment","A child who has recently been bereaved","A child withdrawing from social group activities","A child is accessing what you conside to be extremist websites or those of radical organisations"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 59 => array(
			'id' => '3717',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What would you do if you suspected child sexual exploitation?',
			'description' => 'Choose three options ',
			'field_order' => '20',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Talk to your line manager and\/or safeguarding lead in your organisation","Identify which other health\/social care professionals are involved with the child\/family","Tell the young person not to leave their home","Refer to social care"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 60 => array(
			'id' => '3718',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'A child comes into your care. Which of the following might make you suspect the child is being trafficked?',
			'description' => 'Choose one or more options ',
			'field_order' => '21',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Is not registered with a GP, nursery or school","Unclear relationship with the accompanying adult","Vague and inconsistent explanation of schooling","May struggle to speak English","Appearance suggests general physical neglect","Has moved location frequently","Inconsistent information about age"]',
			'field_correct' => '0,1,2,3,4,5,6',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		)
	),
	'LessonFieldList' => array(
		(int) 575 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
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		(int) 576 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			),
			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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		),
		(int) 577 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			)
		),
		(int) 578 => array(
			(int) 0 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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		),
		(int) 579 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
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		(int) 580 => array(
			(int) 0 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			),
			(int) 3 => array(
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			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 581 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
				[maximum depth reached]
			)
		),
		(int) 582 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 583 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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			(int) 6 => array(
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			(int) 7 => array(
				[maximum depth reached]
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			(int) 8 => array(
				[maximum depth reached]
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			(int) 9 => array(
				[maximum depth reached]
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			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
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			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			)
		)
	),
	'LessonFieldAll' => array(
		(int) 0 => array(
			'id' => '3658',
			'course_id' => '124',
			'course_lesson_id' => '575',
			'field_type' => 'paragraph',
			'field_label' => 'Learning Objectives',
			'description' => '• Describe what constitutes child maltreatment and be able to identify any signs of child abuse or neglect
• Be able to act as an effective advocate for a child or young person
• Describe the potential impact of the physical and mental health of a parent/carer on the well-being of a child or young person in order to be able to identify a child or young person at risk
• Be able to identify the professional role, responsibilities and professional boundaries and those of colleagues in a multi-disciplinary team and in a multi-agency setting
• Explain how and when to refer to social care if safeguarding/child protection is identified as a concern
• Be able to document safeguarding/child protection concerns in a format that informs the relevant staff and agencies appropriately
• Explain how to maintain appropriate records including being able to differentiate between fact and opinion
• Be able to identify the appropriate and relevant information and how to share it with other teams
• List key statutory and non-statutory guidance and legislation including the UN Convention on the Rights of the Child and Human Rights Act
• Describe the risk of female genital mutilation (FGM) in certain communities, be willing to ask about FGM in the course of taking a routine history, know whom to contact if a child makes a disclosure of impending or completed mutilation, be aware of the signs and symptoms and be able to refer appropriately for further care and support
• List the risk factors for radicalisation and know whom to contact regarding preventive action and support for those vulnerable young persons who may be at risk of, or are being drawn into, terrorist-related activity
• Be able to identify and refer a child suspected of being a victim of trafficking and/or sexual exploitation

Please note that you are expected to have worked through Safeguarding Children Level 1 before completing this Level 2 session. The assessment includes questions that specifically reference knowledge covered in Level 1.',
			'field_order' => '0',
			'attachment_id' => null,
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			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 14:46:42',
			'modified' => '2024-08-07 14:46:42'
		),
		(int) 1 => array(
			'id' => '3659',
			'course_id' => '124',
			'course_lesson_id' => '575',
			'field_type' => 'paragraph',
			'field_label' => 'Duration:',
			'description' => '20 minutes (knowledge chapters)
15 minutes (eAssessment)',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 14:46:42',
			'modified' => '2024-08-07 14:46:42'
		),
		(int) 2 => array(
			'id' => '3660',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'Why is Safeguarding Children Important?',
			'description' => 'Even thinking about the abuse of children is distressing, so it is important to know what to do if you are concerned that a child or young person might be or has been abused.

This session explains what safeguarding children and young people involves.

You will learn about the range of child abuse and how you might be able to recognise abuse in a child or young person. It also looks at what you should do if you are concerned that a child is being abused or neglected. It explains the steps that you need to take in order to protect children from further harm.

It is important to note that the term 'children' means children and young people from birth to their eighteenth birthday.

The session does not contain any photos or illustrations of injuries. If the session is very upsetting for you (possibly because of experiences in your own or others' lives), you should seek advice from your manager or occupational health department.',
			'field_order' => '0',
			'attachment_id' => '1786',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 14:58:27',
			'modified' => '2024-08-07 14:58:27'
		),
		(int) 3 => array(
			'id' => '3661',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'Child Abuse',
			'description' => 'Someone may abuse or neglect a child or young person by inflicting harm, or by failing to act in preventing harm. This harm may be physical or psychological and includes the grooming and exploitation of children and young people. All types of abuse will affect the child's or young person's current and future mental and physical wellbeing.

Children and young people may be abused in a family, or in an institutional or wider community setting.

often than not the person responsible for the abuse has a close relationship or has spent time getting to know the child or young person.

Any child or young person can be at risk of harm, exploitation or abuse. Research shows that there are some children whose vulnerability places them at greater risk of harm. This can include (but is not limited to) babies and very young children due to their inherent need for support and intimate care. Those with physical disabilities and learning difficulties are also at increased risk, again due to their need for intimate care and support. Some behaviours of adolescent children may put them at greater risk (for example, more accessible online, experimental and risk-taking behaviours, running away from home, seeking older people’s company/companionship). This list is not exhaustive.',
			'field_order' => '1',
			'attachment_id' => '1787',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:58:27',
			'modified' => '2024-08-07 14:58:27'
		),
		(int) 4 => array(
			'id' => '3662',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'image-hotspot',
			'field_label' => 'Child abuse is described in the categories shown.',
			'description' => 'Many children suffer from more than one form of abuse. Some level of emotional abuse is involved in all types of child maltreatment, though it may also occur within a relationship in isolation, such as in the case of coercive control.

This session will focus on the recognition of signs and behaviours that might suggest that a child is being maltreated/abused and therefore is at risk of significant harm and in need of protection.

Select the numbers to find out more information about categories of child abuse.',
			'field_order' => '2',
			'attachment_id' => '1789',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":5.17188,"left":209,"annotation":"Physical abuse\n\nPhysical abuse is deliberately hurting a child, causing injuries such as bruises, broken bones, burns or cuts.\n\nIt isn’t accidental - children who are physically abused suffer violence such as being hit, kicked, poisoned, burned, slapped or having objects thrown at them. Shaking or hitting babies can cause non-accidental head injuries (NAHI). Sometimes parents or carers will make up or cause the symptoms of illness in their child, perhaps giving them medicine they don’t need and making the child unwell – this is known as fabricated or induced illness (FII).\n\nThere’s no excuse for physically abusing a child. It causes serious, and often long-lasting, harm – and in severe cases, death."},{"top":18.1719,"left":297,"annotation":"Child sexual exploitation\n\nChild sexual exploitation (CSE) is a type of sexual abuse. Children in exploitative situations and relationships receive something such as gifts, money or affection as a result of performing sexual activities or others performing sexual activities on them.\n\nChildren or young people may be tricked into believing they're in a loving, consensual relationship. They might be invited to parties and given drugs and alcohol. They may also be groomed and exploited online.\n\nSome children and young people are trafficked into or within the UK for the purpose of sexual exploitation. Sexual exploitation can also happen to young people in gangs."},{"top":53.1719,"left":367,"annotation":"Bullying and cyberbullying\n\nBullying is behaviour that hurts someone else – such as name calling, hitting, pushing, spreading rumours, threatening or undermining someone.\n\nIt can happen anywhere – at school, at home or online. It’s usually repeated over a long period of time and can hurt a child both physically and emotionally.\n\nBullying that happens online, using social networks, games and mobile phones, is often called cyberbullying. A child can feel like there’s no escape because it can happen wherever they are, at any time of day or night."},{"top":115.172,"left":402,"annotation":"Domestic abuse\n\nDomestic abuse is any type of controlling, bullying, threatening or violent behaviour between people in a relationship. But it isn’t just physical violence – domestic abuse includes emotional, physical, sexual, financial or psychological abuse.\n\nAbusive behaviour can occur in any relationship. It can continue even after the relationship has ended. Both men and women can be abused or abusers.\n\nDomestic abuse can seriously harm children and young people. Witnessing domestic abuse is child abuse, and teenagers can suffer domestic abuse in their relationships."},{"top":187.172,"left":379,"annotation":"Sexual abuse\n\nA child is sexually abused when they are forced or persuaded to take part in sexual activities.\n\nThis doesn't have to be physical contact and it can happen online.\n\nSometimes the child won't understand that what's happening to them is abuse.\n\nThey may not even understand that it's wrong."},{"top":237.172,"left":304,"annotation":"Neglect\n\nNeglect is the ongoing failure to meet a child's basic needs and is the most common form of child abuse.\n\nA child may be left hungry or dirty, without adequate clothing, shelter, supervision, medical or healthcare.\n\nA child may be put in danger or not protected from physical or emotional harm.\n\nThey may not get the love, care and attention they need from their parents.\n\nA child who's neglected will often suffer from other abuse as well.\n\nNeglect is dangerous and can cause serious, long-term damage - even death."},{"top":243.172,"left":197,"annotation":"Online abuse\n\nOnline abuse is any type of abuse that happens on the web, whether through social networks, playing online games or using mobile phones. Children and young people may experience cyberbullying, grooming, sexual abuse, sexual exploitation or emotional abuse.\n\nChildren can be at risk of online abuse from people they know, as well as from strangers. Online abuse may be part of abuse that is taking place in the real world (for example bullying or grooming). Or it may be that the abuse only happens online (for example persuading children to take part in sexual activity online).\n\nChildren can feel like there is no escape from online abuse – abusers can contact them at any time of the day or night, the abuse can come into safe places like their bedrooms, and images and videos can be stored and shared with other people."},{"top":192.172,"left":107,"annotation":"Emotional abuse\n\nEmotional abuse is the ongoing emotional maltreatment of a child. It’s sometimes called psychological abuse and can seriously damage a child’s emotional health and development.\n\nEmotional abuse can involve deliberately trying to scare or humiliate a child or isolating or ignoring them.\n\nChildren who are emotionally abused are often suffering another type of abuse or neglect at the same time – but this isn’t always the case."},{"top":148.172,"left":135,"annotation":"Child trafficking\n\nChild trafficking and modern slavery are child abuse. Children are recruited, moved or transported and then exploited, forced to work or sold.\n\nChildren are trafficked for:\n\n- Child sexual exploitation\n- Benefit fraud\n- Forced marriage\n- Domestic servitude such as cleaning, childcare, cooking\n- Forced labour in factories or agriculture\n- Criminal activity such as pickpocketing, begging, transporting drugs, working on cannabis farms, selling pirated DVDs and bag theft\n\nMany children are trafficked into the UK from abroad, but children can also be trafficked from one part of the UK to another."},{"top":70.1719,"left":94,"annotation":"Harmful sexual behaviour\n\nHarmful sexual behaviour includes:\n\n- Using sexually explicit words and phrases\n- Inappropriate touching\n- Using sexual violence or threats\n- Full penetrative sex with other children or adults\n\nSexual behaviour between children is also considered harmful if one of the children is much older – particularly if one of the children is pre-pubescent and the other isn’t [1].\n\nHowever, a younger child can abuse an older child, particularly if they have power over them – for example, if the older child is disabled [2].\n\nIf you're not sure whether a sexual behaviour is harmful, find out about the signs, symptoms and effects of harmful sexual behaviour."},{"top":35.1719,"left":147,"annotation":"Grooming\n\nGrooming is when someone builds an emotional connection with a child to gain their trust for the purposes of sexual abuse, sexual exploitation or trafficking.\n\nChildren and young people can be groomed online or face to face, by a stranger or by someone they know, for example a family member, friend or professional.\n\nGroomers may be male or female. They could be any age.\n\nMany children and young people don't understand that they have been groomed or that what has happened is abuse."}]}',
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		),
		(int) 5 => array(
			'id' => '3663',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'image-hotspot',
			'field_label' => '',
			'description' => 'Child safeguarding concerns can be identified in many different ways. In some cases, a child presents to a healthcare setting and their injury or situation has clearly been caused by harm or abuse.

However, there are more subtle situations that may also need your attention.

When dealing with a child or an adult it is always recommended to take a ‘Think Family’ approach and consider whether the person is a carer or parent and how their presenting situation/illness/diagnosis may impact on them and their ability to care and support for others.

Explore the following scenarios and try to identify the safeguarding concern in each of the settings. ',
			'field_order' => '3',
			'attachment_id' => '1790',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":10.5,"left":286,"annotation":"GP surgery\n\nA 6-year-old boy repeatedly brought to surgery by his mother for minor illnesses such that his school attendance is only 85%. The mother herself has a history of repeated presentations with many symptoms."},{"top":27.5,"left":356,"annotation":"GU clinic\n\nA young teenager with mild learning difficulties and vulvar abrasions, accompanied by an adult male."},{"top":83.5,"left":395,"annotation":"Operating theatre\n\nAn 18-month-old boy who is noted to have a torn frenulum when being intubated. Further examination reveals bruising to both ears and the buttocks."},{"top":143.5,"left":421,"annotation":"Antenatal clinic\n\nA 17-year-old girl, usually accompanied everywhere by her 30-year-old husband, reveals that her husband is physically violent and emotionally controlling."},{"top":208.5,"left":374,"annotation":"Community paediatric service\n\nA 13-year-old girl with severe disability, confined to a wheelchair and with limited communication, found to have bruising of the inner thighs."},{"top":232.5,"left":298,"annotation":"Adult ward\n\nA 33-year-old female patient with pancreatitis who, when asked if she is the carer for any children or vulnerable adults, reveals that she is a single mother and that her 13-year-old daughter is at home minding her two younger children."},{"top":242.5,"left":204,"annotation":"Paediatric ward\n\nA 6-year-old girl admitted with an exacerbation of asthma who reveals to the play therapist a knowledge of sexual acts/behaviours that would not be expected for the child's age."},{"top":201.5,"left":115,"annotation":"Paediatric A&E\n\nA toddler aged 2 years with a swollen leg, refusing to weight bear, presented 5 days after the 'accident'."},{"top":103.516,"left":79,"annotation":"Dentist\n\nA 4-year-old girl with widespread dental caries which is progressing to a facial abscess. Her mother does not follow advice to stop giving her bottles of milk and juice despite dental and health visitor advice."},{"top":54.5,"left":124,"annotation":"Adult A&E\n\nA 16-year-old girl presenting repeatedly with self-harming who reveals that her family is forcing her into a marriage she doesn't want."},{"top":12.5,"left":163,"annotation":"Public health practitioner\n\nNotification of a sexually transmitted infection in a young child."}]}',
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		),
		(int) 6 => array(
			'id' => '3664',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'Think Family',
			'description' => 'A family focus alone may not be enough to address the problems faced by some parents with a mental health problem nor will it necessarily prevent a child from suffering harm. The adults' problems need to be addressed through specific clinical expertise and services, just as children's problems need to be, or those requiring a whole family approach.

A family focus should not be seen as an alternative to providing individual care, but must be considered alongside it.

The Think Family agenda recognises and promotes the importance of a whole-family approach which is built on the principles of 'Reaching out: think family' [3].

No Wrong Door
Contact with any service offers an open door into a system of joined-up support. This is based on more coordination between adult and children's services.

Looking at the Whole Family
Services working with both adults and children take into account family circumstances and responsibilities. For example, an alcohol treatment service combines treatment with parenting classes while supervised childcare is provided for the children.

Providing Support Tailored to Need
Working with families to agree a package of support best suited to their particular situation.

Building on Family Strengths
Practitioners work in partnerships with families recognising and promoting resilience and helping them to build their capabilities. For example, family group conferencing is used to empower a family to negotiate their own solution to a problem.
',
			'field_order' => '4',
			'attachment_id' => '1791',
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			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
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		),
		(int) 7 => array(
			'id' => '3665',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'The Crossing Bridges Family Model [4] can help staff to consider the parent, the child and the family as a whole when assessing the needs of and planning care packages for families with a parent suffering from a mental health problem.',
			'description' => 'The model illustrates how the mental health and wellbeing of the children and adults in a family where a parent is mentally ill are intimately linked in at least three ways, as shown in the diagram.

• Parental mental health problems can adversely affect the development, and in some cases the safety, of children
• Growing up with a mentally ill parent can have a negative impact on a person's adjustment in adulthood, including their transition to parenthood
• Children, particularly those with emotional, behavioural or chronic physical difficulties, can precipitate or exacerbate mental ill health in their parents/carers

The model also identifies that there are risks, stressors and vulnerability factors increasing the likelihood of a poor outcome, as well as strengths, resources and protective factors that enable families to overcome adversity.',
			'field_order' => '5',
			'attachment_id' => '1792',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 14:58:27',
			'modified' => '2024-08-07 14:58:27'
		),
		(int) 8 => array(
			'id' => '3674',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'media-field',
			'field_label' => 'Signs of Abuse',
			'description' => 'It can be difficult to spot signs of abuse in a child as there are not always physical signs that are obvious. In this chapter, we will look at signs of sexual abuse, particularly child sexual exploitation, emotional abuse and neglect as these are examples of abuse that can be difficult to identify.',
			'field_order' => '0',
			'attachment_id' => '1797',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 9 => array(
			'id' => '3673',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'media-field',
			'field_label' => 'Sexual Abuse',
			'description' => 'There are very few absolutely diagnostic signs of sexual abuse on examination. This is because often sexual abuse of children is by touching or kissing or other activities that do not involve significant physical force. Furthermore the genital area heals very quickly in young children: no signs may be present a few days after quite significant trauma. Forensic material also decays rapidly.

Examination of children suspected of having been sexually abused requires a doctor with specific expertise and training, facilities for photo documentation, sexually transmitted infection screening and management, and (where indicated) forensic testing. Forensic material (e.g. DNA from sperm) may be found on the child or his/her clothing/bedding.


This component is an accordion comprised of collapsible content panels containing display text. Select the item titles to toggle the visibility of these content panels.
Child sexual exploitation is a hidden crime. Young people often trust their abuser and don't understand that they're being abused. They may depend on their abuser or be too scared to tell anyone what's happening.

What can it involve?
It can involve violent, humiliating and degrading sexual assaults, including oral and anal rape. In some cases, young people are persuaded or forced into exchanging sexual activity for money, drugs, gifts, affection or status. Child sexual exploitation doesn't always involve physical contact and can happen online.

Child sexual exploitation (CSE) is a type of sexual abuse. Children in exploitative situations and relationships receive something such as gifts, money or affection as a result of performing sexual activities or others performing sexual activities on them.

Children or young people may be tricked into believing they're in a loving, consensual relationship. They might be invited to parties and given drugs and alcohol. They may also be groomed and exploited online.

Some children and young people are trafficked into or within the UK for the purpose of sexual exploitation. Sexual exploitation can also happen to young people in gangs.

Child trafficking and modern slavery
Child trafficking and modern slavery are child abuse. Children are recruited, moved or transported and then exploited, forced to work or sold. Children are trafficked for:

• Child sexual exploitation
• Benefit fraud
• Forced marriage
• Domestic servitude such as cleaning, childcare, cooking
Forced labour in factories or agriculture
• Criminal activity such as pickpocketing, begging, transporting drugs, working on cannabis farms, selling pirated DVDs and bag theft

Many children are trafficked into the UK from abroad, but children can also be trafficked from one part of the UK to another.

Gangs and young people
Children and young people involved with, or on the edges of, gangs might be victims of violence or they might be pressured into doing things like stealing or carrying drugs or weapons. They might be abused, exploited or put into dangerous situations.

For lots of young people, being part of a gang makes them feel part of a family so they might not want to leave. Even if they do, leaving or attempting to leave can be a really scary idea. They might be frightened about what will happen to them, their friends or their family if they leave.

Grooming
Grooming is when someone builds an emotional connection with a child to gain their trust for the purposes of sexual abuse, sexual exploitation or trafficking.

Children and young people can be groomed online or face-to-face, by a stranger or by someone they know - for example a family member, friend or professional.

Groomers may be male or female. They could be any age.

Many children and young people don't understand that they have been groomed or that what has happened is abuse.

Child sexual abuse online
When sexual exploitation happens online, young people may be persuaded, or forced, to:

• Send or post sexually explicit images of themselves
• Take part in sexual activities via a webcam or smartphone
• Have sexual conversations by text or online

Abusers may threaten to send images, video or copies of conversations to the young person's friends and family unless they take part in other sexual activity.

Images or videos may continue to be shared long after the sexual abuse has stopped.

It is a criminal offence to meet a child online and engage in a sexual conversation, or to arrange to meet the child in person for the intent to sexually abuse or exploit them.



',
			'field_order' => '1',
			'attachment_id' => '1796',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 15:11:20',
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		),
		(int) 10 => array(
			'id' => '3672',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Child sexual exploitation (CSE) is a type of sexual abuse where the child/young person receives something (for example, money, food, shelter, drugs) in return for sexual activities. There is a power imbalance between the perpetrator and victim. Staff in GUM clinics, GPs, CAMHS and Emergency Departments are well-placed to consider whether a young person might be subject to CSE. The difficulty is that most victims do not recognise that they are being exploited.

Vulnerability factors include:

• Previous abuse
• Young people in foster/residential care
• Young people who are missing (from education/home)
• Drug/alcohol use
• Poor self-esteem

The child or young person may be difficult to engage and display challenging behaviour. Local GUM and Emergency Department services should be able to signpost to local services that offer support and intervention as they work closely with the police and children's social care.',
			'field_order' => '2',
			'attachment_id' => null,
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			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 11 => array(
			'id' => '3671',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'multiple-choice',
			'field_label' => 'How might concerns about sexual abuse arise in a healthcare setting?  A child may:',
			'description' => 'Select four options a',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["be identified in indecent images","be pregnant","have mainly older friends","have a sexually transmitted infection with no clear explanation","be sexually active at a young age"]',
			'field_correct' => '0,1,3,4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 12 => array(
			'id' => '3670',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the physical symptoms of sexual abuse?',
			'description' => 'Select three options ',
			'field_order' => '4',
			'attachment_id' => '1795',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["vaginal bleeding","scratches on the torso","vaginal itching","discharge or rectal bleeding"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 13 => array(
			'id' => '3669',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the behavioural symptoms of sexual abuse?',
			'description' => 'Select one or more options',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["soiling, secondary enuresis","self-harm","aggressive or sexualised behaviours","regression and poor school performance","running away from home or care"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 14 => array(
			'id' => '3668',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'media-field',
			'field_label' => 'Neglect',
			'description' => 'When should you consider the possibility of neglect?


When the child:
• Consistently misses medical appointments 
• Lacks needed medical/dental care, immunisations or glasses
Seems ravenously hungry
• Is dirty
• Is wearing inadequate clothing for cold weather
• Is abusing alcohol or other drugs
• Says there is no one at home to provide care

When the parent or other adult caregiver:
• Appears to be indifferent to the child
• Seems apathetic or depressed
• Behaves irrationally or in a bizarre manner
• Is abusing alcohol or other drugs',
			'field_order' => '6',
			'attachment_id' => '1794',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 15 => array(
			'id' => '3667',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'text-links',
			'field_label' => 'Dental neglect',
			'description' => 'Dental neglect can be defined as “the persistent failure to meet a child’s basic oral health needs, likely to result in the serious impairment of a child’s oral or general health or development." [5]

Poor oral health can impact on a child’s ability to eat, sleep, speak and socialise as well as potentially causing pain, infection, poor nutrition or impaired growth and development.

Concerning features or behaviours to be aware of once dental problems have been highlighted to parents or carers may include:

• Failure to take a child for dental care leading to severe untreated dental problems
• Missing appointments and not completing recommended dental treatment
• Failure to provide basic dental care at home (e.g. toothbrushing twice daily with fluoride toothpaste)
• Repeated general anaesthesia to remove teeth

There is a statutory requirement that children in care have regular dental checks including any necessary treatment or monitoring.

Select the hyperlink for further information on child oral health.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 16 => array(
			'id' => '3666',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'image-hotspot',
			'field_label' => 'Emotional Abuse',
			'description' => 'Emotional abuse is the hardest form of abuse for anyone in a healthcare setting to detect. It is very damaging and can cause severe, long-term harm to a child's intellectual and emotional development.

Some clues may be found by considering the status of the child for the parent or caregiver. Is the child the 'wrong' gender, born at a time of parental separation or violence, or seen as 'ill' or 'difficult'? Is the parent/carer overprotective?

Is there a suspicion of bullying, not only by a parent/carer but by others in the child's life, for example at school or online?

This component is a flipcard comprised of flippable cards containing display image. Select the front face image to flip to the back face of these card to display associated text.
How do children who are emotionally abused behave?

Select all of the images to find out about behaviours in emotionally abused children.',
			'field_order' => '8',
			'attachment_id' => '1793',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":25.6875,"left":170,"annotation":"Babies\nApathetic, delayed development, non-demanding. The mother describes the baby as 'spoiled, attention seeking, in control, not loving her’."},{"top":78.6875,"left":424,"annotation":"Toddlers and pre-school children\nViolent, clingy, apathetic."},{"top":191.688,"left":167,"annotation":"School children\nWetting, soiling, relationship difficulties, non-attendance, anti-social behaviour."},{"top":266.688,"left":390,"annotation":"School children\nWetting, soiling, relationship difficulties, non-attendance, anti-social behaviour."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 17 => array(
			'id' => '3677',
			'course_id' => '124',
			'course_lesson_id' => '578',
			'field_type' => 'paragraph',
			'field_label' => 'Child Advocacy',
			'description' => 'Child advocacy refers to a range of individuals, professionals and advocacy organisations who speak out on the best interests of children. An individual or organisation engaging in advocacy typically seeks to protect children's rights, which may be abridged or abused in a number of areas.

The requirement to listen to the wishes and feelings of looked-after children and young people has been established in our domestic legislation for over 20 years. Advocacy is now a recognised tool to supporting children and young people having their wishes and feelings heard.

Advocacy acts as a safety net for many children and young people in care, who do not have the natural support network of family to represent them, to support them and make sure they are involved in decisions and have their rights met.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:15:03',
			'modified' => '2024-08-07 15:15:03'
		),
		(int) 18 => array(
			'id' => '3676',
			'course_id' => '124',
			'course_lesson_id' => '578',
			'field_type' => 'image-hotspot',
			'field_label' => 'The different presentations illustrate the wide variety of ways that child protection concerns can arise in different parts of the health service and that child protection issues are often not clear cut. Deciding whether or not a child is being abused is not the responsibility of any one person but requires professionals involved with the child and/or family/carers, such as the GP, lead nurse and doctor for child protection, paediatricians, other healthcare staff, social workers, school staff and police to work together.  ',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '1',
			'attachment_id' => '1799',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":83.625,"left":40,"annotation":"Physician\nYou are a member of the medical team on-call in a large, acute NHS hospital and have decided to admit Paula, a 35-year-old single mother with a large pleural effusion requiring drainage. The history reveals that Paula lives with her 9- and 11-year-old daughters. Paula does not appear concerned that the two girls will be in the house alone overnight and says she wasn't planning to find someone to look after the girls.\n\nYou may suspect 'emotional abuse' and 'neglect'."},{"top":93.625,"left":82,"annotation":"GP\nYou are a GP and review a 13-year-old boy in the surgery with recurrent headaches. While you are examining him he reveals that he is being bullied via text messages and on social media websites. His mother is aware of it but does not know how to help.\n\nYou may suspect 'not clear but concerning'."},{"top":82.625,"left":129,"annotation":"Physiotherapist\nYou are a community physiotherapist reviewing Mohammed, aged 15, for ongoing knee pain, which he sustained playing football. Over the course of four appointments (two of which he did not attend) you establish that he rarely attends school and is part of a local gang.\n\nYou may suspect 'not clear but concerning'."},{"top":86.625,"left":181,"annotation":"Surgeon\nYou are the surgeon reviewing a 4-year-old boy with abdominal pain in A&E. As you go to examine him, he makes a sexually inappropriate comment that suggests he has knowledge of anal sex. His father, who is with the boy, appears to laugh off the comment.\n\nYou may suspect 'sexual abuse'."},{"top":84.625,"left":239,"annotation":"Nurse\nYou are the nurse running the cardiology clinic in December and you see that Mr Morgan is accompanied by a male child of about 5 years. The child resembles Mr Morgan and may be his grandson. The child is inappropriately dressed for the cold weather and is unkempt.\n\nYou may suspect 'not clear but concerning' and possibly 'neglect'."},{"top":81.625,"left":282,"annotation":"Dentist\nYou are a dentist seeing a 4-year-old girl with very bad dental caries. You notice that she has bruising to the neck. The child’s mother is unable to explain this.\n\nYou may suspect 'physical abuse' and 'neglect'."},{"top":76.625,"left":333,"annotation":"Anaesthetist\nYou are anaesthetising a 12-year-old post-pubertal girl for abdominal surgery. During the surgical preparation you notice that she has a number of opposing crescent shaped bruises to both breasts. You are concerned that these are bite marks.\n\nYou may suspect 'sexual abuse'."},{"top":82.625,"left":375,"annotation":"Triage nurse\nYou are the triage nurse in A&E. Molly is a 35-year-old mother of five children and attends the Emergency Department for the fourth time over the course of 2 months. She says her injury is due to walking into a door.\n\nYou may suspect 'domestic violence'."},{"top":102.625,"left":431,"annotation":"Midwife\nYou are a midwife booking in a 21-year-old primipara. You note she has several self-harm scars on the left arm and nictotine staining of the middle fingers. You ask her about any previous or current health concerns and she denies having any issues. The GP referral letter does not mention any mental health problems or substance misuse.\n\nYou may suspect 'not clear but concerning'."},{"top":74.625,"left":463,"annotation":"Midwife\nYou are a midwife booking in a 21-year-old primipara. You note she has several self-harm scars on the left arm and nictotine staining of the middle fingers. You ask her about any previous or current health concerns and she denies having any issues. The GP referral letter does not mention any mental health problems or substance misuse.\n\nYou may suspect 'not clear but concerning'."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:15:03',
			'modified' => '2024-08-07 15:15:03'
		),
		(int) 19 => array(
			'id' => '3675',
			'course_id' => '124',
			'course_lesson_id' => '578',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'The involvement of children in decision making about matters important to them not just empowers children, but also aids their development, their transition to adulthood and safeguards them against abuse and neglect. As described in the Munro Review of Child Protection [6] there is a recognition that in a 'system that has become over-bureaucratised and focused on meeting targets', we often lose focus of children’s needs and feelings.

Advocacy helps to bring that focus back. To make it happen, the central and local government must take steps to ensure that all children in care can access advocacy support if necessary, and that learning from individual advocacy cases is utilised to improve services for all children in care. This can be done through strengthening the statutory guidance, through the development of monitoring and regulatory framework, and through better-commissioning processes.',
			'field_order' => '2',
			'attachment_id' => '1798',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:15:03',
			'modified' => '2024-08-07 15:15:03'
		),
		(int) 20 => array(
			'id' => '3681',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'paragraph',
			'field_label' => 'Risk Factors for Child Maltreatment',
			'description' => 'Child maltreatment occurs across all socio-economic, religious, cultural, racial,and ethnic groups. While no specific causes have been definitively identified that lead a parent, other caregiver or someone in the child or young person's environment to abuse or neglect a child, research has identified a number of risk factors commonly associated with maltreatment.

It is important to be aware of the risk factors present in a child or their carers and environment that increase the likelihood that a child will be maltreated.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:25:33',
			'modified' => '2024-08-07 15:25:33'
		),
		(int) 21 => array(
			'id' => '3680',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'media-field',
			'field_label' => 'What are the risk factors for maltreatment?',
			'description' => 'Risk factors in child/young person
• Failure to meet parental expectations and aspirations, for example, disabled, wrong gender
• Born at wrong time, for example, when parents are more concerned with alcohol or a drug habit
• An unplanned birth
• Unwanted due to a breakdown in parental relationship
• Product of forced, coercive or commercial sex
• Looked-after children:
- Children become looked after when their birth parents are unable to provide ongoing care in either a temporary or permanent capacity
- Children can either be looked after as a result of voluntary agreement by their parents or as the result of a care order
- Children may be placed with kinship carers (family), network carers (extended family/friends) or foster carers depending on individual circumstances
• Social isolation, for example, normalisation of peer on peer intimidation or cyberbullying within the young person's school/peer group/gang
• Carer to an adult in the family
• Bereavement

Risk factors in the parents
• Poor self-esteem
• Indifference, intolerance or over-anxiousness
• Anti-social personality, poor interpersonal skills
• Disability
• Mental health problems
• Parental substance misuse - alcohol and drug abuse
• Parent abused as a child
• Self-neglect such as not taking prescribed medication or managing their illness to keep themselves well
• Drug (to include medication and illegal drugs) and alcohol misuse
• Physical disability or learning difficulties
• Bereavement

Risk factors in the family
• Single-parent families
• Domestic violence
• Multiple/closely spaced births
• Social isolation or a perceived lack of social support
• Poverty
• Young parental age
• Violence
• Living with step-parents
• Violence towards pets
• Where a combination of concerns occur such a mental health issues, drug and alcohol problems and domestic abuse, the risks to family members and especially the children increase
• Bereavement

It must be emphasised, however, that while certain factors often are present among families where maltreatment occurs, this does not mean that the presence of these factors will always result in child abuse and neglect. Many single parents do an excellent job of raising their child(ren) and, whilst there is a relationship between poverty and maltreatment, most people living in poverty do not harm their children. Similarly, parents with well-managed mental health difficulties may parent effectively.

Risk factors in the environment
• Dwelling and housing conditions
• Multiple resident environments
• Poverty
• Rented or temporary accommodation
• Homelessness
• Hate crime and the lack of community support increasing vulnerability
• Neighbourhood - criminal activity, gangs

Effects of maltreatment
Maltreatment can have major effects on all aspects of a child's health, development and well-being, both in the short and long term.

The impact of any maltreatment will vary between children/young people depending on the:

• Nature of the maltreatment
• Duration of the maltreatment
• Age of the child
• Individual child's reaction to the maltreatment
• Home/family environment
• Impact and speed of any intervention
• Consequences of the intervention
• Professional response and support

Long-term effects of child maltreatment can be:

• Drug and alcohol misuse
• Poor mental health
• Promiscuity and teen pregnancy
• Risk of perpetrating or being a victim of domestic violence
• Difficulty with job performance
• Self-harm or suicidal ideation
• Personality disorder
• Relationship problems

On the positive side, many children and young people, despite having suffered from maltreatment, overcome this adversity and go on to enjoy successful and contented lives.',
			'field_order' => '1',
			'attachment_id' => '1801',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:25:33',
			'modified' => '2024-08-07 15:25:33'
		),
		(int) 22 => array(
			'id' => '3679',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'media-field',
			'field_label' => 'Responding Appropriately',
			'description' => 'There is a statutory duty on all statutory organisations to safeguarding the child and young person.

Safeguarding and protecting those who may be at risk or suffering abuse is not something that can be achieved without a multi-agency approach. 

Suspecting concerns
Healthcare staff (or those providing health advice and support) in regular contact with families, parents, children and/or young people have a statutory duty to promote the health and well-being of children, identify any risks and refer to relevant organisations where a concern is suspected or identified.

It may not always be clear that a child is being maltreated.

Healthcare staff may suspect concerns with the well-being of a child or young person through contact with the child or young person directly, or through a conversation with their parent or guardian.

Whether they are considering maltreatment as one of a number of possibilities, staff need to know how to respond appropriately. Early intervention to support families where children's needs are not being met can have considerable benefit for the child or young person in the short and long term.

Designated safeguarding person
Each healthcare organisation (or public health provider) should have a responsible professional or, in larger organisations, a team to support staff and patients who use their services.

Each Integrated Care Board (ICB) has a statutory obligation to have a designated doctor and designated nurse for safeguarding. Their role is to ensure that health organisations are engaged with supporting safeguarding investigations, have effective policy and procedures in place, and are networked with other safeguarding multi-agency systems to ensure they are learning from local and national concerns.

Make sure you know who that person/team is and what arrangements/policies/procedures there are in place for your own organisation.


',
			'field_order' => '2',
			'attachment_id' => '1800',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:25:33',
			'modified' => '2024-08-07 15:25:33'
		),
		(int) 23 => array(
			'id' => '3678',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'multiple-choice',
			'field_label' => 'During a telephone consultation with a mother of 3 children, she discloses that she is struggling to manage one of her children's behaviours and she is at 'the end of her tether'. During the conversation you hear her shouting and swearing at the children, she admits to smacking the children and reports that she has no family support.  What should the practitioner do?',
			'description' => 'Select the four relevant options',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["share information with her GP or health visitor","seek consent to share information with the local safeguarding team for additional support","report to the local children's safeguarding hub","alert their organisational safeguarding lead","advise the mother to try a new parenting technique without further exploring her current situation or emotions"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:25:33',
			'modified' => '2024-08-07 15:25:33'
		),
		(int) 24 => array(
			'id' => '3683',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'paragraph',
			'field_label' => 'Local policies may vary, but in general the following applies.',
			'description' => 'If you suspect child maltreatment
If you suspect child maltreatment, refer immediately to the most appropriate of the following agencies:

Local child social services
The police
The National Society for the Prevention of Cruelty to Children (NSPCC)
If the child needs admission, ensure that the paediatrician is aware of your concerns.

The local social services, police and NSPCC have statutory child protection powers to act immediately to secure the safety of the child.

Consider the safety of other children living with or in contact with the presumed perpetrator.

For further information on the choice of the most appropriate agency, go to Resources for a link to NICE, Child maltreatment - recognition and management.

If you suspect sexual abuse
• Do not perform an intimate examination, unless there is an urgent health need to do so 
• Only use open questions to enquire about the causes and circumstances of the presenting features and record these questions and responses verbatim
• Refer urgently to collect forensic evidence and assess the need for contraception and sexually transmitted infection prevention
- A forensic intimate examination should only be undertaken by professionals specifically trained in forensic aspects of sexual assaults. A general examination may be appropriate to assess their general health and to look for other injuries

If there is any uncertainty about suspected child maltreatment

If there is any uncertainty about suspected child maltreatment, or risk of immediate harm to the child, seek advice from a named or designated professional for child safeguarding or a more experienced senior colleague.

Confirm in writing, within 48 hours, any telephone referral to social services; they will formally acknowledge your written referral within 48 hours after receipt. Contact the local social services again if your referral has not been acknowledged within 3 working days.

Before referring, obtain consent from the child/young person or parent/carer to share confidential information unless there is reason to believe that this will increase the risk of harm to the child/young person. For further information see Resources for a link to Child maltreatment - recognition and management.

What should I document?
• Document all your concerns, including any minor concerns, and the details of any action you have taken, information you have shared and decisions you have made relating to those concerns
• If you share information about the child/young person, this should be recorded in the child's/young person's notes. If you share information about other members of the family, this should be recorded in their records if you have access to them
• If there is not enough evidence to support your concerns that a child/young person is being maltreated, or evidence arises that shows your concerns are incorrect, then this should also be recorded in the child/young person's record and their parent's/carer's record
• Ensure that the coding correctly reflects the current situation

If you have serious concerns about the welfare of a young person

You have serious concerns about the welfare of a young person (i.e. you are concerned that the young person might be at risk of significant harm). Here is a checklist to remind you what to do:

1. Make a note of your concerns and observations
2. Discuss with senior medical and nursing colleagues
3. Discuss what you are going to do and why with the child and their parent(s) or carer(s) - as long as this does not put them at increased risk
4. Notify and refer to children's social services by phone. In an emergency (e.g. the child absconds or parent tries to take the child), call the police
5. Participate in a strategy discussion with social services, police and other agencies (e.g. school)
6. If the strategy discussion concludes the young person is at risk of significant harm, a Section 47 Child Protection enquiry should be called
7. After completion of the enquiry, a case conference is held
8. The case conference decides whether or not the young person should be placed on the Child Protection Register and subject to a Child Protection Plan
',
			'field_order' => '0',
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			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:36:13',
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		),
		(int) 25 => array(
			'id' => '3682',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'media-field',
			'field_label' => 'The following agencies have a duty to work collaboratively.',
			'description' => 'Children's Social Care (CSC)
Commonly referred to as social services, they take the lead in coordinating responses and support when there are concerns that a child needs extra support or protection from harm.

Education
Schools have a statutory responsibility, like healthcare organisations, to safeguard children and young people.

Health
All parts of the health service have a statutory responsibility to safeguard children and young people. This includes health visitors, public health practitioners, GPs and staff in secondary and tertiary healthcare e.g. specialist hospitals, private hospitals, mental health services, genitourinary and family planning services, dentists and professions allied to medicine.

Police
Safeguarding children is a fundamental part of the duties of all police officers. All forces have child abuse investigation units which undertake criminal enquiries in cases of suspected child abuse

Family Justice System
The Family Justice System is a network of organisations including family courts, the Children and Family Court Advisory Support Service (CAFCASS), the Child Support Agency and lawyers. Safeguarding children's welfare is a key consideration for all professionals working in the 
Family Justice System. In all cases, the child's welfare is the court's paramount consideration and the role of the court is to make decisions which are in the best interests of children based on the evidence before it and the law.

Other
All other local authority services (including adults' social care, housing, libraries, leisure and youth services), probation service, early years providers, secure settings, UKBA, voluntary and private sectors, faith organisations, etc.',
			'field_order' => '1',
			'attachment_id' => '1802',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:36:13',
			'modified' => '2024-08-07 15:36:13'
		),
		(int) 26 => array(
			'id' => '3686',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'media-field',
			'field_label' => 'Child Protection Procedures',
			'description' => 'Child Safeguarding Practice Reviews (CSPRs) are undertaken when a child dies (including death by suspected suicide), and abuse or neglect is known or suspected to be a factor in the death. 

Additionally, Local Safeguarding Children's Boards may decide to conduct an CSPR whenever a child has been seriously harmed and the case gives rise to concerns about the way in which local professionals and services worked together to safeguard and promote the welfare of children (including inter-agency and inter-disciplinary working):

• Each agency involved with the child or young person contributes a report outlining and analysing its involvement with the child
• Information is gathered by the independent reviewer who produces the CSPR

Please note that although these reviews are known as CSPRs in England, they are known as Case Management Reviews (CMRs) in Northern Ireland, learning reviews in Scotland, and Child Practice Reviews (CPRs) in Wales.

Healthcare staff, including public health practitioners, having regular contact with parents, children and young people have an important role (and a duty of care) in helping to keep children safe.

It is not always clear that a child is being maltreated:

• You may encounter behaviours or signs that should lead them to consider maltreatment as one of a number of possible diagnoses to explain the child’s presentation. Alternatively, the indicators of abuse may be stronger, leading healthcare staff to suspect that a child is being maltreated
• You need to respond appropriately and effectively when they consider or suspect that a child is being maltreated, and understand the importance of sharing concerns with colleagues and other agencies
• To respond effectively, you need to know who other key safeguarding agencies are, what their roles are and have an understanding of the next steps in the child protection process',
			'field_order' => '2',
			'attachment_id' => '1805',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:36:13',
			'modified' => '2024-08-07 15:36:13'
		),
		(int) 27 => array(
			'id' => '3685',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'image-hotspot',
			'field_label' => 'What happens after your referral?',
			'description' => 'Select the images for information.',
			'field_order' => '3',
			'attachment_id' => '1804',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":67.5369,"left":153.273,"annotation":"Case conference\nAfter a referral, social care will make enquiries and the local child safeguarding organisation will call a multi-disciplinary case conference, where all involved will be invited and asked to send a report. In some cases, you will have limited information about the family but it is still worth sending a report.\n\nIn other cases, the family may have been registered for a while but the first you know about a child protection concern is through an invitation to write a report or to attend a case conference or child in need meeting."},{"top":75.3551,"left":386.273,"annotation":"Medical examination\nYou may be asked to carry out examinations of the children involved before a case conference. A paediatrician may be asked to examine the child if they attend secondary care or if a specialist examination is required. You may also need to examine a child presenting in an emergency situation, where an incident of abuse is suspected.\n\nIt is imperative that all facts and findings are recorded with accuracy and in considerable detail (preferably using a standard proforma) because the potential legal ramifications are not always apparent at the outset.\n\nHand-written notes and drawings may be seen in court. Clear, well written notes are important documents on which your formal typewritten report must be based.\n\nMedical notes, including all diagrams and photos, must always be dated and signed, with the times that any interviews or observations were made."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:36:13',
			'modified' => '2024-08-07 15:36:13'
		),
		(int) 28 => array(
			'id' => '3684',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'image-hotspot',
			'field_label' => 'Rights of the Child',
			'description' => 'The United Nations Convention on the Rights of the Child (UNCRC) is an international human rights treaty that grants all children and young people (aged 17 years and under) a comprehensive set of rights. The UK signed the convention on 19 April 1990, ratified it on 16 December 1991 and it came into force on 15 January 1992.

The Joint Committee on Human Rights published its report on children’s rights in 2009. This report was produced in response and obligations set out in the UNCRC are protected in England and implementation of the convention is achieved.

Children have the right to be protected from being hurt and mistreated, whether physically or mentally.

Governments should ensure that children are properly cared for and protect them from violence, abuse and neglect by their parents, carers or anyone else who comes into contact with them.

Select the numbers to find out more information about child rights.',
			'field_order' => '4',
			'attachment_id' => '1803',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":20.1847,"left":35.2727,"annotation":"Children have the right to survival."},{"top":7.18466,"left":145.273,"annotation":"Children have the right to develop to the fullest."},{"top":19.1847,"left":236.273,"annotation":"Children have the right to participate fully in family, cultural and social life."},{"top":7.18466,"left":347.273,"annotation":"Children have the right to health and healthcare."},{"top":15.1847,"left":449.273,"annotation":"Children have the right to protection from all forms of violence."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:36:13',
			'modified' => '2024-08-07 15:36:13'
		),
		(int) 29 => array(
			'id' => '3690',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'media-field',
			'field_label' => 'Record-Keeping Principles',
			'description' => 'Best practice in record keeping is based on the key principles of partnership, openness and accuracy.

• Good-quality case recording is essential in ensuring:
• Continuity of service to individuals when staff are unavailable or change, or when a service resumes after a period of time
• Effective risk-management practices to safeguard the well-being of individuals in receipt of services, especially in emergency situations
• Clarity of the assessment process and decision making in relation to the mental capacity of all service users/patients
• Effective partnerships between staff, individuals, their families and carers and other providers
• Clarity of information for everyone involved in the planning and delivery of services, and in the event of investigations, inquiries or audits
• Adequate information for staff and managers working to ensure the best possible utilisation of available resources
• Support for people and carers receiving services with specific communication needs so that they may contribute to and access their records and key information

Information should be recorded in accordance with the following key principles:

• All relevant information must be recorded
• Manual records must be legible, signed and dated
• Records must be contemporaneous and kept up to date
• Records must be written in plain English and prejudice must be avoided
• Records must be accurate and adequate
• Records must clearly distinguish between statements of fact and opinion
• Managers must oversee, monitor and review all records
• Records should be kept securely
• Manual records moved to a new location must be monitored
• Professional analysis, thinking, rationale for all decisions
• Show management involvement, sign off all key decision points
• Show referral by line manager to senior management/press office as needed


',
			'field_order' => '0',
			'attachment_id' => '1808',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:43:14',
			'modified' => '2024-08-07 15:43:14'
		),
		(int) 30 => array(
			'id' => '3689',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'media-field',
			'field_label' => 'When and how should information be recorded?',
			'description' => '• Records must be kept from the time that a concern, allegation or disclosure is made
• Each entry must be dated and timed

The name of the person recording the information must be written in full. Do not use initials.

• All records must be legible and, if written, should be in black ink
• Any alterations to records must be made by drawing a single line through a word(s)
• Correction fluid must not be used
• All records concerned with safeguarding children are strictly confidential

Health professionals must record all information in line with the record-keeping guidance of their own professional body.',
			'field_order' => '1',
			'attachment_id' => '1807',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:43:14',
			'modified' => '2024-08-07 15:43:14'
		),
		(int) 31 => array(
			'id' => '3688',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'paragraph',
			'field_label' => 'Staff should be given clear direction as to what information should be recorded and in what format. The following questions are a guide:',
			'description' => '• What information do staff need to know in order to provide a high-quality response to the child/young person concerned?
• What information do staff need to know in order to keep a child/young person safe under the service’s duty to protect people from harm?
• What information is not necessary?
• What is the basis for any decision to share (or not) information with a third party?
• All entries must provide factual information, e.g. times, dates, names of people contacted

Avoid expressions of opinion (remember that the person you are writing about may have the right to read what you have said).

• There should be a clear link between evidence recorded and actions planned/recommended
• All contact with the child/young person and alleged perpetrator must be recorded
• Record the exact words the child/young person and alleged perpetrator used
• All consultation with a manager and/or senior manager must be recorded
• When contacting other agencies the questions asked and information received must be recorded
• If a decision is made not to contact the police, the details of why this decision was made and on whose authority it was made must be recorded

All telephone calls, those received and made in relation to the abuse, must be recorded even if there was no reply to outgoing calls

• Those who attend strategy meetings must be named
• The decisions taken at all meetings must be recorded
• It is essential to demonstrate how an assessment of risk, responsibility, rights, autonomy and protection of the child/young person was undertaken
• If no investigation is to take place, the reasons why and on whose authority this decision was taken must be recorded
• All entries to be completed with the name of each person making an entry printed, signed and dated
• A professional analysis of evidence, recommendations and rationale for these
• Use body maps to illustrate physical injuries
• When contacting other agencies the questions asked and information received must be recorded',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:43:14',
			'modified' => '2024-08-07 15:43:14'
		),
		(int) 32 => array(
			'id' => '3687',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'image-hotspot',
			'field_label' => 'Sharing Information',
			'description' => 'How do you share relevant information with other teams?

Select the images for information.',
			'field_order' => '3',
			'attachment_id' => '1806',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":51.4915,"left":93.2727,"annotation":"Information sharing\nThe Children Act 2004 [7] places upon healthcare staff both an obligation to share information and an obligation to co-operate to safeguard and promote the welfare of children. If healthcare professionals have concerns about sharing information with others, they should obtain advice from named or designated professionals for safeguarding children. This should be undertaken as soon as possible to ensure little delay to the safety of the child or young person.\n\nIf concerns are based on information given by a child, healthcare professionals should explain to the child why they are unable to maintain confidentiality on this occasion, explore the child's concerns about sharing this information; and reassure the child that they will continue to be kept informed about what is happening.\n\nWhen gathering collateral information from other health disciplines and agencies, professionals need to use their judgement about whether to explain to the family the need to gather this information for the overall assessment of the child."},{"top":16.0369,"left":387.273,"annotation":"Sharing dilemmas\nAll healthcare professionals sometimes have difficulty deciding whether or not to divulge what is, in most situations, confidential medical information. For example, a GP may find themselves having to support both the parent and child through the child protection process, and this may be a barrier to sharing information about child maltreatment concerns.\n\nIn this situation, it is recommended that each of the two parties should be cared for by a different GP in the practice; to enable both to act as advocate for their patient while working together in the best interests of the child.\n\nThere are constant tensions between the way general practice works (a confidential service based on a relationship of trust) and the need to share information in order to protect children from abuse and neglect.\n\nThe law is clear that where concerns are evident, then it is necessary to share concerns and key elements of information to aid the Local Authority in undertaking their investigation and supporting the child effectively. This will include the necessity of sharing information about the parent or guardian."},{"top":183.037,"left":117.273,"annotation":"Your professional obligation\n In the event of a child protection concern, the expectation is that GPs and other healthcare professionals should disclose information, though consent should usually be sought first, provided this does not endanger the child.\n\nThe GMC would seek justification from a GP or doctor who did not disclose. The GMC's 0-18 years guidance advises that 'you will be able to justify raising a concern, even if it turns out to be groundless, if you have done so honestly, promptly, on the basis of reasonable belief and through the appropriate channels’.\n\nThe central conundrum is that it is often not possible to determine whether or not there is a child protection risk until after the information has been shared between agencies. However, in order to maintain a confidential service, the threshold of concern for professionals that triggers such a sharing should remain high. This is a complex area and healthcare professionals are advised to seek advice from their defence organisation in difficult situations."},{"top":211.136,"left":402.284,"annotation":"Early intervention\nThe aim of the Common Assessment Framework (CAF) (and similar multi-disciplinary frameworks in other jurisdictions) is to identify at the earliest opportunity a child's or young person's additional needs which are not being met by the universal services they are receiving. CAF is intended to provide timely and coordinated support to meet those needs.\n\nCAF can be an important tool for early interventions in safeguarding. It is designed for use when:\n\n- You are concerned about how well a child is progressing. You might be concerned about their health, welfare, behaviour, progress in learning or any other aspect of their well-being\n- The child, their parent or another person may have raised a concern with you\n- The needs are unclear, or broader than your service can address\n- A common assessment would help identify the needs of a child, and/or get other services to help meet them"}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:43:14',
			'modified' => '2024-08-07 15:43:14'
		),
		(int) 33 => array(
			'id' => '3694',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'text-links',
			'field_label' => 'Female Genital Mutilation (FGM)',
			'description' => '<a href="https://www.nhs.uk/conditions/female-genital-mutilation-fgm/">Female genital mutilation (FGM)</a> is a procedure where the female genitals are deliberately cut, injured or changed, but there's no medical reason for this to be done.<br><br>FGM is usually carried out on young girls between infancy and the age of 15, most commonly before puberty starts. It's illegal in the UK and is child abuse.<br><br>It is a criminal offence under the Female Genital Mutilation Act 2003 [8].',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 34 => array(
			'id' => '3695',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'media-field',
			'field_label' => 'Female Genital Mutilation Act 2003',
			'description' => 'This Act of Parliament in the United Kingdom applying to England, Wales and Northern Ireland. Female genital mutilation (FGM) is illegal in the UK. Each nation in the UK has policy and guidance to help prevent FGM and take action to protect any child who has been affected. FGM has been a criminal offence in the UK since 1985. 

In 2003, it also became a criminal offence for UK nationals or permanent UK residents to take their child abroad to have female genital mutilation.

All NHS England organisations and Local Authorities should have processes in place to ensure that the mandatory reporting of FGM cases is undertaken in a timely way and fully supported by the organisation.

The duty to report cases of FGM sits with the individual who identifies the concern; this duty can not be passed to anyone else and reporting must be undertaken as soon as possible.',
			'field_order' => '1',
			'attachment_id' => '1811',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 35 => array(
			'id' => '3693',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'media-field',
			'field_label' => 'Young people from their teenage years onwards can be particularly vulnerable to getting involved with radical groups through direct contact with members, or increasingly, through the internet. This can put a young person at risk of being drawn into criminal activity and has the potential to cause significant harm.',
			'description' => 'The Counter-Terrorism and Security Act 2015 contains a duty on specified authorities to have due regard to the need to prevent people from being drawn into terrorism. This is also known as the Prevent duty.

PREVENT is part of the Government counter-terrorism strategy. It's designed to tackle the problem of terrorism at its roots, preventing people from supporting terrorism or becoming terrorists themselves.

PREVENT operates in the 'pre-criminal space'. It is about supporting individuals who are at risk of radicalisation, becoming terrorists or supporting terrorism. It is not about any particular ideology - it covers all forms of extremism.

PREVENT it about:
• Noticing - vulnerability to radicalisation, changes in behaviour, ideology, and other signs of extremist exploitation
• Checking - your concerns out with your line manager to help determine a proportionate response
• Sharing - your concerns, where appropriate, with partner agencies and as far as possible being open and honest with the individual around your duty to share concerns

These forms of terrorism include:
• Far right extremists
• Al-Qa’ida-influenced groups
• Environmental extremists
• Animal rights extremists

',
			'field_order' => '2',
			'attachment_id' => '1810',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 36 => array(
			'id' => '3692',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Young people from their teenage years onwards can be particularly vulnerable to getting involved with radical groups through direct contact with members, or increasingly, through the internet. This can put a young person at risk of being drawn into criminal activity and has the potential to cause significant harm.',
			'field_order' => '3',
			'attachment_id' => '1809',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 37 => array(
			'id' => '3691',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'paragraph',
			'field_label' => 'Gillick Competence',
			'description' => 'The right of a child under 16 years to consent to medical examination and treatment, including immunisation, was decided by the House of Lords in Gillick v West Norfolk and Wisbech AHA [1986] where a mother of a girl under 13 years objected to Department of Health advice that allowed doctors to give contraceptive advice and treatment to children without parental consent.

Gillick competency applies mainly to medical advice but it is also used by practitioners in other settings. Medical professionals need to consider Gillick competency if a young person under the age of 16 wishes to receive treatment without their parents' or carers' consent or, in some cases, knowledge.

Please see Resources in the   drawer for links to more support.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 38 => array(
			'id' => '3696',
			'course_id' => '124',
			'course_lesson_id' => '583',
			'field_type' => 'bullet-points',
			'field_label' => 'Key Points',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Maltreatment of children and young people presents in a wide variety of ways","There are factors relating to the child/young person, parent(s)/carer(s), the family and the environment that increase the risk of maltreatment","All healthcare staff need to respond appropriately and effectively when they consider or suspect that a child is being maltreated, and understand the importance of sharing concerns with colleagues and other agencies","Responsibility for safeguarding children is shared and good record keeping by healthcare professionals is essential to facilitate communication","It is important to make accurate, coded and contemporaneous records and also to document discussions, decisions and actions about safeguarding"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:49:06',
			'modified' => '2024-08-07 15:49:06'
		),
		(int) 39 => array(
			'id' => '3697',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'What would you do if you saw a colleague in your workplace hitting a paediatric patient who was misbehaving?',
			'description' => 'Choose the correct option ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Immediately report the incident to you manager or safeguarding leadd","Tell the child that is what to expect if they misbehave","Tell your colleague that you will report it if they do it again"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 40 => array(
			'id' => '3698',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Who are potential abusers of children?',
			'description' => 'Choose one or more options',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Adults","Other patients","Trust employees","Family members","Other children"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 41 => array(
			'id' => '3699',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What makes an effective advocate for a child or young person at risk of maltreatment?',
			'description' => 'Choose three options and select Submit.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["They listen to what the child is saying","They believe everything that the parents tell them","If appropriate they see the child on their own","They always act in the child's best interests"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 42 => array(
			'id' => '3700',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What actions should be taken by a staff member when a child discloses that they are being maltreated?',
			'description' => 'Choose five options ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Document what is said","Don't promise to keep a secret","Follow safeguarding procedure","Discuss the information with an appropriate person","Do nothing as you are just there to listen","Listen to the child"]',
			'field_correct' => '0,1,2,3,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 43 => array(
			'id' => '3701',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'Single parents who are isolated in the community with no family or social network to help or support them can often be very challenging. If we are supporting a parent in this situation and they have a very young baby, they state they are struggling to manage with day-to-day tasks, they are very stressed and not sleeping well.  Should we be worried about their safety and the safety of the baby?',
			'description' => 'Choose the correct option',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Yes","No"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 44 => array(
			'id' => '3702',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the potential child vulnerability factors that may lead to child maltreatment?',
			'description' => 'Choose four options',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Having a disability","Communication difficulties","Being a looked after child","Bing an only child","Being aged under one"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 45 => array(
			'id' => '3703',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the roles and responsibilities of clinical managers in regard to safeguarding issues?',
			'description' => 'Choose three options',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Dismissing any staff concerns","Offering guidance and support","Appropriately managing and escalating concerns","Appropriately disseminating information"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 46 => array(
			'id' => '3704',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is the responsibility of the local authority in relation to safeguarding children?',
			'description' => 'Choose three options ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["As the lead organisation, they have no responsibility to share information","Complete an assessment of the needs of children at risk","Promote interagency cooperation","Analyse the information gathered from an enquiry"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 47 => array(
			'id' => '3705',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where would you find information about how to make a referral to Children's Social Care/MASH?',
			'description' => 'Choose one or more options ',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Local Authority Safeguarding Children webpage","In the Safeguarding Children's Policy"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 48 => array(
			'id' => '3706',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'In a local family, where there is known domestic abuse which is witnessed by the children, the mother is concerned about her own safety and that of her children. She has no money to buy food for them and there is no heating in the house. You are aware that the father is dealing in drugs from the family home. What actions might you take?',
			'description' => 'Choose four options',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Tell the father that his actions are illegal","Refer to Social Care","Discuss possible options with the mother","Refer to the police","Discuss with colleagues\/line manager to ascertain what actions have already been taken"]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 49 => array(
			'id' => '3708',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What should the details you record do?',
			'description' => 'Choose four options ',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Include your personal views about a parent\/carer","Be factual and not subjective","Include your observations and assessment","Include a plan of action","Reflect the child's wishes and feelings (if relevant)"]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 50 => array(
			'id' => '3707',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are true?',
			'description' => 'Choose two options',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Wealthy parents do not abuse their children","If a child does not observe dosmestic abuse, they are unaffected by it","Children with disabilities are more vulnerable to abuse","Young people can be groomed into sexual exploitation"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 51 => array(
			'id' => '3709',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'You have evidence that a child is at risk of significant harm and you have asked the parents for their permission to make a referral to social care. The parents refuse permission. What action should you take?',
			'description' => 'Choose the two correct options',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Do not make referral as you do not have permission","Make your referral to social care without telling the parents","Tell them that you are making a referral to social care as it is in the best interest of the child"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 52 => array(
			'id' => '3710',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'You are making a referral to Children's Social Care and you are aware that the family have been previously known to Children's Social Care/MASH in another area. Is it relevant and appropriate to share this information?',
			'description' => 'Choose the correct option',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Yes","No"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 53 => array(
			'id' => '3711',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'How does the UN Convention on the rights of the child change the way children are viewed and treated?',
			'description' => 'Choose the correct option ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It ensures that children are treated as passive objects of care and charity","It ensures that children are kept quiet until they are spoken to","It ensures that children are treated as human beings with a distinct set of rights"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 54 => array(
			'id' => '3712',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'The United Nations Convention of the Rights of a Child (UNCRC) is a core part of the development of legislation to safeguarding children and young people. Is this:',
			'description' => 'Choose the correct option ',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 55 => array(
			'id' => '3713',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'FGM is defined as all procedures (not operations) which involve partial or total removal of the external female genitalia or injury to the female genital organs which is done for cultural or other non-therapeutic reasons.',
			'description' => 'Choose the correct option',
			'field_order' => '16',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 56 => array(
			'id' => '3714',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the health problems associated with FGM?',
			'description' => 'Choose five options ',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Fertility","Psychological and social consequences","There are no health problems associated with FGM","Severe pain and shock","Infection","Sexual dysfunction "]',
			'field_correct' => '0,1,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 57 => array(
			'id' => '3715',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following might make a child more susceptible to being radicalised?',
			'description' => 'Choose three options',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Bullying","Deprivation","Adolescence","Attending a place of worship"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 58 => array(
			'id' => '3716',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What might indicate that a child is being radicalised?',
			'description' => 'Choose three options ',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A child expresses interest in a bomb making experiment","A child who has recently been bereaved","A child withdrawing from social group activities","A child is accessing what you conside to be extremist websites or those of radical organisations"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 59 => array(
			'id' => '3717',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What would you do if you suspected child sexual exploitation?',
			'description' => 'Choose three options ',
			'field_order' => '20',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Talk to your line manager and\/or safeguarding lead in your organisation","Identify which other health\/social care professionals are involved with the child\/family","Tell the young person not to leave their home","Refer to social care"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 60 => array(
			'id' => '3718',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'A child comes into your care. Which of the following might make you suspect the child is being trafficked?',
			'description' => 'Choose one or more options ',
			'field_order' => '21',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Is not registered with a GP, nursery or school","Unclear relationship with the accompanying adult","Vague and inconsistent explanation of schooling","May struggle to speak English","Appearance suggests general physical neglect","Has moved location frequently","Inconsistent information about age"]',
			'field_correct' => '0,1,2,3,4,5,6',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3658',
		(int) 1 => '3659',
		(int) 2 => '3660',
		(int) 3 => '3661',
		(int) 4 => '3662',
		(int) 5 => '3663',
		(int) 6 => '3664',
		(int) 7 => '3665',
		(int) 8 => '3674',
		(int) 9 => '3673',
		(int) 10 => '3672',
		(int) 11 => '3671',
		(int) 12 => '3670',
		(int) 13 => '3669',
		(int) 14 => '3668',
		(int) 15 => '3667',
		(int) 16 => '3666',
		(int) 17 => '3677',
		(int) 18 => '3676',
		(int) 19 => '3675',
		(int) 20 => '3681',
		(int) 21 => '3680',
		(int) 22 => '3679',
		(int) 23 => '3678',
		(int) 24 => '3683',
		(int) 25 => '3682',
		(int) 26 => '3686',
		(int) 27 => '3685',
		(int) 28 => '3684',
		(int) 29 => '3690',
		(int) 30 => '3689',
		(int) 31 => '3688',
		(int) 32 => '3687',
		(int) 33 => '3694',
		(int) 34 => '3695',
		(int) 35 => '3693',
		(int) 36 => '3692',
		(int) 37 => '3691',
		(int) 38 => '3696',
		(int) 39 => '3697',
		(int) 40 => '3698',
		(int) 41 => '3699',
		(int) 42 => '3700',
		(int) 43 => '3701',
		(int) 44 => '3702',
		(int) 45 => '3703',
		(int) 46 => '3704',
		(int) 47 => '3705',
		(int) 48 => '3706',
		(int) 49 => '3708',
		(int) 50 => '3707',
		(int) 51 => '3709',
		(int) 52 => '3710',
		(int) 53 => '3711',
		(int) 54 => '3712',
		(int) 55 => '3713',
		(int) 56 => '3714',
		(int) 57 => '3715',
		(int) 58 => '3716',
		(int) 59 => '3717',
		(int) 60 => '3718'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '124'
$k = (int) 0
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:53:24'
		)
	),
	(int) 6 => array(
		'Attachment' => array(
			'id' => '1598',
			'record_id' => '117',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:55:19'
		)
	),
	(int) 7 => array(
		'Attachment' => array(
			'id' => '1617',
			'record_id' => '119',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 15:57:54'
		)
	),
	(int) 8 => array(
		'Attachment' => array(
			'id' => '1648',
			'record_id' => '111',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:36:24'
		)
	),
	(int) 9 => array(
		'Attachment' => array(
			'id' => '1650',
			'record_id' => '110',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:37:21'
		)
	),
	(int) 10 => array(
		'Attachment' => array(
			'id' => '1688',
			'record_id' => '120',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 10:43:35'
		)
	),
	(int) 11 => array(
		'Attachment' => array(
			'id' => '1715',
			'record_id' => '121',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 11:33:31'
		)
	),
	(int) 12 => array(
		'Attachment' => array(
			'id' => '1722',
			'record_id' => '122',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 11:57:20'
		)
	),
	(int) 13 => array(
		'Attachment' => array(
			'id' => '1783',
			'record_id' => '123',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1).jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1).jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1).jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1)_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 14:20:20'
		)
	),
	(int) 14 => array(
		'Attachment' => array(
			'id' => '1813',
			'record_id' => '124',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 16:18:21'
		)
	)
)
$thumbnail = array(
	'Attachment' => array(
		'id' => '1813',
		'record_id' => '124',
		'type' => 'course',
		'created_user_id' => '8779',
		'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg',
		'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
		'mime_type' => 'image/jpeg',
		'title' => '',
		'alt_text' => '',
		'description' => '',
		'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
		'active' => '1',
		'created' => '2024-08-07 16:18:21'
	)
)
$attachmentId = '1813'
$termId = (int) 6
$taxTerms = array(
	'Qualification' => array(
		(int) 3 => 'Primary',
		(int) 2 => 'KS3 (11-14)',
		(int) 1 => 'KS4 (14-16)',
		(int) 13 => 'KS5 (16-18)',
		(int) 5 => 'Young people not in education or work',
		(int) 18 => 'Graduates',
		(int) 19 => 'Employability programmes',
		(int) 20 => 'Career change',
		(int) 64 => 'T-Level'
	),
	'Course Type' => array(
		(int) 62 => 'Profession',
		(int) 63 => 'Work Experience',
		(int) 61 => 'Careers',
		(int) 59 => 'Creating Careers: A Step Ahead  Programme',
		(int) 21 => 'In person experiences',
		(int) 9 => 'Interactive',
		(int) 10 => 'Live Sessions',
		(int) 22 => 'Non-accredited programme',
		(int) 11 => 'Podcasts',
		(int) 60 => 'Skills in the Workplace',
		(int) 12 => 'Webinars'
	),
	'Age Bracket' => array(
		(int) 35 => '5 - 11',
		(int) 58 => '12 - 13',
		(int) 17 => '14 - 16',
		(int) 7 => '16 - 18',
		(int) 6 => '18+'
	)
)
$activeTerms = array(
	(int) 197 => '1',
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	(int) 1405 => '27',
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	(int) 681 => '30',
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	(int) 6357 => '62',
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)
$terms = array(
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)
$termName = 'Age Bracket'
$name = '18+'
$selectedTerms = array()
$termGroups = array(
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)
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		(int) 7 => '61',
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)
$mainTermData = array(
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		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
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		'term_order' => '8',
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		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
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)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
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			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61
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		'CourseLesson' => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
				[maximum depth reached]
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			(int) 4 => array(
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			(int) 5 => array(
				[maximum depth reached]
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			(int) 6 => array(
				[maximum depth reached]
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			(int) 7 => array(
				[maximum depth reached]
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			(int) 8 => array(
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			(int) 9 => array(
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		'CourseLessonField' => array(
			(int) 0 => array(
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			(int) 1 => array(
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			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
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			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
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			(int) 11 => array(
				[maximum depth reached]
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			(int) 12 => array(
				[maximum depth reached]
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			(int) 13 => array(
				[maximum depth reached]
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			(int) 14 => array(
				[maximum depth reached]
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			(int) 15 => array(
				[maximum depth reached]
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			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
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			(int) 18 => array(
				[maximum depth reached]
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			(int) 19 => array(
				[maximum depth reached]
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			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
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			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
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			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
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		'LessonFieldIds' => array(
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			(int) 2 => '3660',
			(int) 3 => '3661',
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			(int) 5 => '3663',
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			(int) 24 => '3683',
			(int) 25 => '3682',
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			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
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			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
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			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
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			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
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			'created' => '2024-08-07 11:35:09',
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			'created' => '2024-08-07 10:48:35',
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			),
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			),
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			),
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			),
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			),
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			),
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
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			'created' => '2024-08-07 09:50:04',
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			'created' => '2024-08-06 11:47:37',
			'modified' => '2024-08-07 14:26:25'
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			'description' => 'The information is for everyone in the service. &nbsp;<br />It's about:&nbsp;&nbsp;<br />listening to patients and raising concerns&nbsp;<br />the systems approach to safety, where instead of focusing on the performance of individual members of staff, we try to improve the way we work&nbsp;<br />avoiding inappropriate blame when things don't go well&nbsp;<br />creating a just culture that prioritises safety and is open to learning about risk and safety&nbsp;<br />Further sessions in this syllabus build on these essentials so that staff may become Patient Safety Practitioners or Advanced Practitioners or simply strengthen their approach to patient safety.',
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			'created' => '2024-08-06 09:47:13',
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		'course_title' => 'Safeguarding Children - Level 2 eLearning',
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		'created' => '2024-08-07 14:44:58',
		'modified' => '2024-08-07 16:18:54'
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			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
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			'created' => '2024-08-07 14:45:26',
			'modified' => '2024-08-07 14:45:26'
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			'course_id' => '124',
			'lesson_title' => 'Why is Safeguarding Children Important?',
			'description' => 'This session will cover the Level 2 training required for&nbsp;safeguarding children.&nbsp;<br /><br />As training in safeguarding children is usually tailored to each working environment, dependent on which area or group within the NHS or wider public health settings that you work in, there may be elements of your training that are not covered in this session or others covered here that are not applicable to you.<br /><br />In such cases, where you are unsure of whether something applies to your role or workplace, then you must refer to local policy or procedures.',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 14:47:09',
			'modified' => '2024-08-07 14:47:09'
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 14:58:57',
			'modified' => '2024-08-07 14:58:57'
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			'course_id' => '124',
			'lesson_title' => 'Child Advocacy',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:12:19',
			'modified' => '2024-08-07 15:12:19'
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			'course_id' => '124',
			'lesson_title' => 'Risk Factors for Maltreatment ',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:15:48',
			'modified' => '2024-08-07 15:15:48'
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			'id' => '580',
			'course_id' => '124',
			'lesson_title' => 'When and Where Should I Refer a Child?',
			'description' => 'Learn more about where and when to refer a child.',
			'lesson_order' => '5',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:26:27',
			'modified' => '2024-08-07 15:26:27'
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			'course_id' => '124',
			'lesson_title' => 'Record Keeping Principles',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
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			'created' => '2024-08-07 15:37:18',
			'modified' => '2024-08-07 15:37:18'
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			'course_id' => '124',
			'lesson_title' => 'Female Genital Mutilation',
			'description' => 'Learn more about Female Genital Mutilation.',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:43:58',
			'modified' => '2024-08-07 15:43:58'
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			'course_id' => '124',
			'lesson_title' => 'Session Summary',
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			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:48:19',
			'modified' => '2024-08-07 15:48:19'
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			'course_id' => '124',
			'lesson_title' => 'eAssessment',
			'description' => 'Welcome to the&nbsp;Safeguarding Children Level 2 eAssessment.<br />&nbsp;<br />To successfully complete this eAssessment, you need to achieve a score of at least 80%.',
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			'created_user_id' => '8779',
			'session_length' => '15 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 15:50:01',
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			'field_label' => 'Learning Objectives',
			'description' => '• Describe what constitutes child maltreatment and be able to identify any signs of child abuse or neglect
• Be able to act as an effective advocate for a child or young person
• Describe the potential impact of the physical and mental health of a parent/carer on the well-being of a child or young person in order to be able to identify a child or young person at risk
• Be able to identify the professional role, responsibilities and professional boundaries and those of colleagues in a multi-disciplinary team and in a multi-agency setting
• Explain how and when to refer to social care if safeguarding/child protection is identified as a concern
• Be able to document safeguarding/child protection concerns in a format that informs the relevant staff and agencies appropriately
• Explain how to maintain appropriate records including being able to differentiate between fact and opinion
• Be able to identify the appropriate and relevant information and how to share it with other teams
• List key statutory and non-statutory guidance and legislation including the UN Convention on the Rights of the Child and Human Rights Act
• Describe the risk of female genital mutilation (FGM) in certain communities, be willing to ask about FGM in the course of taking a routine history, know whom to contact if a child makes a disclosure of impending or completed mutilation, be aware of the signs and symptoms and be able to refer appropriately for further care and support
• List the risk factors for radicalisation and know whom to contact regarding preventive action and support for those vulnerable young persons who may be at risk of, or are being drawn into, terrorist-related activity
• Be able to identify and refer a child suspected of being a victim of trafficking and/or sexual exploitation

Please note that you are expected to have worked through Safeguarding Children Level 1 before completing this Level 2 session. The assessment includes questions that specifically reference knowledge covered in Level 1.',
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			'course_id' => '124',
			'course_lesson_id' => '575',
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			'field_label' => 'Duration:',
			'description' => '20 minutes (knowledge chapters)
15 minutes (eAssessment)',
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			'course_lesson_id' => '576',
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			'field_label' => 'Why is Safeguarding Children Important?',
			'description' => 'Even thinking about the abuse of children is distressing, so it is important to know what to do if you are concerned that a child or young person might be or has been abused.

This session explains what safeguarding children and young people involves.

You will learn about the range of child abuse and how you might be able to recognise abuse in a child or young person. It also looks at what you should do if you are concerned that a child is being abused or neglected. It explains the steps that you need to take in order to protect children from further harm.

It is important to note that the term 'children' means children and young people from birth to their eighteenth birthday.

The session does not contain any photos or illustrations of injuries. If the session is very upsetting for you (possibly because of experiences in your own or others' lives), you should seek advice from your manager or occupational health department.',
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			'course_id' => '124',
			'course_lesson_id' => '576',
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			'field_label' => 'Child Abuse',
			'description' => 'Someone may abuse or neglect a child or young person by inflicting harm, or by failing to act in preventing harm. This harm may be physical or psychological and includes the grooming and exploitation of children and young people. All types of abuse will affect the child's or young person's current and future mental and physical wellbeing.

Children and young people may be abused in a family, or in an institutional or wider community setting.

often than not the person responsible for the abuse has a close relationship or has spent time getting to know the child or young person.

Any child or young person can be at risk of harm, exploitation or abuse. Research shows that there are some children whose vulnerability places them at greater risk of harm. This can include (but is not limited to) babies and very young children due to their inherent need for support and intimate care. Those with physical disabilities and learning difficulties are also at increased risk, again due to their need for intimate care and support. Some behaviours of adolescent children may put them at greater risk (for example, more accessible online, experimental and risk-taking behaviours, running away from home, seeking older people’s company/companionship). This list is not exhaustive.',
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			'course_id' => '124',
			'course_lesson_id' => '576',
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			'field_label' => 'Child abuse is described in the categories shown.',
			'description' => 'Many children suffer from more than one form of abuse. Some level of emotional abuse is involved in all types of child maltreatment, though it may also occur within a relationship in isolation, such as in the case of coercive control.

This session will focus on the recognition of signs and behaviours that might suggest that a child is being maltreated/abused and therefore is at risk of significant harm and in need of protection.

Select the numbers to find out more information about categories of child abuse.',
			'field_order' => '2',
			'attachment_id' => '1789',
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			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":5.17188,"left":209,"annotation":"Physical abuse\n\nPhysical abuse is deliberately hurting a child, causing injuries such as bruises, broken bones, burns or cuts.\n\nIt isn’t accidental - children who are physically abused suffer violence such as being hit, kicked, poisoned, burned, slapped or having objects thrown at them. Shaking or hitting babies can cause non-accidental head injuries (NAHI). Sometimes parents or carers will make up or cause the symptoms of illness in their child, perhaps giving them medicine they don’t need and making the child unwell – this is known as fabricated or induced illness (FII).\n\nThere’s no excuse for physically abusing a child. It causes serious, and often long-lasting, harm – and in severe cases, death."},{"top":18.1719,"left":297,"annotation":"Child sexual exploitation\n\nChild sexual exploitation (CSE) is a type of sexual abuse. Children in exploitative situations and relationships receive something such as gifts, money or affection as a result of performing sexual activities or others performing sexual activities on them.\n\nChildren or young people may be tricked into believing they're in a loving, consensual relationship. They might be invited to parties and given drugs and alcohol. They may also be groomed and exploited online.\n\nSome children and young people are trafficked into or within the UK for the purpose of sexual exploitation. Sexual exploitation can also happen to young people in gangs."},{"top":53.1719,"left":367,"annotation":"Bullying and cyberbullying\n\nBullying is behaviour that hurts someone else – such as name calling, hitting, pushing, spreading rumours, threatening or undermining someone.\n\nIt can happen anywhere – at school, at home or online. It’s usually repeated over a long period of time and can hurt a child both physically and emotionally.\n\nBullying that happens online, using social networks, games and mobile phones, is often called cyberbullying. A child can feel like there’s no escape because it can happen wherever they are, at any time of day or night."},{"top":115.172,"left":402,"annotation":"Domestic abuse\n\nDomestic abuse is any type of controlling, bullying, threatening or violent behaviour between people in a relationship. But it isn’t just physical violence – domestic abuse includes emotional, physical, sexual, financial or psychological abuse.\n\nAbusive behaviour can occur in any relationship. It can continue even after the relationship has ended. Both men and women can be abused or abusers.\n\nDomestic abuse can seriously harm children and young people. Witnessing domestic abuse is child abuse, and teenagers can suffer domestic abuse in their relationships."},{"top":187.172,"left":379,"annotation":"Sexual abuse\n\nA child is sexually abused when they are forced or persuaded to take part in sexual activities.\n\nThis doesn't have to be physical contact and it can happen online.\n\nSometimes the child won't understand that what's happening to them is abuse.\n\nThey may not even understand that it's wrong."},{"top":237.172,"left":304,"annotation":"Neglect\n\nNeglect is the ongoing failure to meet a child's basic needs and is the most common form of child abuse.\n\nA child may be left hungry or dirty, without adequate clothing, shelter, supervision, medical or healthcare.\n\nA child may be put in danger or not protected from physical or emotional harm.\n\nThey may not get the love, care and attention they need from their parents.\n\nA child who's neglected will often suffer from other abuse as well.\n\nNeglect is dangerous and can cause serious, long-term damage - even death."},{"top":243.172,"left":197,"annotation":"Online abuse\n\nOnline abuse is any type of abuse that happens on the web, whether through social networks, playing online games or using mobile phones. Children and young people may experience cyberbullying, grooming, sexual abuse, sexual exploitation or emotional abuse.\n\nChildren can be at risk of online abuse from people they know, as well as from strangers. Online abuse may be part of abuse that is taking place in the real world (for example bullying or grooming). Or it may be that the abuse only happens online (for example persuading children to take part in sexual activity online).\n\nChildren can feel like there is no escape from online abuse – abusers can contact them at any time of the day or night, the abuse can come into safe places like their bedrooms, and images and videos can be stored and shared with other people."},{"top":192.172,"left":107,"annotation":"Emotional abuse\n\nEmotional abuse is the ongoing emotional maltreatment of a child. It’s sometimes called psychological abuse and can seriously damage a child’s emotional health and development.\n\nEmotional abuse can involve deliberately trying to scare or humiliate a child or isolating or ignoring them.\n\nChildren who are emotionally abused are often suffering another type of abuse or neglect at the same time – but this isn’t always the case."},{"top":148.172,"left":135,"annotation":"Child trafficking\n\nChild trafficking and modern slavery are child abuse. Children are recruited, moved or transported and then exploited, forced to work or sold.\n\nChildren are trafficked for:\n\n- Child sexual exploitation\n- Benefit fraud\n- Forced marriage\n- Domestic servitude such as cleaning, childcare, cooking\n- Forced labour in factories or agriculture\n- Criminal activity such as pickpocketing, begging, transporting drugs, working on cannabis farms, selling pirated DVDs and bag theft\n\nMany children are trafficked into the UK from abroad, but children can also be trafficked from one part of the UK to another."},{"top":70.1719,"left":94,"annotation":"Harmful sexual behaviour\n\nHarmful sexual behaviour includes:\n\n- Using sexually explicit words and phrases\n- Inappropriate touching\n- Using sexual violence or threats\n- Full penetrative sex with other children or adults\n\nSexual behaviour between children is also considered harmful if one of the children is much older – particularly if one of the children is pre-pubescent and the other isn’t [1].\n\nHowever, a younger child can abuse an older child, particularly if they have power over them – for example, if the older child is disabled [2].\n\nIf you're not sure whether a sexual behaviour is harmful, find out about the signs, symptoms and effects of harmful sexual behaviour."},{"top":35.1719,"left":147,"annotation":"Grooming\n\nGrooming is when someone builds an emotional connection with a child to gain their trust for the purposes of sexual abuse, sexual exploitation or trafficking.\n\nChildren and young people can be groomed online or face to face, by a stranger or by someone they know, for example a family member, friend or professional.\n\nGroomers may be male or female. They could be any age.\n\nMany children and young people don't understand that they have been groomed or that what has happened is abuse."}]}',
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		),
		(int) 5 => array(
			'id' => '3663',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'image-hotspot',
			'field_label' => '',
			'description' => 'Child safeguarding concerns can be identified in many different ways. In some cases, a child presents to a healthcare setting and their injury or situation has clearly been caused by harm or abuse.

However, there are more subtle situations that may also need your attention.

When dealing with a child or an adult it is always recommended to take a ‘Think Family’ approach and consider whether the person is a carer or parent and how their presenting situation/illness/diagnosis may impact on them and their ability to care and support for others.

Explore the following scenarios and try to identify the safeguarding concern in each of the settings. ',
			'field_order' => '3',
			'attachment_id' => '1790',
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			'field_choices' => '{"width":500,"annotations":[{"top":10.5,"left":286,"annotation":"GP surgery\n\nA 6-year-old boy repeatedly brought to surgery by his mother for minor illnesses such that his school attendance is only 85%. The mother herself has a history of repeated presentations with many symptoms."},{"top":27.5,"left":356,"annotation":"GU clinic\n\nA young teenager with mild learning difficulties and vulvar abrasions, accompanied by an adult male."},{"top":83.5,"left":395,"annotation":"Operating theatre\n\nAn 18-month-old boy who is noted to have a torn frenulum when being intubated. Further examination reveals bruising to both ears and the buttocks."},{"top":143.5,"left":421,"annotation":"Antenatal clinic\n\nA 17-year-old girl, usually accompanied everywhere by her 30-year-old husband, reveals that her husband is physically violent and emotionally controlling."},{"top":208.5,"left":374,"annotation":"Community paediatric service\n\nA 13-year-old girl with severe disability, confined to a wheelchair and with limited communication, found to have bruising of the inner thighs."},{"top":232.5,"left":298,"annotation":"Adult ward\n\nA 33-year-old female patient with pancreatitis who, when asked if she is the carer for any children or vulnerable adults, reveals that she is a single mother and that her 13-year-old daughter is at home minding her two younger children."},{"top":242.5,"left":204,"annotation":"Paediatric ward\n\nA 6-year-old girl admitted with an exacerbation of asthma who reveals to the play therapist a knowledge of sexual acts/behaviours that would not be expected for the child's age."},{"top":201.5,"left":115,"annotation":"Paediatric A&E\n\nA toddler aged 2 years with a swollen leg, refusing to weight bear, presented 5 days after the 'accident'."},{"top":103.516,"left":79,"annotation":"Dentist\n\nA 4-year-old girl with widespread dental caries which is progressing to a facial abscess. Her mother does not follow advice to stop giving her bottles of milk and juice despite dental and health visitor advice."},{"top":54.5,"left":124,"annotation":"Adult A&E\n\nA 16-year-old girl presenting repeatedly with self-harming who reveals that her family is forcing her into a marriage she doesn't want."},{"top":12.5,"left":163,"annotation":"Public health practitioner\n\nNotification of a sexually transmitted infection in a young child."}]}',
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			'active' => '1',
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		),
		(int) 6 => array(
			'id' => '3664',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'Think Family',
			'description' => 'A family focus alone may not be enough to address the problems faced by some parents with a mental health problem nor will it necessarily prevent a child from suffering harm. The adults' problems need to be addressed through specific clinical expertise and services, just as children's problems need to be, or those requiring a whole family approach.

A family focus should not be seen as an alternative to providing individual care, but must be considered alongside it.

The Think Family agenda recognises and promotes the importance of a whole-family approach which is built on the principles of 'Reaching out: think family' [3].

No Wrong Door
Contact with any service offers an open door into a system of joined-up support. This is based on more coordination between adult and children's services.

Looking at the Whole Family
Services working with both adults and children take into account family circumstances and responsibilities. For example, an alcohol treatment service combines treatment with parenting classes while supervised childcare is provided for the children.

Providing Support Tailored to Need
Working with families to agree a package of support best suited to their particular situation.

Building on Family Strengths
Practitioners work in partnerships with families recognising and promoting resilience and helping them to build their capabilities. For example, family group conferencing is used to empower a family to negotiate their own solution to a problem.
',
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			'attachment_id' => '1791',
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			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 14:58:27',
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		),
		(int) 7 => array(
			'id' => '3665',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'The Crossing Bridges Family Model [4] can help staff to consider the parent, the child and the family as a whole when assessing the needs of and planning care packages for families with a parent suffering from a mental health problem.',
			'description' => 'The model illustrates how the mental health and wellbeing of the children and adults in a family where a parent is mentally ill are intimately linked in at least three ways, as shown in the diagram.

• Parental mental health problems can adversely affect the development, and in some cases the safety, of children
• Growing up with a mentally ill parent can have a negative impact on a person's adjustment in adulthood, including their transition to parenthood
• Children, particularly those with emotional, behavioural or chronic physical difficulties, can precipitate or exacerbate mental ill health in their parents/carers

The model also identifies that there are risks, stressors and vulnerability factors increasing the likelihood of a poor outcome, as well as strengths, resources and protective factors that enable families to overcome adversity.',
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			'attachment_id' => '1792',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
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		),
		(int) 8 => array(
			'id' => '3666',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'image-hotspot',
			'field_label' => 'Emotional Abuse',
			'description' => 'Emotional abuse is the hardest form of abuse for anyone in a healthcare setting to detect. It is very damaging and can cause severe, long-term harm to a child's intellectual and emotional development.

Some clues may be found by considering the status of the child for the parent or caregiver. Is the child the 'wrong' gender, born at a time of parental separation or violence, or seen as 'ill' or 'difficult'? Is the parent/carer overprotective?

Is there a suspicion of bullying, not only by a parent/carer but by others in the child's life, for example at school or online?

This component is a flipcard comprised of flippable cards containing display image. Select the front face image to flip to the back face of these card to display associated text.
How do children who are emotionally abused behave?

Select all of the images to find out about behaviours in emotionally abused children.',
			'field_order' => '8',
			'attachment_id' => '1793',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":25.6875,"left":170,"annotation":"Babies\nApathetic, delayed development, non-demanding. The mother describes the baby as 'spoiled, attention seeking, in control, not loving her’."},{"top":78.6875,"left":424,"annotation":"Toddlers and pre-school children\nViolent, clingy, apathetic."},{"top":191.688,"left":167,"annotation":"School children\nWetting, soiling, relationship difficulties, non-attendance, anti-social behaviour."},{"top":266.688,"left":390,"annotation":"School children\nWetting, soiling, relationship difficulties, non-attendance, anti-social behaviour."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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		),
		(int) 9 => array(
			'id' => '3667',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'text-links',
			'field_label' => 'Dental neglect',
			'description' => 'Dental neglect can be defined as “the persistent failure to meet a child’s basic oral health needs, likely to result in the serious impairment of a child’s oral or general health or development." [5]

Poor oral health can impact on a child’s ability to eat, sleep, speak and socialise as well as potentially causing pain, infection, poor nutrition or impaired growth and development.

Concerning features or behaviours to be aware of once dental problems have been highlighted to parents or carers may include:

• Failure to take a child for dental care leading to severe untreated dental problems
• Missing appointments and not completing recommended dental treatment
• Failure to provide basic dental care at home (e.g. toothbrushing twice daily with fluoride toothpaste)
• Repeated general anaesthesia to remove teeth

There is a statutory requirement that children in care have regular dental checks including any necessary treatment or monitoring.

Select the hyperlink for further information on child oral health.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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			'modified' => '2024-08-07 15:11:20'
		),
		(int) 10 => array(
			'id' => '3668',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'media-field',
			'field_label' => 'Neglect',
			'description' => 'When should you consider the possibility of neglect?


When the child:
• Consistently misses medical appointments 
• Lacks needed medical/dental care, immunisations or glasses
Seems ravenously hungry
• Is dirty
• Is wearing inadequate clothing for cold weather
• Is abusing alcohol or other drugs
• Says there is no one at home to provide care

When the parent or other adult caregiver:
• Appears to be indifferent to the child
• Seems apathetic or depressed
• Behaves irrationally or in a bizarre manner
• Is abusing alcohol or other drugs',
			'field_order' => '6',
			'attachment_id' => '1794',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 11 => array(
			'id' => '3669',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the behavioural symptoms of sexual abuse?',
			'description' => 'Select one or more options',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["soiling, secondary enuresis","self-harm","aggressive or sexualised behaviours","regression and poor school performance","running away from home or care"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 12 => array(
			'id' => '3670',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the physical symptoms of sexual abuse?',
			'description' => 'Select three options ',
			'field_order' => '4',
			'attachment_id' => '1795',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["vaginal bleeding","scratches on the torso","vaginal itching","discharge or rectal bleeding"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 13 => array(
			'id' => '3671',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'multiple-choice',
			'field_label' => 'How might concerns about sexual abuse arise in a healthcare setting?  A child may:',
			'description' => 'Select four options a',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["be identified in indecent images","be pregnant","have mainly older friends","have a sexually transmitted infection with no clear explanation","be sexually active at a young age"]',
			'field_correct' => '0,1,3,4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 14 => array(
			'id' => '3672',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Child sexual exploitation (CSE) is a type of sexual abuse where the child/young person receives something (for example, money, food, shelter, drugs) in return for sexual activities. There is a power imbalance between the perpetrator and victim. Staff in GUM clinics, GPs, CAMHS and Emergency Departments are well-placed to consider whether a young person might be subject to CSE. The difficulty is that most victims do not recognise that they are being exploited.

Vulnerability factors include:

• Previous abuse
• Young people in foster/residential care
• Young people who are missing (from education/home)
• Drug/alcohol use
• Poor self-esteem

The child or young person may be difficult to engage and display challenging behaviour. Local GUM and Emergency Department services should be able to signpost to local services that offer support and intervention as they work closely with the police and children's social care.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 15 => array(
			'id' => '3673',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'media-field',
			'field_label' => 'Sexual Abuse',
			'description' => 'There are very few absolutely diagnostic signs of sexual abuse on examination. This is because often sexual abuse of children is by touching or kissing or other activities that do not involve significant physical force. Furthermore the genital area heals very quickly in young children: no signs may be present a few days after quite significant trauma. Forensic material also decays rapidly.

Examination of children suspected of having been sexually abused requires a doctor with specific expertise and training, facilities for photo documentation, sexually transmitted infection screening and management, and (where indicated) forensic testing. Forensic material (e.g. DNA from sperm) may be found on the child or his/her clothing/bedding.


This component is an accordion comprised of collapsible content panels containing display text. Select the item titles to toggle the visibility of these content panels.
Child sexual exploitation is a hidden crime. Young people often trust their abuser and don't understand that they're being abused. They may depend on their abuser or be too scared to tell anyone what's happening.

What can it involve?
It can involve violent, humiliating and degrading sexual assaults, including oral and anal rape. In some cases, young people are persuaded or forced into exchanging sexual activity for money, drugs, gifts, affection or status. Child sexual exploitation doesn't always involve physical contact and can happen online.

Child sexual exploitation (CSE) is a type of sexual abuse. Children in exploitative situations and relationships receive something such as gifts, money or affection as a result of performing sexual activities or others performing sexual activities on them.

Children or young people may be tricked into believing they're in a loving, consensual relationship. They might be invited to parties and given drugs and alcohol. They may also be groomed and exploited online.

Some children and young people are trafficked into or within the UK for the purpose of sexual exploitation. Sexual exploitation can also happen to young people in gangs.

Child trafficking and modern slavery
Child trafficking and modern slavery are child abuse. Children are recruited, moved or transported and then exploited, forced to work or sold. Children are trafficked for:

• Child sexual exploitation
• Benefit fraud
• Forced marriage
• Domestic servitude such as cleaning, childcare, cooking
Forced labour in factories or agriculture
• Criminal activity such as pickpocketing, begging, transporting drugs, working on cannabis farms, selling pirated DVDs and bag theft

Many children are trafficked into the UK from abroad, but children can also be trafficked from one part of the UK to another.

Gangs and young people
Children and young people involved with, or on the edges of, gangs might be victims of violence or they might be pressured into doing things like stealing or carrying drugs or weapons. They might be abused, exploited or put into dangerous situations.

For lots of young people, being part of a gang makes them feel part of a family so they might not want to leave. Even if they do, leaving or attempting to leave can be a really scary idea. They might be frightened about what will happen to them, their friends or their family if they leave.

Grooming
Grooming is when someone builds an emotional connection with a child to gain their trust for the purposes of sexual abuse, sexual exploitation or trafficking.

Children and young people can be groomed online or face-to-face, by a stranger or by someone they know - for example a family member, friend or professional.

Groomers may be male or female. They could be any age.

Many children and young people don't understand that they have been groomed or that what has happened is abuse.

Child sexual abuse online
When sexual exploitation happens online, young people may be persuaded, or forced, to:

• Send or post sexually explicit images of themselves
• Take part in sexual activities via a webcam or smartphone
• Have sexual conversations by text or online

Abusers may threaten to send images, video or copies of conversations to the young person's friends and family unless they take part in other sexual activity.

Images or videos may continue to be shared long after the sexual abuse has stopped.

It is a criminal offence to meet a child online and engage in a sexual conversation, or to arrange to meet the child in person for the intent to sexually abuse or exploit them.



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			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 16 => array(
			'id' => '3674',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'media-field',
			'field_label' => 'Signs of Abuse',
			'description' => 'It can be difficult to spot signs of abuse in a child as there are not always physical signs that are obvious. In this chapter, we will look at signs of sexual abuse, particularly child sexual exploitation, emotional abuse and neglect as these are examples of abuse that can be difficult to identify.',
			'field_order' => '0',
			'attachment_id' => '1797',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'active' => '1',
			'created' => '2024-08-07 15:11:20',
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		),
		(int) 17 => array(
			'id' => '3675',
			'course_id' => '124',
			'course_lesson_id' => '578',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'The involvement of children in decision making about matters important to them not just empowers children, but also aids their development, their transition to adulthood and safeguards them against abuse and neglect. As described in the Munro Review of Child Protection [6] there is a recognition that in a 'system that has become over-bureaucratised and focused on meeting targets', we often lose focus of children’s needs and feelings.

Advocacy helps to bring that focus back. To make it happen, the central and local government must take steps to ensure that all children in care can access advocacy support if necessary, and that learning from individual advocacy cases is utilised to improve services for all children in care. This can be done through strengthening the statutory guidance, through the development of monitoring and regulatory framework, and through better-commissioning processes.',
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			'active' => '1',
			'created' => '2024-08-07 15:15:03',
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		),
		(int) 18 => array(
			'id' => '3676',
			'course_id' => '124',
			'course_lesson_id' => '578',
			'field_type' => 'image-hotspot',
			'field_label' => 'The different presentations illustrate the wide variety of ways that child protection concerns can arise in different parts of the health service and that child protection issues are often not clear cut. Deciding whether or not a child is being abused is not the responsibility of any one person but requires professionals involved with the child and/or family/carers, such as the GP, lead nurse and doctor for child protection, paediatricians, other healthcare staff, social workers, school staff and police to work together.  ',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '1',
			'attachment_id' => '1799',
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			'field_choices' => '{"width":500,"annotations":[{"top":83.625,"left":40,"annotation":"Physician\nYou are a member of the medical team on-call in a large, acute NHS hospital and have decided to admit Paula, a 35-year-old single mother with a large pleural effusion requiring drainage. The history reveals that Paula lives with her 9- and 11-year-old daughters. Paula does not appear concerned that the two girls will be in the house alone overnight and says she wasn't planning to find someone to look after the girls.\n\nYou may suspect 'emotional abuse' and 'neglect'."},{"top":93.625,"left":82,"annotation":"GP\nYou are a GP and review a 13-year-old boy in the surgery with recurrent headaches. While you are examining him he reveals that he is being bullied via text messages and on social media websites. His mother is aware of it but does not know how to help.\n\nYou may suspect 'not clear but concerning'."},{"top":82.625,"left":129,"annotation":"Physiotherapist\nYou are a community physiotherapist reviewing Mohammed, aged 15, for ongoing knee pain, which he sustained playing football. Over the course of four appointments (two of which he did not attend) you establish that he rarely attends school and is part of a local gang.\n\nYou may suspect 'not clear but concerning'."},{"top":86.625,"left":181,"annotation":"Surgeon\nYou are the surgeon reviewing a 4-year-old boy with abdominal pain in A&E. As you go to examine him, he makes a sexually inappropriate comment that suggests he has knowledge of anal sex. His father, who is with the boy, appears to laugh off the comment.\n\nYou may suspect 'sexual abuse'."},{"top":84.625,"left":239,"annotation":"Nurse\nYou are the nurse running the cardiology clinic in December and you see that Mr Morgan is accompanied by a male child of about 5 years. The child resembles Mr Morgan and may be his grandson. The child is inappropriately dressed for the cold weather and is unkempt.\n\nYou may suspect 'not clear but concerning' and possibly 'neglect'."},{"top":81.625,"left":282,"annotation":"Dentist\nYou are a dentist seeing a 4-year-old girl with very bad dental caries. You notice that she has bruising to the neck. The child’s mother is unable to explain this.\n\nYou may suspect 'physical abuse' and 'neglect'."},{"top":76.625,"left":333,"annotation":"Anaesthetist\nYou are anaesthetising a 12-year-old post-pubertal girl for abdominal surgery. During the surgical preparation you notice that she has a number of opposing crescent shaped bruises to both breasts. You are concerned that these are bite marks.\n\nYou may suspect 'sexual abuse'."},{"top":82.625,"left":375,"annotation":"Triage nurse\nYou are the triage nurse in A&E. Molly is a 35-year-old mother of five children and attends the Emergency Department for the fourth time over the course of 2 months. She says her injury is due to walking into a door.\n\nYou may suspect 'domestic violence'."},{"top":102.625,"left":431,"annotation":"Midwife\nYou are a midwife booking in a 21-year-old primipara. You note she has several self-harm scars on the left arm and nictotine staining of the middle fingers. You ask her about any previous or current health concerns and she denies having any issues. The GP referral letter does not mention any mental health problems or substance misuse.\n\nYou may suspect 'not clear but concerning'."},{"top":74.625,"left":463,"annotation":"Midwife\nYou are a midwife booking in a 21-year-old primipara. You note she has several self-harm scars on the left arm and nictotine staining of the middle fingers. You ask her about any previous or current health concerns and she denies having any issues. The GP referral letter does not mention any mental health problems or substance misuse.\n\nYou may suspect 'not clear but concerning'."}]}',
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		),
		(int) 19 => array(
			'id' => '3677',
			'course_id' => '124',
			'course_lesson_id' => '578',
			'field_type' => 'paragraph',
			'field_label' => 'Child Advocacy',
			'description' => 'Child advocacy refers to a range of individuals, professionals and advocacy organisations who speak out on the best interests of children. An individual or organisation engaging in advocacy typically seeks to protect children's rights, which may be abridged or abused in a number of areas.

The requirement to listen to the wishes and feelings of looked-after children and young people has been established in our domestic legislation for over 20 years. Advocacy is now a recognised tool to supporting children and young people having their wishes and feelings heard.

Advocacy acts as a safety net for many children and young people in care, who do not have the natural support network of family to represent them, to support them and make sure they are involved in decisions and have their rights met.',
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			'active' => '1',
			'created' => '2024-08-07 15:15:03',
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		),
		(int) 20 => array(
			'id' => '3678',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'multiple-choice',
			'field_label' => 'During a telephone consultation with a mother of 3 children, she discloses that she is struggling to manage one of her children's behaviours and she is at 'the end of her tether'. During the conversation you hear her shouting and swearing at the children, she admits to smacking the children and reports that she has no family support.  What should the practitioner do?',
			'description' => 'Select the four relevant options',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["share information with her GP or health visitor","seek consent to share information with the local safeguarding team for additional support","report to the local children's safeguarding hub","alert their organisational safeguarding lead","advise the mother to try a new parenting technique without further exploring her current situation or emotions"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:25:33',
			'modified' => '2024-08-07 15:25:33'
		),
		(int) 21 => array(
			'id' => '3679',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'media-field',
			'field_label' => 'Responding Appropriately',
			'description' => 'There is a statutory duty on all statutory organisations to safeguarding the child and young person.

Safeguarding and protecting those who may be at risk or suffering abuse is not something that can be achieved without a multi-agency approach. 

Suspecting concerns
Healthcare staff (or those providing health advice and support) in regular contact with families, parents, children and/or young people have a statutory duty to promote the health and well-being of children, identify any risks and refer to relevant organisations where a concern is suspected or identified.

It may not always be clear that a child is being maltreated.

Healthcare staff may suspect concerns with the well-being of a child or young person through contact with the child or young person directly, or through a conversation with their parent or guardian.

Whether they are considering maltreatment as one of a number of possibilities, staff need to know how to respond appropriately. Early intervention to support families where children's needs are not being met can have considerable benefit for the child or young person in the short and long term.

Designated safeguarding person
Each healthcare organisation (or public health provider) should have a responsible professional or, in larger organisations, a team to support staff and patients who use their services.

Each Integrated Care Board (ICB) has a statutory obligation to have a designated doctor and designated nurse for safeguarding. Their role is to ensure that health organisations are engaged with supporting safeguarding investigations, have effective policy and procedures in place, and are networked with other safeguarding multi-agency systems to ensure they are learning from local and national concerns.

Make sure you know who that person/team is and what arrangements/policies/procedures there are in place for your own organisation.


',
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			'attachment_pos' => '0',
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			'created' => '2024-08-07 15:25:33',
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		),
		(int) 22 => array(
			'id' => '3680',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'media-field',
			'field_label' => 'What are the risk factors for maltreatment?',
			'description' => 'Risk factors in child/young person
• Failure to meet parental expectations and aspirations, for example, disabled, wrong gender
• Born at wrong time, for example, when parents are more concerned with alcohol or a drug habit
• An unplanned birth
• Unwanted due to a breakdown in parental relationship
• Product of forced, coercive or commercial sex
• Looked-after children:
- Children become looked after when their birth parents are unable to provide ongoing care in either a temporary or permanent capacity
- Children can either be looked after as a result of voluntary agreement by their parents or as the result of a care order
- Children may be placed with kinship carers (family), network carers (extended family/friends) or foster carers depending on individual circumstances
• Social isolation, for example, normalisation of peer on peer intimidation or cyberbullying within the young person's school/peer group/gang
• Carer to an adult in the family
• Bereavement

Risk factors in the parents
• Poor self-esteem
• Indifference, intolerance or over-anxiousness
• Anti-social personality, poor interpersonal skills
• Disability
• Mental health problems
• Parental substance misuse - alcohol and drug abuse
• Parent abused as a child
• Self-neglect such as not taking prescribed medication or managing their illness to keep themselves well
• Drug (to include medication and illegal drugs) and alcohol misuse
• Physical disability or learning difficulties
• Bereavement

Risk factors in the family
• Single-parent families
• Domestic violence
• Multiple/closely spaced births
• Social isolation or a perceived lack of social support
• Poverty
• Young parental age
• Violence
• Living with step-parents
• Violence towards pets
• Where a combination of concerns occur such a mental health issues, drug and alcohol problems and domestic abuse, the risks to family members and especially the children increase
• Bereavement

It must be emphasised, however, that while certain factors often are present among families where maltreatment occurs, this does not mean that the presence of these factors will always result in child abuse and neglect. Many single parents do an excellent job of raising their child(ren) and, whilst there is a relationship between poverty and maltreatment, most people living in poverty do not harm their children. Similarly, parents with well-managed mental health difficulties may parent effectively.

Risk factors in the environment
• Dwelling and housing conditions
• Multiple resident environments
• Poverty
• Rented or temporary accommodation
• Homelessness
• Hate crime and the lack of community support increasing vulnerability
• Neighbourhood - criminal activity, gangs

Effects of maltreatment
Maltreatment can have major effects on all aspects of a child's health, development and well-being, both in the short and long term.

The impact of any maltreatment will vary between children/young people depending on the:

• Nature of the maltreatment
• Duration of the maltreatment
• Age of the child
• Individual child's reaction to the maltreatment
• Home/family environment
• Impact and speed of any intervention
• Consequences of the intervention
• Professional response and support

Long-term effects of child maltreatment can be:

• Drug and alcohol misuse
• Poor mental health
• Promiscuity and teen pregnancy
• Risk of perpetrating or being a victim of domestic violence
• Difficulty with job performance
• Self-harm or suicidal ideation
• Personality disorder
• Relationship problems

On the positive side, many children and young people, despite having suffered from maltreatment, overcome this adversity and go on to enjoy successful and contented lives.',
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		),
		(int) 23 => array(
			'id' => '3681',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'paragraph',
			'field_label' => 'Risk Factors for Child Maltreatment',
			'description' => 'Child maltreatment occurs across all socio-economic, religious, cultural, racial,and ethnic groups. While no specific causes have been definitively identified that lead a parent, other caregiver or someone in the child or young person's environment to abuse or neglect a child, research has identified a number of risk factors commonly associated with maltreatment.

It is important to be aware of the risk factors present in a child or their carers and environment that increase the likelihood that a child will be maltreated.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-07 15:25:33',
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		),
		(int) 24 => array(
			'id' => '3682',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'media-field',
			'field_label' => 'The following agencies have a duty to work collaboratively.',
			'description' => 'Children's Social Care (CSC)
Commonly referred to as social services, they take the lead in coordinating responses and support when there are concerns that a child needs extra support or protection from harm.

Education
Schools have a statutory responsibility, like healthcare organisations, to safeguard children and young people.

Health
All parts of the health service have a statutory responsibility to safeguard children and young people. This includes health visitors, public health practitioners, GPs and staff in secondary and tertiary healthcare e.g. specialist hospitals, private hospitals, mental health services, genitourinary and family planning services, dentists and professions allied to medicine.

Police
Safeguarding children is a fundamental part of the duties of all police officers. All forces have child abuse investigation units which undertake criminal enquiries in cases of suspected child abuse

Family Justice System
The Family Justice System is a network of organisations including family courts, the Children and Family Court Advisory Support Service (CAFCASS), the Child Support Agency and lawyers. Safeguarding children's welfare is a key consideration for all professionals working in the 
Family Justice System. In all cases, the child's welfare is the court's paramount consideration and the role of the court is to make decisions which are in the best interests of children based on the evidence before it and the law.

Other
All other local authority services (including adults' social care, housing, libraries, leisure and youth services), probation service, early years providers, secure settings, UKBA, voluntary and private sectors, faith organisations, etc.',
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		),
		(int) 25 => array(
			'id' => '3683',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'paragraph',
			'field_label' => 'Local policies may vary, but in general the following applies.',
			'description' => 'If you suspect child maltreatment
If you suspect child maltreatment, refer immediately to the most appropriate of the following agencies:

Local child social services
The police
The National Society for the Prevention of Cruelty to Children (NSPCC)
If the child needs admission, ensure that the paediatrician is aware of your concerns.

The local social services, police and NSPCC have statutory child protection powers to act immediately to secure the safety of the child.

Consider the safety of other children living with or in contact with the presumed perpetrator.

For further information on the choice of the most appropriate agency, go to Resources for a link to NICE, Child maltreatment - recognition and management.

If you suspect sexual abuse
• Do not perform an intimate examination, unless there is an urgent health need to do so 
• Only use open questions to enquire about the causes and circumstances of the presenting features and record these questions and responses verbatim
• Refer urgently to collect forensic evidence and assess the need for contraception and sexually transmitted infection prevention
- A forensic intimate examination should only be undertaken by professionals specifically trained in forensic aspects of sexual assaults. A general examination may be appropriate to assess their general health and to look for other injuries

If there is any uncertainty about suspected child maltreatment

If there is any uncertainty about suspected child maltreatment, or risk of immediate harm to the child, seek advice from a named or designated professional for child safeguarding or a more experienced senior colleague.

Confirm in writing, within 48 hours, any telephone referral to social services; they will formally acknowledge your written referral within 48 hours after receipt. Contact the local social services again if your referral has not been acknowledged within 3 working days.

Before referring, obtain consent from the child/young person or parent/carer to share confidential information unless there is reason to believe that this will increase the risk of harm to the child/young person. For further information see Resources for a link to Child maltreatment - recognition and management.

What should I document?
• Document all your concerns, including any minor concerns, and the details of any action you have taken, information you have shared and decisions you have made relating to those concerns
• If you share information about the child/young person, this should be recorded in the child's/young person's notes. If you share information about other members of the family, this should be recorded in their records if you have access to them
• If there is not enough evidence to support your concerns that a child/young person is being maltreated, or evidence arises that shows your concerns are incorrect, then this should also be recorded in the child/young person's record and their parent's/carer's record
• Ensure that the coding correctly reflects the current situation

If you have serious concerns about the welfare of a young person

You have serious concerns about the welfare of a young person (i.e. you are concerned that the young person might be at risk of significant harm). Here is a checklist to remind you what to do:

1. Make a note of your concerns and observations
2. Discuss with senior medical and nursing colleagues
3. Discuss what you are going to do and why with the child and their parent(s) or carer(s) - as long as this does not put them at increased risk
4. Notify and refer to children's social services by phone. In an emergency (e.g. the child absconds or parent tries to take the child), call the police
5. Participate in a strategy discussion with social services, police and other agencies (e.g. school)
6. If the strategy discussion concludes the young person is at risk of significant harm, a Section 47 Child Protection enquiry should be called
7. After completion of the enquiry, a case conference is held
8. The case conference decides whether or not the young person should be placed on the Child Protection Register and subject to a Child Protection Plan
',
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		),
		(int) 26 => array(
			'id' => '3684',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'image-hotspot',
			'field_label' => 'Rights of the Child',
			'description' => 'The United Nations Convention on the Rights of the Child (UNCRC) is an international human rights treaty that grants all children and young people (aged 17 years and under) a comprehensive set of rights. The UK signed the convention on 19 April 1990, ratified it on 16 December 1991 and it came into force on 15 January 1992.

The Joint Committee on Human Rights published its report on children’s rights in 2009. This report was produced in response and obligations set out in the UNCRC are protected in England and implementation of the convention is achieved.

Children have the right to be protected from being hurt and mistreated, whether physically or mentally.

Governments should ensure that children are properly cared for and protect them from violence, abuse and neglect by their parents, carers or anyone else who comes into contact with them.

Select the numbers to find out more information about child rights.',
			'field_order' => '4',
			'attachment_id' => '1803',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":20.1847,"left":35.2727,"annotation":"Children have the right to survival."},{"top":7.18466,"left":145.273,"annotation":"Children have the right to develop to the fullest."},{"top":19.1847,"left":236.273,"annotation":"Children have the right to participate fully in family, cultural and social life."},{"top":7.18466,"left":347.273,"annotation":"Children have the right to health and healthcare."},{"top":15.1847,"left":449.273,"annotation":"Children have the right to protection from all forms of violence."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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		),
		(int) 27 => array(
			'id' => '3685',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'image-hotspot',
			'field_label' => 'What happens after your referral?',
			'description' => 'Select the images for information.',
			'field_order' => '3',
			'attachment_id' => '1804',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":67.5369,"left":153.273,"annotation":"Case conference\nAfter a referral, social care will make enquiries and the local child safeguarding organisation will call a multi-disciplinary case conference, where all involved will be invited and asked to send a report. In some cases, you will have limited information about the family but it is still worth sending a report.\n\nIn other cases, the family may have been registered for a while but the first you know about a child protection concern is through an invitation to write a report or to attend a case conference or child in need meeting."},{"top":75.3551,"left":386.273,"annotation":"Medical examination\nYou may be asked to carry out examinations of the children involved before a case conference. A paediatrician may be asked to examine the child if they attend secondary care or if a specialist examination is required. You may also need to examine a child presenting in an emergency situation, where an incident of abuse is suspected.\n\nIt is imperative that all facts and findings are recorded with accuracy and in considerable detail (preferably using a standard proforma) because the potential legal ramifications are not always apparent at the outset.\n\nHand-written notes and drawings may be seen in court. Clear, well written notes are important documents on which your formal typewritten report must be based.\n\nMedical notes, including all diagrams and photos, must always be dated and signed, with the times that any interviews or observations were made."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:36:13',
			'modified' => '2024-08-07 15:36:13'
		),
		(int) 28 => array(
			'id' => '3686',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'media-field',
			'field_label' => 'Child Protection Procedures',
			'description' => 'Child Safeguarding Practice Reviews (CSPRs) are undertaken when a child dies (including death by suspected suicide), and abuse or neglect is known or suspected to be a factor in the death. 

Additionally, Local Safeguarding Children's Boards may decide to conduct an CSPR whenever a child has been seriously harmed and the case gives rise to concerns about the way in which local professionals and services worked together to safeguard and promote the welfare of children (including inter-agency and inter-disciplinary working):

• Each agency involved with the child or young person contributes a report outlining and analysing its involvement with the child
• Information is gathered by the independent reviewer who produces the CSPR

Please note that although these reviews are known as CSPRs in England, they are known as Case Management Reviews (CMRs) in Northern Ireland, learning reviews in Scotland, and Child Practice Reviews (CPRs) in Wales.

Healthcare staff, including public health practitioners, having regular contact with parents, children and young people have an important role (and a duty of care) in helping to keep children safe.

It is not always clear that a child is being maltreated:

• You may encounter behaviours or signs that should lead them to consider maltreatment as one of a number of possible diagnoses to explain the child’s presentation. Alternatively, the indicators of abuse may be stronger, leading healthcare staff to suspect that a child is being maltreated
• You need to respond appropriately and effectively when they consider or suspect that a child is being maltreated, and understand the importance of sharing concerns with colleagues and other agencies
• To respond effectively, you need to know who other key safeguarding agencies are, what their roles are and have an understanding of the next steps in the child protection process',
			'field_order' => '2',
			'attachment_id' => '1805',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:36:13',
			'modified' => '2024-08-07 15:36:13'
		),
		(int) 29 => array(
			'id' => '3687',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'image-hotspot',
			'field_label' => 'Sharing Information',
			'description' => 'How do you share relevant information with other teams?

Select the images for information.',
			'field_order' => '3',
			'attachment_id' => '1806',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":51.4915,"left":93.2727,"annotation":"Information sharing\nThe Children Act 2004 [7] places upon healthcare staff both an obligation to share information and an obligation to co-operate to safeguard and promote the welfare of children. If healthcare professionals have concerns about sharing information with others, they should obtain advice from named or designated professionals for safeguarding children. This should be undertaken as soon as possible to ensure little delay to the safety of the child or young person.\n\nIf concerns are based on information given by a child, healthcare professionals should explain to the child why they are unable to maintain confidentiality on this occasion, explore the child's concerns about sharing this information; and reassure the child that they will continue to be kept informed about what is happening.\n\nWhen gathering collateral information from other health disciplines and agencies, professionals need to use their judgement about whether to explain to the family the need to gather this information for the overall assessment of the child."},{"top":16.0369,"left":387.273,"annotation":"Sharing dilemmas\nAll healthcare professionals sometimes have difficulty deciding whether or not to divulge what is, in most situations, confidential medical information. For example, a GP may find themselves having to support both the parent and child through the child protection process, and this may be a barrier to sharing information about child maltreatment concerns.\n\nIn this situation, it is recommended that each of the two parties should be cared for by a different GP in the practice; to enable both to act as advocate for their patient while working together in the best interests of the child.\n\nThere are constant tensions between the way general practice works (a confidential service based on a relationship of trust) and the need to share information in order to protect children from abuse and neglect.\n\nThe law is clear that where concerns are evident, then it is necessary to share concerns and key elements of information to aid the Local Authority in undertaking their investigation and supporting the child effectively. This will include the necessity of sharing information about the parent or guardian."},{"top":183.037,"left":117.273,"annotation":"Your professional obligation\n In the event of a child protection concern, the expectation is that GPs and other healthcare professionals should disclose information, though consent should usually be sought first, provided this does not endanger the child.\n\nThe GMC would seek justification from a GP or doctor who did not disclose. The GMC's 0-18 years guidance advises that 'you will be able to justify raising a concern, even if it turns out to be groundless, if you have done so honestly, promptly, on the basis of reasonable belief and through the appropriate channels’.\n\nThe central conundrum is that it is often not possible to determine whether or not there is a child protection risk until after the information has been shared between agencies. However, in order to maintain a confidential service, the threshold of concern for professionals that triggers such a sharing should remain high. This is a complex area and healthcare professionals are advised to seek advice from their defence organisation in difficult situations."},{"top":211.136,"left":402.284,"annotation":"Early intervention\nThe aim of the Common Assessment Framework (CAF) (and similar multi-disciplinary frameworks in other jurisdictions) is to identify at the earliest opportunity a child's or young person's additional needs which are not being met by the universal services they are receiving. CAF is intended to provide timely and coordinated support to meet those needs.\n\nCAF can be an important tool for early interventions in safeguarding. It is designed for use when:\n\n- You are concerned about how well a child is progressing. You might be concerned about their health, welfare, behaviour, progress in learning or any other aspect of their well-being\n- The child, their parent or another person may have raised a concern with you\n- The needs are unclear, or broader than your service can address\n- A common assessment would help identify the needs of a child, and/or get other services to help meet them"}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:43:14',
			'modified' => '2024-08-07 15:43:14'
		),
		(int) 30 => array(
			'id' => '3688',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'paragraph',
			'field_label' => 'Staff should be given clear direction as to what information should be recorded and in what format. The following questions are a guide:',
			'description' => '• What information do staff need to know in order to provide a high-quality response to the child/young person concerned?
• What information do staff need to know in order to keep a child/young person safe under the service’s duty to protect people from harm?
• What information is not necessary?
• What is the basis for any decision to share (or not) information with a third party?
• All entries must provide factual information, e.g. times, dates, names of people contacted

Avoid expressions of opinion (remember that the person you are writing about may have the right to read what you have said).

• There should be a clear link between evidence recorded and actions planned/recommended
• All contact with the child/young person and alleged perpetrator must be recorded
• Record the exact words the child/young person and alleged perpetrator used
• All consultation with a manager and/or senior manager must be recorded
• When contacting other agencies the questions asked and information received must be recorded
• If a decision is made not to contact the police, the details of why this decision was made and on whose authority it was made must be recorded

All telephone calls, those received and made in relation to the abuse, must be recorded even if there was no reply to outgoing calls

• Those who attend strategy meetings must be named
• The decisions taken at all meetings must be recorded
• It is essential to demonstrate how an assessment of risk, responsibility, rights, autonomy and protection of the child/young person was undertaken
• If no investigation is to take place, the reasons why and on whose authority this decision was taken must be recorded
• All entries to be completed with the name of each person making an entry printed, signed and dated
• A professional analysis of evidence, recommendations and rationale for these
• Use body maps to illustrate physical injuries
• When contacting other agencies the questions asked and information received must be recorded',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:43:14',
			'modified' => '2024-08-07 15:43:14'
		),
		(int) 31 => array(
			'id' => '3689',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'media-field',
			'field_label' => 'When and how should information be recorded?',
			'description' => '• Records must be kept from the time that a concern, allegation or disclosure is made
• Each entry must be dated and timed

The name of the person recording the information must be written in full. Do not use initials.

• All records must be legible and, if written, should be in black ink
• Any alterations to records must be made by drawing a single line through a word(s)
• Correction fluid must not be used
• All records concerned with safeguarding children are strictly confidential

Health professionals must record all information in line with the record-keeping guidance of their own professional body.',
			'field_order' => '1',
			'attachment_id' => '1807',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:43:14',
			'modified' => '2024-08-07 15:43:14'
		),
		(int) 32 => array(
			'id' => '3690',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'media-field',
			'field_label' => 'Record-Keeping Principles',
			'description' => 'Best practice in record keeping is based on the key principles of partnership, openness and accuracy.

• Good-quality case recording is essential in ensuring:
• Continuity of service to individuals when staff are unavailable or change, or when a service resumes after a period of time
• Effective risk-management practices to safeguard the well-being of individuals in receipt of services, especially in emergency situations
• Clarity of the assessment process and decision making in relation to the mental capacity of all service users/patients
• Effective partnerships between staff, individuals, their families and carers and other providers
• Clarity of information for everyone involved in the planning and delivery of services, and in the event of investigations, inquiries or audits
• Adequate information for staff and managers working to ensure the best possible utilisation of available resources
• Support for people and carers receiving services with specific communication needs so that they may contribute to and access their records and key information

Information should be recorded in accordance with the following key principles:

• All relevant information must be recorded
• Manual records must be legible, signed and dated
• Records must be contemporaneous and kept up to date
• Records must be written in plain English and prejudice must be avoided
• Records must be accurate and adequate
• Records must clearly distinguish between statements of fact and opinion
• Managers must oversee, monitor and review all records
• Records should be kept securely
• Manual records moved to a new location must be monitored
• Professional analysis, thinking, rationale for all decisions
• Show management involvement, sign off all key decision points
• Show referral by line manager to senior management/press office as needed


',
			'field_order' => '0',
			'attachment_id' => '1808',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:43:14',
			'modified' => '2024-08-07 15:43:14'
		),
		(int) 33 => array(
			'id' => '3691',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'paragraph',
			'field_label' => 'Gillick Competence',
			'description' => 'The right of a child under 16 years to consent to medical examination and treatment, including immunisation, was decided by the House of Lords in Gillick v West Norfolk and Wisbech AHA [1986] where a mother of a girl under 13 years objected to Department of Health advice that allowed doctors to give contraceptive advice and treatment to children without parental consent.

Gillick competency applies mainly to medical advice but it is also used by practitioners in other settings. Medical professionals need to consider Gillick competency if a young person under the age of 16 wishes to receive treatment without their parents' or carers' consent or, in some cases, knowledge.

Please see Resources in the   drawer for links to more support.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 34 => array(
			'id' => '3692',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Young people from their teenage years onwards can be particularly vulnerable to getting involved with radical groups through direct contact with members, or increasingly, through the internet. This can put a young person at risk of being drawn into criminal activity and has the potential to cause significant harm.',
			'field_order' => '3',
			'attachment_id' => '1809',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 35 => array(
			'id' => '3693',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'media-field',
			'field_label' => 'Young people from their teenage years onwards can be particularly vulnerable to getting involved with radical groups through direct contact with members, or increasingly, through the internet. This can put a young person at risk of being drawn into criminal activity and has the potential to cause significant harm.',
			'description' => 'The Counter-Terrorism and Security Act 2015 contains a duty on specified authorities to have due regard to the need to prevent people from being drawn into terrorism. This is also known as the Prevent duty.

PREVENT is part of the Government counter-terrorism strategy. It's designed to tackle the problem of terrorism at its roots, preventing people from supporting terrorism or becoming terrorists themselves.

PREVENT operates in the 'pre-criminal space'. It is about supporting individuals who are at risk of radicalisation, becoming terrorists or supporting terrorism. It is not about any particular ideology - it covers all forms of extremism.

PREVENT it about:
• Noticing - vulnerability to radicalisation, changes in behaviour, ideology, and other signs of extremist exploitation
• Checking - your concerns out with your line manager to help determine a proportionate response
• Sharing - your concerns, where appropriate, with partner agencies and as far as possible being open and honest with the individual around your duty to share concerns

These forms of terrorism include:
• Far right extremists
• Al-Qa’ida-influenced groups
• Environmental extremists
• Animal rights extremists

',
			'field_order' => '2',
			'attachment_id' => '1810',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 36 => array(
			'id' => '3694',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'text-links',
			'field_label' => 'Female Genital Mutilation (FGM)',
			'description' => '<a href="https://www.nhs.uk/conditions/female-genital-mutilation-fgm/">Female genital mutilation (FGM)</a> is a procedure where the female genitals are deliberately cut, injured or changed, but there's no medical reason for this to be done.<br><br>FGM is usually carried out on young girls between infancy and the age of 15, most commonly before puberty starts. It's illegal in the UK and is child abuse.<br><br>It is a criminal offence under the Female Genital Mutilation Act 2003 [8].',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 37 => array(
			'id' => '3695',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'media-field',
			'field_label' => 'Female Genital Mutilation Act 2003',
			'description' => 'This Act of Parliament in the United Kingdom applying to England, Wales and Northern Ireland. Female genital mutilation (FGM) is illegal in the UK. Each nation in the UK has policy and guidance to help prevent FGM and take action to protect any child who has been affected. FGM has been a criminal offence in the UK since 1985. 

In 2003, it also became a criminal offence for UK nationals or permanent UK residents to take their child abroad to have female genital mutilation.

All NHS England organisations and Local Authorities should have processes in place to ensure that the mandatory reporting of FGM cases is undertaken in a timely way and fully supported by the organisation.

The duty to report cases of FGM sits with the individual who identifies the concern; this duty can not be passed to anyone else and reporting must be undertaken as soon as possible.',
			'field_order' => '1',
			'attachment_id' => '1811',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:47:48',
			'modified' => '2024-08-07 15:47:48'
		),
		(int) 38 => array(
			'id' => '3696',
			'course_id' => '124',
			'course_lesson_id' => '583',
			'field_type' => 'bullet-points',
			'field_label' => 'Key Points',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Maltreatment of children and young people presents in a wide variety of ways","There are factors relating to the child/young person, parent(s)/carer(s), the family and the environment that increase the risk of maltreatment","All healthcare staff need to respond appropriately and effectively when they consider or suspect that a child is being maltreated, and understand the importance of sharing concerns with colleagues and other agencies","Responsibility for safeguarding children is shared and good record keeping by healthcare professionals is essential to facilitate communication","It is important to make accurate, coded and contemporaneous records and also to document discussions, decisions and actions about safeguarding"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:49:06',
			'modified' => '2024-08-07 15:49:06'
		),
		(int) 39 => array(
			'id' => '3697',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'What would you do if you saw a colleague in your workplace hitting a paediatric patient who was misbehaving?',
			'description' => 'Choose the correct option ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Immediately report the incident to you manager or safeguarding leadd","Tell the child that is what to expect if they misbehave","Tell your colleague that you will report it if they do it again"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 40 => array(
			'id' => '3698',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Who are potential abusers of children?',
			'description' => 'Choose one or more options',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Adults","Other patients","Trust employees","Family members","Other children"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 41 => array(
			'id' => '3699',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What makes an effective advocate for a child or young person at risk of maltreatment?',
			'description' => 'Choose three options and select Submit.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["They listen to what the child is saying","They believe everything that the parents tell them","If appropriate they see the child on their own","They always act in the child's best interests"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 42 => array(
			'id' => '3700',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What actions should be taken by a staff member when a child discloses that they are being maltreated?',
			'description' => 'Choose five options ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Document what is said","Don't promise to keep a secret","Follow safeguarding procedure","Discuss the information with an appropriate person","Do nothing as you are just there to listen","Listen to the child"]',
			'field_correct' => '0,1,2,3,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 43 => array(
			'id' => '3701',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'Single parents who are isolated in the community with no family or social network to help or support them can often be very challenging. If we are supporting a parent in this situation and they have a very young baby, they state they are struggling to manage with day-to-day tasks, they are very stressed and not sleeping well.  Should we be worried about their safety and the safety of the baby?',
			'description' => 'Choose the correct option',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Yes","No"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 44 => array(
			'id' => '3702',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the potential child vulnerability factors that may lead to child maltreatment?',
			'description' => 'Choose four options',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Having a disability","Communication difficulties","Being a looked after child","Bing an only child","Being aged under one"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 45 => array(
			'id' => '3703',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the roles and responsibilities of clinical managers in regard to safeguarding issues?',
			'description' => 'Choose three options',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Dismissing any staff concerns","Offering guidance and support","Appropriately managing and escalating concerns","Appropriately disseminating information"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 46 => array(
			'id' => '3704',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is the responsibility of the local authority in relation to safeguarding children?',
			'description' => 'Choose three options ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["As the lead organisation, they have no responsibility to share information","Complete an assessment of the needs of children at risk","Promote interagency cooperation","Analyse the information gathered from an enquiry"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 47 => array(
			'id' => '3705',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where would you find information about how to make a referral to Children's Social Care/MASH?',
			'description' => 'Choose one or more options ',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Local Authority Safeguarding Children webpage","In the Safeguarding Children's Policy"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 48 => array(
			'id' => '3706',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'In a local family, where there is known domestic abuse which is witnessed by the children, the mother is concerned about her own safety and that of her children. She has no money to buy food for them and there is no heating in the house. You are aware that the father is dealing in drugs from the family home. What actions might you take?',
			'description' => 'Choose four options',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Tell the father that his actions are illegal","Refer to Social Care","Discuss possible options with the mother","Refer to the police","Discuss with colleagues\/line manager to ascertain what actions have already been taken"]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 49 => array(
			'id' => '3707',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are true?',
			'description' => 'Choose two options',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Wealthy parents do not abuse their children","If a child does not observe dosmestic abuse, they are unaffected by it","Children with disabilities are more vulnerable to abuse","Young people can be groomed into sexual exploitation"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 50 => array(
			'id' => '3708',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What should the details you record do?',
			'description' => 'Choose four options ',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Include your personal views about a parent\/carer","Be factual and not subjective","Include your observations and assessment","Include a plan of action","Reflect the child's wishes and feelings (if relevant)"]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 51 => array(
			'id' => '3709',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'You have evidence that a child is at risk of significant harm and you have asked the parents for their permission to make a referral to social care. The parents refuse permission. What action should you take?',
			'description' => 'Choose the two correct options',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Do not make referral as you do not have permission","Make your referral to social care without telling the parents","Tell them that you are making a referral to social care as it is in the best interest of the child"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 52 => array(
			'id' => '3710',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'You are making a referral to Children's Social Care and you are aware that the family have been previously known to Children's Social Care/MASH in another area. Is it relevant and appropriate to share this information?',
			'description' => 'Choose the correct option',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Yes","No"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 53 => array(
			'id' => '3711',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'How does the UN Convention on the rights of the child change the way children are viewed and treated?',
			'description' => 'Choose the correct option ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It ensures that children are treated as passive objects of care and charity","It ensures that children are kept quiet until they are spoken to","It ensures that children are treated as human beings with a distinct set of rights"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 54 => array(
			'id' => '3712',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'The United Nations Convention of the Rights of a Child (UNCRC) is a core part of the development of legislation to safeguarding children and young people. Is this:',
			'description' => 'Choose the correct option ',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 55 => array(
			'id' => '3713',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'FGM is defined as all procedures (not operations) which involve partial or total removal of the external female genitalia or injury to the female genital organs which is done for cultural or other non-therapeutic reasons.',
			'description' => 'Choose the correct option',
			'field_order' => '16',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 56 => array(
			'id' => '3714',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the health problems associated with FGM?',
			'description' => 'Choose five options ',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Fertility","Psychological and social consequences","There are no health problems associated with FGM","Severe pain and shock","Infection","Sexual dysfunction "]',
			'field_correct' => '0,1,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 57 => array(
			'id' => '3715',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following might make a child more susceptible to being radicalised?',
			'description' => 'Choose three options',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Bullying","Deprivation","Adolescence","Attending a place of worship"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 58 => array(
			'id' => '3716',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What might indicate that a child is being radicalised?',
			'description' => 'Choose three options ',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A child expresses interest in a bomb making experiment","A child who has recently been bereaved","A child withdrawing from social group activities","A child is accessing what you conside to be extremist websites or those of radical organisations"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 59 => array(
			'id' => '3717',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What would you do if you suspected child sexual exploitation?',
			'description' => 'Choose three options ',
			'field_order' => '20',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Talk to your line manager and\/or safeguarding lead in your organisation","Identify which other health\/social care professionals are involved with the child\/family","Tell the young person not to leave their home","Refer to social care"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 60 => array(
			'id' => '3718',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'A child comes into your care. Which of the following might make you suspect the child is being trafficked?',
			'description' => 'Choose one or more options ',
			'field_order' => '21',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Is not registered with a GP, nursery or school","Unclear relationship with the accompanying adult","Vague and inconsistent explanation of schooling","May struggle to speak English","Appearance suggests general physical neglect","Has moved location frequently","Inconsistent information about age"]',
			'field_correct' => '0,1,2,3,4,5,6',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		)
	),
	'LessonFieldList' => array(
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				[maximum depth reached]
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			(int) 1 => array(
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		(int) 576 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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		(int) 577 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
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			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			)
		),
		(int) 578 => array(
			(int) 0 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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		),
		(int) 579 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
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		(int) 580 => array(
			(int) 0 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			),
			(int) 3 => array(
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			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 581 => array(
			(int) 0 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
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		),
		(int) 582 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
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			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 583 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
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			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
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			(int) 9 => array(
				[maximum depth reached]
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			(int) 10 => array(
				[maximum depth reached]
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			(int) 11 => array(
				[maximum depth reached]
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			(int) 12 => array(
				[maximum depth reached]
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			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			)
		)
	),
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		(int) 0 => array(
			'id' => '3658',
			'course_id' => '124',
			'course_lesson_id' => '575',
			'field_type' => 'paragraph',
			'field_label' => 'Learning Objectives',
			'description' => '• Describe what constitutes child maltreatment and be able to identify any signs of child abuse or neglect
• Be able to act as an effective advocate for a child or young person
• Describe the potential impact of the physical and mental health of a parent/carer on the well-being of a child or young person in order to be able to identify a child or young person at risk
• Be able to identify the professional role, responsibilities and professional boundaries and those of colleagues in a multi-disciplinary team and in a multi-agency setting
• Explain how and when to refer to social care if safeguarding/child protection is identified as a concern
• Be able to document safeguarding/child protection concerns in a format that informs the relevant staff and agencies appropriately
• Explain how to maintain appropriate records including being able to differentiate between fact and opinion
• Be able to identify the appropriate and relevant information and how to share it with other teams
• List key statutory and non-statutory guidance and legislation including the UN Convention on the Rights of the Child and Human Rights Act
• Describe the risk of female genital mutilation (FGM) in certain communities, be willing to ask about FGM in the course of taking a routine history, know whom to contact if a child makes a disclosure of impending or completed mutilation, be aware of the signs and symptoms and be able to refer appropriately for further care and support
• List the risk factors for radicalisation and know whom to contact regarding preventive action and support for those vulnerable young persons who may be at risk of, or are being drawn into, terrorist-related activity
• Be able to identify and refer a child suspected of being a victim of trafficking and/or sexual exploitation

Please note that you are expected to have worked through Safeguarding Children Level 1 before completing this Level 2 session. The assessment includes questions that specifically reference knowledge covered in Level 1.',
			'field_order' => '0',
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			'active' => '1',
			'created' => '2024-08-07 14:46:42',
			'modified' => '2024-08-07 14:46:42'
		),
		(int) 1 => array(
			'id' => '3659',
			'course_id' => '124',
			'course_lesson_id' => '575',
			'field_type' => 'paragraph',
			'field_label' => 'Duration:',
			'description' => '20 minutes (knowledge chapters)
15 minutes (eAssessment)',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'show_correct' => '0',
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		),
		(int) 2 => array(
			'id' => '3660',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'Why is Safeguarding Children Important?',
			'description' => 'Even thinking about the abuse of children is distressing, so it is important to know what to do if you are concerned that a child or young person might be or has been abused.

This session explains what safeguarding children and young people involves.

You will learn about the range of child abuse and how you might be able to recognise abuse in a child or young person. It also looks at what you should do if you are concerned that a child is being abused or neglected. It explains the steps that you need to take in order to protect children from further harm.

It is important to note that the term 'children' means children and young people from birth to their eighteenth birthday.

The session does not contain any photos or illustrations of injuries. If the session is very upsetting for you (possibly because of experiences in your own or others' lives), you should seek advice from your manager or occupational health department.',
			'field_order' => '0',
			'attachment_id' => '1786',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 14:58:27',
			'modified' => '2024-08-07 14:58:27'
		),
		(int) 3 => array(
			'id' => '3661',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'Child Abuse',
			'description' => 'Someone may abuse or neglect a child or young person by inflicting harm, or by failing to act in preventing harm. This harm may be physical or psychological and includes the grooming and exploitation of children and young people. All types of abuse will affect the child's or young person's current and future mental and physical wellbeing.

Children and young people may be abused in a family, or in an institutional or wider community setting.

often than not the person responsible for the abuse has a close relationship or has spent time getting to know the child or young person.

Any child or young person can be at risk of harm, exploitation or abuse. Research shows that there are some children whose vulnerability places them at greater risk of harm. This can include (but is not limited to) babies and very young children due to their inherent need for support and intimate care. Those with physical disabilities and learning difficulties are also at increased risk, again due to their need for intimate care and support. Some behaviours of adolescent children may put them at greater risk (for example, more accessible online, experimental and risk-taking behaviours, running away from home, seeking older people’s company/companionship). This list is not exhaustive.',
			'field_order' => '1',
			'attachment_id' => '1787',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:58:27',
			'modified' => '2024-08-07 14:58:27'
		),
		(int) 4 => array(
			'id' => '3662',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'image-hotspot',
			'field_label' => 'Child abuse is described in the categories shown.',
			'description' => 'Many children suffer from more than one form of abuse. Some level of emotional abuse is involved in all types of child maltreatment, though it may also occur within a relationship in isolation, such as in the case of coercive control.

This session will focus on the recognition of signs and behaviours that might suggest that a child is being maltreated/abused and therefore is at risk of significant harm and in need of protection.

Select the numbers to find out more information about categories of child abuse.',
			'field_order' => '2',
			'attachment_id' => '1789',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":5.17188,"left":209,"annotation":"Physical abuse\n\nPhysical abuse is deliberately hurting a child, causing injuries such as bruises, broken bones, burns or cuts.\n\nIt isn’t accidental - children who are physically abused suffer violence such as being hit, kicked, poisoned, burned, slapped or having objects thrown at them. Shaking or hitting babies can cause non-accidental head injuries (NAHI). Sometimes parents or carers will make up or cause the symptoms of illness in their child, perhaps giving them medicine they don’t need and making the child unwell – this is known as fabricated or induced illness (FII).\n\nThere’s no excuse for physically abusing a child. It causes serious, and often long-lasting, harm – and in severe cases, death."},{"top":18.1719,"left":297,"annotation":"Child sexual exploitation\n\nChild sexual exploitation (CSE) is a type of sexual abuse. Children in exploitative situations and relationships receive something such as gifts, money or affection as a result of performing sexual activities or others performing sexual activities on them.\n\nChildren or young people may be tricked into believing they're in a loving, consensual relationship. They might be invited to parties and given drugs and alcohol. They may also be groomed and exploited online.\n\nSome children and young people are trafficked into or within the UK for the purpose of sexual exploitation. Sexual exploitation can also happen to young people in gangs."},{"top":53.1719,"left":367,"annotation":"Bullying and cyberbullying\n\nBullying is behaviour that hurts someone else – such as name calling, hitting, pushing, spreading rumours, threatening or undermining someone.\n\nIt can happen anywhere – at school, at home or online. It’s usually repeated over a long period of time and can hurt a child both physically and emotionally.\n\nBullying that happens online, using social networks, games and mobile phones, is often called cyberbullying. A child can feel like there’s no escape because it can happen wherever they are, at any time of day or night."},{"top":115.172,"left":402,"annotation":"Domestic abuse\n\nDomestic abuse is any type of controlling, bullying, threatening or violent behaviour between people in a relationship. But it isn’t just physical violence – domestic abuse includes emotional, physical, sexual, financial or psychological abuse.\n\nAbusive behaviour can occur in any relationship. It can continue even after the relationship has ended. Both men and women can be abused or abusers.\n\nDomestic abuse can seriously harm children and young people. Witnessing domestic abuse is child abuse, and teenagers can suffer domestic abuse in their relationships."},{"top":187.172,"left":379,"annotation":"Sexual abuse\n\nA child is sexually abused when they are forced or persuaded to take part in sexual activities.\n\nThis doesn't have to be physical contact and it can happen online.\n\nSometimes the child won't understand that what's happening to them is abuse.\n\nThey may not even understand that it's wrong."},{"top":237.172,"left":304,"annotation":"Neglect\n\nNeglect is the ongoing failure to meet a child's basic needs and is the most common form of child abuse.\n\nA child may be left hungry or dirty, without adequate clothing, shelter, supervision, medical or healthcare.\n\nA child may be put in danger or not protected from physical or emotional harm.\n\nThey may not get the love, care and attention they need from their parents.\n\nA child who's neglected will often suffer from other abuse as well.\n\nNeglect is dangerous and can cause serious, long-term damage - even death."},{"top":243.172,"left":197,"annotation":"Online abuse\n\nOnline abuse is any type of abuse that happens on the web, whether through social networks, playing online games or using mobile phones. Children and young people may experience cyberbullying, grooming, sexual abuse, sexual exploitation or emotional abuse.\n\nChildren can be at risk of online abuse from people they know, as well as from strangers. Online abuse may be part of abuse that is taking place in the real world (for example bullying or grooming). Or it may be that the abuse only happens online (for example persuading children to take part in sexual activity online).\n\nChildren can feel like there is no escape from online abuse – abusers can contact them at any time of the day or night, the abuse can come into safe places like their bedrooms, and images and videos can be stored and shared with other people."},{"top":192.172,"left":107,"annotation":"Emotional abuse\n\nEmotional abuse is the ongoing emotional maltreatment of a child. It’s sometimes called psychological abuse and can seriously damage a child’s emotional health and development.\n\nEmotional abuse can involve deliberately trying to scare or humiliate a child or isolating or ignoring them.\n\nChildren who are emotionally abused are often suffering another type of abuse or neglect at the same time – but this isn’t always the case."},{"top":148.172,"left":135,"annotation":"Child trafficking\n\nChild trafficking and modern slavery are child abuse. Children are recruited, moved or transported and then exploited, forced to work or sold.\n\nChildren are trafficked for:\n\n- Child sexual exploitation\n- Benefit fraud\n- Forced marriage\n- Domestic servitude such as cleaning, childcare, cooking\n- Forced labour in factories or agriculture\n- Criminal activity such as pickpocketing, begging, transporting drugs, working on cannabis farms, selling pirated DVDs and bag theft\n\nMany children are trafficked into the UK from abroad, but children can also be trafficked from one part of the UK to another."},{"top":70.1719,"left":94,"annotation":"Harmful sexual behaviour\n\nHarmful sexual behaviour includes:\n\n- Using sexually explicit words and phrases\n- Inappropriate touching\n- Using sexual violence or threats\n- Full penetrative sex with other children or adults\n\nSexual behaviour between children is also considered harmful if one of the children is much older – particularly if one of the children is pre-pubescent and the other isn’t [1].\n\nHowever, a younger child can abuse an older child, particularly if they have power over them – for example, if the older child is disabled [2].\n\nIf you're not sure whether a sexual behaviour is harmful, find out about the signs, symptoms and effects of harmful sexual behaviour."},{"top":35.1719,"left":147,"annotation":"Grooming\n\nGrooming is when someone builds an emotional connection with a child to gain their trust for the purposes of sexual abuse, sexual exploitation or trafficking.\n\nChildren and young people can be groomed online or face to face, by a stranger or by someone they know, for example a family member, friend or professional.\n\nGroomers may be male or female. They could be any age.\n\nMany children and young people don't understand that they have been groomed or that what has happened is abuse."}]}',
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		),
		(int) 5 => array(
			'id' => '3663',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'image-hotspot',
			'field_label' => '',
			'description' => 'Child safeguarding concerns can be identified in many different ways. In some cases, a child presents to a healthcare setting and their injury or situation has clearly been caused by harm or abuse.

However, there are more subtle situations that may also need your attention.

When dealing with a child or an adult it is always recommended to take a ‘Think Family’ approach and consider whether the person is a carer or parent and how their presenting situation/illness/diagnosis may impact on them and their ability to care and support for others.

Explore the following scenarios and try to identify the safeguarding concern in each of the settings. ',
			'field_order' => '3',
			'attachment_id' => '1790',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":10.5,"left":286,"annotation":"GP surgery\n\nA 6-year-old boy repeatedly brought to surgery by his mother for minor illnesses such that his school attendance is only 85%. The mother herself has a history of repeated presentations with many symptoms."},{"top":27.5,"left":356,"annotation":"GU clinic\n\nA young teenager with mild learning difficulties and vulvar abrasions, accompanied by an adult male."},{"top":83.5,"left":395,"annotation":"Operating theatre\n\nAn 18-month-old boy who is noted to have a torn frenulum when being intubated. Further examination reveals bruising to both ears and the buttocks."},{"top":143.5,"left":421,"annotation":"Antenatal clinic\n\nA 17-year-old girl, usually accompanied everywhere by her 30-year-old husband, reveals that her husband is physically violent and emotionally controlling."},{"top":208.5,"left":374,"annotation":"Community paediatric service\n\nA 13-year-old girl with severe disability, confined to a wheelchair and with limited communication, found to have bruising of the inner thighs."},{"top":232.5,"left":298,"annotation":"Adult ward\n\nA 33-year-old female patient with pancreatitis who, when asked if she is the carer for any children or vulnerable adults, reveals that she is a single mother and that her 13-year-old daughter is at home minding her two younger children."},{"top":242.5,"left":204,"annotation":"Paediatric ward\n\nA 6-year-old girl admitted with an exacerbation of asthma who reveals to the play therapist a knowledge of sexual acts/behaviours that would not be expected for the child's age."},{"top":201.5,"left":115,"annotation":"Paediatric A&E\n\nA toddler aged 2 years with a swollen leg, refusing to weight bear, presented 5 days after the 'accident'."},{"top":103.516,"left":79,"annotation":"Dentist\n\nA 4-year-old girl with widespread dental caries which is progressing to a facial abscess. Her mother does not follow advice to stop giving her bottles of milk and juice despite dental and health visitor advice."},{"top":54.5,"left":124,"annotation":"Adult A&E\n\nA 16-year-old girl presenting repeatedly with self-harming who reveals that her family is forcing her into a marriage she doesn't want."},{"top":12.5,"left":163,"annotation":"Public health practitioner\n\nNotification of a sexually transmitted infection in a young child."}]}',
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		),
		(int) 6 => array(
			'id' => '3664',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'Think Family',
			'description' => 'A family focus alone may not be enough to address the problems faced by some parents with a mental health problem nor will it necessarily prevent a child from suffering harm. The adults' problems need to be addressed through specific clinical expertise and services, just as children's problems need to be, or those requiring a whole family approach.

A family focus should not be seen as an alternative to providing individual care, but must be considered alongside it.

The Think Family agenda recognises and promotes the importance of a whole-family approach which is built on the principles of 'Reaching out: think family' [3].

No Wrong Door
Contact with any service offers an open door into a system of joined-up support. This is based on more coordination between adult and children's services.

Looking at the Whole Family
Services working with both adults and children take into account family circumstances and responsibilities. For example, an alcohol treatment service combines treatment with parenting classes while supervised childcare is provided for the children.

Providing Support Tailored to Need
Working with families to agree a package of support best suited to their particular situation.

Building on Family Strengths
Practitioners work in partnerships with families recognising and promoting resilience and helping them to build their capabilities. For example, family group conferencing is used to empower a family to negotiate their own solution to a problem.
',
			'field_order' => '4',
			'attachment_id' => '1791',
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			'attachment_pos' => '1',
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			'show_correct' => '0',
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		),
		(int) 7 => array(
			'id' => '3665',
			'course_id' => '124',
			'course_lesson_id' => '576',
			'field_type' => 'media-field',
			'field_label' => 'The Crossing Bridges Family Model [4] can help staff to consider the parent, the child and the family as a whole when assessing the needs of and planning care packages for families with a parent suffering from a mental health problem.',
			'description' => 'The model illustrates how the mental health and wellbeing of the children and adults in a family where a parent is mentally ill are intimately linked in at least three ways, as shown in the diagram.

• Parental mental health problems can adversely affect the development, and in some cases the safety, of children
• Growing up with a mentally ill parent can have a negative impact on a person's adjustment in adulthood, including their transition to parenthood
• Children, particularly those with emotional, behavioural or chronic physical difficulties, can precipitate or exacerbate mental ill health in their parents/carers

The model also identifies that there are risks, stressors and vulnerability factors increasing the likelihood of a poor outcome, as well as strengths, resources and protective factors that enable families to overcome adversity.',
			'field_order' => '5',
			'attachment_id' => '1792',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
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			'active' => '1',
			'created' => '2024-08-07 14:58:27',
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		),
		(int) 8 => array(
			'id' => '3674',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'media-field',
			'field_label' => 'Signs of Abuse',
			'description' => 'It can be difficult to spot signs of abuse in a child as there are not always physical signs that are obvious. In this chapter, we will look at signs of sexual abuse, particularly child sexual exploitation, emotional abuse and neglect as these are examples of abuse that can be difficult to identify.',
			'field_order' => '0',
			'attachment_id' => '1797',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 9 => array(
			'id' => '3673',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'media-field',
			'field_label' => 'Sexual Abuse',
			'description' => 'There are very few absolutely diagnostic signs of sexual abuse on examination. This is because often sexual abuse of children is by touching or kissing or other activities that do not involve significant physical force. Furthermore the genital area heals very quickly in young children: no signs may be present a few days after quite significant trauma. Forensic material also decays rapidly.

Examination of children suspected of having been sexually abused requires a doctor with specific expertise and training, facilities for photo documentation, sexually transmitted infection screening and management, and (where indicated) forensic testing. Forensic material (e.g. DNA from sperm) may be found on the child or his/her clothing/bedding.


This component is an accordion comprised of collapsible content panels containing display text. Select the item titles to toggle the visibility of these content panels.
Child sexual exploitation is a hidden crime. Young people often trust their abuser and don't understand that they're being abused. They may depend on their abuser or be too scared to tell anyone what's happening.

What can it involve?
It can involve violent, humiliating and degrading sexual assaults, including oral and anal rape. In some cases, young people are persuaded or forced into exchanging sexual activity for money, drugs, gifts, affection or status. Child sexual exploitation doesn't always involve physical contact and can happen online.

Child sexual exploitation (CSE) is a type of sexual abuse. Children in exploitative situations and relationships receive something such as gifts, money or affection as a result of performing sexual activities or others performing sexual activities on them.

Children or young people may be tricked into believing they're in a loving, consensual relationship. They might be invited to parties and given drugs and alcohol. They may also be groomed and exploited online.

Some children and young people are trafficked into or within the UK for the purpose of sexual exploitation. Sexual exploitation can also happen to young people in gangs.

Child trafficking and modern slavery
Child trafficking and modern slavery are child abuse. Children are recruited, moved or transported and then exploited, forced to work or sold. Children are trafficked for:

• Child sexual exploitation
• Benefit fraud
• Forced marriage
• Domestic servitude such as cleaning, childcare, cooking
Forced labour in factories or agriculture
• Criminal activity such as pickpocketing, begging, transporting drugs, working on cannabis farms, selling pirated DVDs and bag theft

Many children are trafficked into the UK from abroad, but children can also be trafficked from one part of the UK to another.

Gangs and young people
Children and young people involved with, or on the edges of, gangs might be victims of violence or they might be pressured into doing things like stealing or carrying drugs or weapons. They might be abused, exploited or put into dangerous situations.

For lots of young people, being part of a gang makes them feel part of a family so they might not want to leave. Even if they do, leaving or attempting to leave can be a really scary idea. They might be frightened about what will happen to them, their friends or their family if they leave.

Grooming
Grooming is when someone builds an emotional connection with a child to gain their trust for the purposes of sexual abuse, sexual exploitation or trafficking.

Children and young people can be groomed online or face-to-face, by a stranger or by someone they know - for example a family member, friend or professional.

Groomers may be male or female. They could be any age.

Many children and young people don't understand that they have been groomed or that what has happened is abuse.

Child sexual abuse online
When sexual exploitation happens online, young people may be persuaded, or forced, to:

• Send or post sexually explicit images of themselves
• Take part in sexual activities via a webcam or smartphone
• Have sexual conversations by text or online

Abusers may threaten to send images, video or copies of conversations to the young person's friends and family unless they take part in other sexual activity.

Images or videos may continue to be shared long after the sexual abuse has stopped.

It is a criminal offence to meet a child online and engage in a sexual conversation, or to arrange to meet the child in person for the intent to sexually abuse or exploit them.



',
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			'attachment_id' => '1796',
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			'attachment_pos' => '0',
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			'field_correct' => null,
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		),
		(int) 10 => array(
			'id' => '3672',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Child sexual exploitation (CSE) is a type of sexual abuse where the child/young person receives something (for example, money, food, shelter, drugs) in return for sexual activities. There is a power imbalance between the perpetrator and victim. Staff in GUM clinics, GPs, CAMHS and Emergency Departments are well-placed to consider whether a young person might be subject to CSE. The difficulty is that most victims do not recognise that they are being exploited.

Vulnerability factors include:

• Previous abuse
• Young people in foster/residential care
• Young people who are missing (from education/home)
• Drug/alcohol use
• Poor self-esteem

The child or young person may be difficult to engage and display challenging behaviour. Local GUM and Emergency Department services should be able to signpost to local services that offer support and intervention as they work closely with the police and children's social care.',
			'field_order' => '2',
			'attachment_id' => null,
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			'modified' => '2024-08-07 15:11:20'
		),
		(int) 11 => array(
			'id' => '3671',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'multiple-choice',
			'field_label' => 'How might concerns about sexual abuse arise in a healthcare setting?  A child may:',
			'description' => 'Select four options a',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["be identified in indecent images","be pregnant","have mainly older friends","have a sexually transmitted infection with no clear explanation","be sexually active at a young age"]',
			'field_correct' => '0,1,3,4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 12 => array(
			'id' => '3670',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the physical symptoms of sexual abuse?',
			'description' => 'Select three options ',
			'field_order' => '4',
			'attachment_id' => '1795',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["vaginal bleeding","scratches on the torso","vaginal itching","discharge or rectal bleeding"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 13 => array(
			'id' => '3669',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the behavioural symptoms of sexual abuse?',
			'description' => 'Select one or more options',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["soiling, secondary enuresis","self-harm","aggressive or sexualised behaviours","regression and poor school performance","running away from home or care"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 14 => array(
			'id' => '3668',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'media-field',
			'field_label' => 'Neglect',
			'description' => 'When should you consider the possibility of neglect?


When the child:
• Consistently misses medical appointments 
• Lacks needed medical/dental care, immunisations or glasses
Seems ravenously hungry
• Is dirty
• Is wearing inadequate clothing for cold weather
• Is abusing alcohol or other drugs
• Says there is no one at home to provide care

When the parent or other adult caregiver:
• Appears to be indifferent to the child
• Seems apathetic or depressed
• Behaves irrationally or in a bizarre manner
• Is abusing alcohol or other drugs',
			'field_order' => '6',
			'attachment_id' => '1794',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 15 => array(
			'id' => '3667',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'text-links',
			'field_label' => 'Dental neglect',
			'description' => 'Dental neglect can be defined as “the persistent failure to meet a child’s basic oral health needs, likely to result in the serious impairment of a child’s oral or general health or development." [5]

Poor oral health can impact on a child’s ability to eat, sleep, speak and socialise as well as potentially causing pain, infection, poor nutrition or impaired growth and development.

Concerning features or behaviours to be aware of once dental problems have been highlighted to parents or carers may include:

• Failure to take a child for dental care leading to severe untreated dental problems
• Missing appointments and not completing recommended dental treatment
• Failure to provide basic dental care at home (e.g. toothbrushing twice daily with fluoride toothpaste)
• Repeated general anaesthesia to remove teeth

There is a statutory requirement that children in care have regular dental checks including any necessary treatment or monitoring.

Select the hyperlink for further information on child oral health.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 16 => array(
			'id' => '3666',
			'course_id' => '124',
			'course_lesson_id' => '577',
			'field_type' => 'image-hotspot',
			'field_label' => 'Emotional Abuse',
			'description' => 'Emotional abuse is the hardest form of abuse for anyone in a healthcare setting to detect. It is very damaging and can cause severe, long-term harm to a child's intellectual and emotional development.

Some clues may be found by considering the status of the child for the parent or caregiver. Is the child the 'wrong' gender, born at a time of parental separation or violence, or seen as 'ill' or 'difficult'? Is the parent/carer overprotective?

Is there a suspicion of bullying, not only by a parent/carer but by others in the child's life, for example at school or online?

This component is a flipcard comprised of flippable cards containing display image. Select the front face image to flip to the back face of these card to display associated text.
How do children who are emotionally abused behave?

Select all of the images to find out about behaviours in emotionally abused children.',
			'field_order' => '8',
			'attachment_id' => '1793',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":25.6875,"left":170,"annotation":"Babies\nApathetic, delayed development, non-demanding. The mother describes the baby as 'spoiled, attention seeking, in control, not loving her’."},{"top":78.6875,"left":424,"annotation":"Toddlers and pre-school children\nViolent, clingy, apathetic."},{"top":191.688,"left":167,"annotation":"School children\nWetting, soiling, relationship difficulties, non-attendance, anti-social behaviour."},{"top":266.688,"left":390,"annotation":"School children\nWetting, soiling, relationship difficulties, non-attendance, anti-social behaviour."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:11:20',
			'modified' => '2024-08-07 15:11:20'
		),
		(int) 17 => array(
			'id' => '3677',
			'course_id' => '124',
			'course_lesson_id' => '578',
			'field_type' => 'paragraph',
			'field_label' => 'Child Advocacy',
			'description' => 'Child advocacy refers to a range of individuals, professionals and advocacy organisations who speak out on the best interests of children. An individual or organisation engaging in advocacy typically seeks to protect children's rights, which may be abridged or abused in a number of areas.

The requirement to listen to the wishes and feelings of looked-after children and young people has been established in our domestic legislation for over 20 years. Advocacy is now a recognised tool to supporting children and young people having their wishes and feelings heard.

Advocacy acts as a safety net for many children and young people in care, who do not have the natural support network of family to represent them, to support them and make sure they are involved in decisions and have their rights met.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:15:03',
			'modified' => '2024-08-07 15:15:03'
		),
		(int) 18 => array(
			'id' => '3676',
			'course_id' => '124',
			'course_lesson_id' => '578',
			'field_type' => 'image-hotspot',
			'field_label' => 'The different presentations illustrate the wide variety of ways that child protection concerns can arise in different parts of the health service and that child protection issues are often not clear cut. Deciding whether or not a child is being abused is not the responsibility of any one person but requires professionals involved with the child and/or family/carers, such as the GP, lead nurse and doctor for child protection, paediatricians, other healthcare staff, social workers, school staff and police to work together.  ',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '1',
			'attachment_id' => '1799',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":83.625,"left":40,"annotation":"Physician\nYou are a member of the medical team on-call in a large, acute NHS hospital and have decided to admit Paula, a 35-year-old single mother with a large pleural effusion requiring drainage. The history reveals that Paula lives with her 9- and 11-year-old daughters. Paula does not appear concerned that the two girls will be in the house alone overnight and says she wasn't planning to find someone to look after the girls.\n\nYou may suspect 'emotional abuse' and 'neglect'."},{"top":93.625,"left":82,"annotation":"GP\nYou are a GP and review a 13-year-old boy in the surgery with recurrent headaches. While you are examining him he reveals that he is being bullied via text messages and on social media websites. His mother is aware of it but does not know how to help.\n\nYou may suspect 'not clear but concerning'."},{"top":82.625,"left":129,"annotation":"Physiotherapist\nYou are a community physiotherapist reviewing Mohammed, aged 15, for ongoing knee pain, which he sustained playing football. Over the course of four appointments (two of which he did not attend) you establish that he rarely attends school and is part of a local gang.\n\nYou may suspect 'not clear but concerning'."},{"top":86.625,"left":181,"annotation":"Surgeon\nYou are the surgeon reviewing a 4-year-old boy with abdominal pain in A&E. As you go to examine him, he makes a sexually inappropriate comment that suggests he has knowledge of anal sex. His father, who is with the boy, appears to laugh off the comment.\n\nYou may suspect 'sexual abuse'."},{"top":84.625,"left":239,"annotation":"Nurse\nYou are the nurse running the cardiology clinic in December and you see that Mr Morgan is accompanied by a male child of about 5 years. The child resembles Mr Morgan and may be his grandson. The child is inappropriately dressed for the cold weather and is unkempt.\n\nYou may suspect 'not clear but concerning' and possibly 'neglect'."},{"top":81.625,"left":282,"annotation":"Dentist\nYou are a dentist seeing a 4-year-old girl with very bad dental caries. You notice that she has bruising to the neck. The child’s mother is unable to explain this.\n\nYou may suspect 'physical abuse' and 'neglect'."},{"top":76.625,"left":333,"annotation":"Anaesthetist\nYou are anaesthetising a 12-year-old post-pubertal girl for abdominal surgery. During the surgical preparation you notice that she has a number of opposing crescent shaped bruises to both breasts. You are concerned that these are bite marks.\n\nYou may suspect 'sexual abuse'."},{"top":82.625,"left":375,"annotation":"Triage nurse\nYou are the triage nurse in A&E. Molly is a 35-year-old mother of five children and attends the Emergency Department for the fourth time over the course of 2 months. She says her injury is due to walking into a door.\n\nYou may suspect 'domestic violence'."},{"top":102.625,"left":431,"annotation":"Midwife\nYou are a midwife booking in a 21-year-old primipara. You note she has several self-harm scars on the left arm and nictotine staining of the middle fingers. You ask her about any previous or current health concerns and she denies having any issues. The GP referral letter does not mention any mental health problems or substance misuse.\n\nYou may suspect 'not clear but concerning'."},{"top":74.625,"left":463,"annotation":"Midwife\nYou are a midwife booking in a 21-year-old primipara. You note she has several self-harm scars on the left arm and nictotine staining of the middle fingers. You ask her about any previous or current health concerns and she denies having any issues. The GP referral letter does not mention any mental health problems or substance misuse.\n\nYou may suspect 'not clear but concerning'."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:15:03',
			'modified' => '2024-08-07 15:15:03'
		),
		(int) 19 => array(
			'id' => '3675',
			'course_id' => '124',
			'course_lesson_id' => '578',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'The involvement of children in decision making about matters important to them not just empowers children, but also aids their development, their transition to adulthood and safeguards them against abuse and neglect. As described in the Munro Review of Child Protection [6] there is a recognition that in a 'system that has become over-bureaucratised and focused on meeting targets', we often lose focus of children’s needs and feelings.

Advocacy helps to bring that focus back. To make it happen, the central and local government must take steps to ensure that all children in care can access advocacy support if necessary, and that learning from individual advocacy cases is utilised to improve services for all children in care. This can be done through strengthening the statutory guidance, through the development of monitoring and regulatory framework, and through better-commissioning processes.',
			'field_order' => '2',
			'attachment_id' => '1798',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:15:03',
			'modified' => '2024-08-07 15:15:03'
		),
		(int) 20 => array(
			'id' => '3681',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'paragraph',
			'field_label' => 'Risk Factors for Child Maltreatment',
			'description' => 'Child maltreatment occurs across all socio-economic, religious, cultural, racial,and ethnic groups. While no specific causes have been definitively identified that lead a parent, other caregiver or someone in the child or young person's environment to abuse or neglect a child, research has identified a number of risk factors commonly associated with maltreatment.

It is important to be aware of the risk factors present in a child or their carers and environment that increase the likelihood that a child will be maltreated.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:25:33',
			'modified' => '2024-08-07 15:25:33'
		),
		(int) 21 => array(
			'id' => '3680',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'media-field',
			'field_label' => 'What are the risk factors for maltreatment?',
			'description' => 'Risk factors in child/young person
• Failure to meet parental expectations and aspirations, for example, disabled, wrong gender
• Born at wrong time, for example, when parents are more concerned with alcohol or a drug habit
• An unplanned birth
• Unwanted due to a breakdown in parental relationship
• Product of forced, coercive or commercial sex
• Looked-after children:
- Children become looked after when their birth parents are unable to provide ongoing care in either a temporary or permanent capacity
- Children can either be looked after as a result of voluntary agreement by their parents or as the result of a care order
- Children may be placed with kinship carers (family), network carers (extended family/friends) or foster carers depending on individual circumstances
• Social isolation, for example, normalisation of peer on peer intimidation or cyberbullying within the young person's school/peer group/gang
• Carer to an adult in the family
• Bereavement

Risk factors in the parents
• Poor self-esteem
• Indifference, intolerance or over-anxiousness
• Anti-social personality, poor interpersonal skills
• Disability
• Mental health problems
• Parental substance misuse - alcohol and drug abuse
• Parent abused as a child
• Self-neglect such as not taking prescribed medication or managing their illness to keep themselves well
• Drug (to include medication and illegal drugs) and alcohol misuse
• Physical disability or learning difficulties
• Bereavement

Risk factors in the family
• Single-parent families
• Domestic violence
• Multiple/closely spaced births
• Social isolation or a perceived lack of social support
• Poverty
• Young parental age
• Violence
• Living with step-parents
• Violence towards pets
• Where a combination of concerns occur such a mental health issues, drug and alcohol problems and domestic abuse, the risks to family members and especially the children increase
• Bereavement

It must be emphasised, however, that while certain factors often are present among families where maltreatment occurs, this does not mean that the presence of these factors will always result in child abuse and neglect. Many single parents do an excellent job of raising their child(ren) and, whilst there is a relationship between poverty and maltreatment, most people living in poverty do not harm their children. Similarly, parents with well-managed mental health difficulties may parent effectively.

Risk factors in the environment
• Dwelling and housing conditions
• Multiple resident environments
• Poverty
• Rented or temporary accommodation
• Homelessness
• Hate crime and the lack of community support increasing vulnerability
• Neighbourhood - criminal activity, gangs

Effects of maltreatment
Maltreatment can have major effects on all aspects of a child's health, development and well-being, both in the short and long term.

The impact of any maltreatment will vary between children/young people depending on the:

• Nature of the maltreatment
• Duration of the maltreatment
• Age of the child
• Individual child's reaction to the maltreatment
• Home/family environment
• Impact and speed of any intervention
• Consequences of the intervention
• Professional response and support

Long-term effects of child maltreatment can be:

• Drug and alcohol misuse
• Poor mental health
• Promiscuity and teen pregnancy
• Risk of perpetrating or being a victim of domestic violence
• Difficulty with job performance
• Self-harm or suicidal ideation
• Personality disorder
• Relationship problems

On the positive side, many children and young people, despite having suffered from maltreatment, overcome this adversity and go on to enjoy successful and contented lives.',
			'field_order' => '1',
			'attachment_id' => '1801',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:25:33',
			'modified' => '2024-08-07 15:25:33'
		),
		(int) 22 => array(
			'id' => '3679',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'media-field',
			'field_label' => 'Responding Appropriately',
			'description' => 'There is a statutory duty on all statutory organisations to safeguarding the child and young person.

Safeguarding and protecting those who may be at risk or suffering abuse is not something that can be achieved without a multi-agency approach. 

Suspecting concerns
Healthcare staff (or those providing health advice and support) in regular contact with families, parents, children and/or young people have a statutory duty to promote the health and well-being of children, identify any risks and refer to relevant organisations where a concern is suspected or identified.

It may not always be clear that a child is being maltreated.

Healthcare staff may suspect concerns with the well-being of a child or young person through contact with the child or young person directly, or through a conversation with their parent or guardian.

Whether they are considering maltreatment as one of a number of possibilities, staff need to know how to respond appropriately. Early intervention to support families where children's needs are not being met can have considerable benefit for the child or young person in the short and long term.

Designated safeguarding person
Each healthcare organisation (or public health provider) should have a responsible professional or, in larger organisations, a team to support staff and patients who use their services.

Each Integrated Care Board (ICB) has a statutory obligation to have a designated doctor and designated nurse for safeguarding. Their role is to ensure that health organisations are engaged with supporting safeguarding investigations, have effective policy and procedures in place, and are networked with other safeguarding multi-agency systems to ensure they are learning from local and national concerns.

Make sure you know who that person/team is and what arrangements/policies/procedures there are in place for your own organisation.


',
			'field_order' => '2',
			'attachment_id' => '1800',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:25:33',
			'modified' => '2024-08-07 15:25:33'
		),
		(int) 23 => array(
			'id' => '3678',
			'course_id' => '124',
			'course_lesson_id' => '579',
			'field_type' => 'multiple-choice',
			'field_label' => 'During a telephone consultation with a mother of 3 children, she discloses that she is struggling to manage one of her children's behaviours and she is at 'the end of her tether'. During the conversation you hear her shouting and swearing at the children, she admits to smacking the children and reports that she has no family support.  What should the practitioner do?',
			'description' => 'Select the four relevant options',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["share information with her GP or health visitor","seek consent to share information with the local safeguarding team for additional support","report to the local children's safeguarding hub","alert their organisational safeguarding lead","advise the mother to try a new parenting technique without further exploring her current situation or emotions"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:25:33',
			'modified' => '2024-08-07 15:25:33'
		),
		(int) 24 => array(
			'id' => '3683',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'paragraph',
			'field_label' => 'Local policies may vary, but in general the following applies.',
			'description' => 'If you suspect child maltreatment
If you suspect child maltreatment, refer immediately to the most appropriate of the following agencies:

Local child social services
The police
The National Society for the Prevention of Cruelty to Children (NSPCC)
If the child needs admission, ensure that the paediatrician is aware of your concerns.

The local social services, police and NSPCC have statutory child protection powers to act immediately to secure the safety of the child.

Consider the safety of other children living with or in contact with the presumed perpetrator.

For further information on the choice of the most appropriate agency, go to Resources for a link to NICE, Child maltreatment - recognition and management.

If you suspect sexual abuse
• Do not perform an intimate examination, unless there is an urgent health need to do so 
• Only use open questions to enquire about the causes and circumstances of the presenting features and record these questions and responses verbatim
• Refer urgently to collect forensic evidence and assess the need for contraception and sexually transmitted infection prevention
- A forensic intimate examination should only be undertaken by professionals specifically trained in forensic aspects of sexual assaults. A general examination may be appropriate to assess their general health and to look for other injuries

If there is any uncertainty about suspected child maltreatment

If there is any uncertainty about suspected child maltreatment, or risk of immediate harm to the child, seek advice from a named or designated professional for child safeguarding or a more experienced senior colleague.

Confirm in writing, within 48 hours, any telephone referral to social services; they will formally acknowledge your written referral within 48 hours after receipt. Contact the local social services again if your referral has not been acknowledged within 3 working days.

Before referring, obtain consent from the child/young person or parent/carer to share confidential information unless there is reason to believe that this will increase the risk of harm to the child/young person. For further information see Resources for a link to Child maltreatment - recognition and management.

What should I document?
• Document all your concerns, including any minor concerns, and the details of any action you have taken, information you have shared and decisions you have made relating to those concerns
• If you share information about the child/young person, this should be recorded in the child's/young person's notes. If you share information about other members of the family, this should be recorded in their records if you have access to them
• If there is not enough evidence to support your concerns that a child/young person is being maltreated, or evidence arises that shows your concerns are incorrect, then this should also be recorded in the child/young person's record and their parent's/carer's record
• Ensure that the coding correctly reflects the current situation

If you have serious concerns about the welfare of a young person

You have serious concerns about the welfare of a young person (i.e. you are concerned that the young person might be at risk of significant harm). Here is a checklist to remind you what to do:

1. Make a note of your concerns and observations
2. Discuss with senior medical and nursing colleagues
3. Discuss what you are going to do and why with the child and their parent(s) or carer(s) - as long as this does not put them at increased risk
4. Notify and refer to children's social services by phone. In an emergency (e.g. the child absconds or parent tries to take the child), call the police
5. Participate in a strategy discussion with social services, police and other agencies (e.g. school)
6. If the strategy discussion concludes the young person is at risk of significant harm, a Section 47 Child Protection enquiry should be called
7. After completion of the enquiry, a case conference is held
8. The case conference decides whether or not the young person should be placed on the Child Protection Register and subject to a Child Protection Plan
',
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			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 15:36:13',
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		),
		(int) 25 => array(
			'id' => '3682',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'media-field',
			'field_label' => 'The following agencies have a duty to work collaboratively.',
			'description' => 'Children's Social Care (CSC)
Commonly referred to as social services, they take the lead in coordinating responses and support when there are concerns that a child needs extra support or protection from harm.

Education
Schools have a statutory responsibility, like healthcare organisations, to safeguard children and young people.

Health
All parts of the health service have a statutory responsibility to safeguard children and young people. This includes health visitors, public health practitioners, GPs and staff in secondary and tertiary healthcare e.g. specialist hospitals, private hospitals, mental health services, genitourinary and family planning services, dentists and professions allied to medicine.

Police
Safeguarding children is a fundamental part of the duties of all police officers. All forces have child abuse investigation units which undertake criminal enquiries in cases of suspected child abuse

Family Justice System
The Family Justice System is a network of organisations including family courts, the Children and Family Court Advisory Support Service (CAFCASS), the Child Support Agency and lawyers. Safeguarding children's welfare is a key consideration for all professionals working in the 
Family Justice System. In all cases, the child's welfare is the court's paramount consideration and the role of the court is to make decisions which are in the best interests of children based on the evidence before it and the law.

Other
All other local authority services (including adults' social care, housing, libraries, leisure and youth services), probation service, early years providers, secure settings, UKBA, voluntary and private sectors, faith organisations, etc.',
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		(int) 26 => array(
			'id' => '3686',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'media-field',
			'field_label' => 'Child Protection Procedures',
			'description' => 'Child Safeguarding Practice Reviews (CSPRs) are undertaken when a child dies (including death by suspected suicide), and abuse or neglect is known or suspected to be a factor in the death. 

Additionally, Local Safeguarding Children's Boards may decide to conduct an CSPR whenever a child has been seriously harmed and the case gives rise to concerns about the way in which local professionals and services worked together to safeguard and promote the welfare of children (including inter-agency and inter-disciplinary working):

• Each agency involved with the child or young person contributes a report outlining and analysing its involvement with the child
• Information is gathered by the independent reviewer who produces the CSPR

Please note that although these reviews are known as CSPRs in England, they are known as Case Management Reviews (CMRs) in Northern Ireland, learning reviews in Scotland, and Child Practice Reviews (CPRs) in Wales.

Healthcare staff, including public health practitioners, having regular contact with parents, children and young people have an important role (and a duty of care) in helping to keep children safe.

It is not always clear that a child is being maltreated:

• You may encounter behaviours or signs that should lead them to consider maltreatment as one of a number of possible diagnoses to explain the child’s presentation. Alternatively, the indicators of abuse may be stronger, leading healthcare staff to suspect that a child is being maltreated
• You need to respond appropriately and effectively when they consider or suspect that a child is being maltreated, and understand the importance of sharing concerns with colleagues and other agencies
• To respond effectively, you need to know who other key safeguarding agencies are, what their roles are and have an understanding of the next steps in the child protection process',
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		(int) 27 => array(
			'id' => '3685',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'image-hotspot',
			'field_label' => 'What happens after your referral?',
			'description' => 'Select the images for information.',
			'field_order' => '3',
			'attachment_id' => '1804',
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			'field_choices' => '{"width":500,"annotations":[{"top":67.5369,"left":153.273,"annotation":"Case conference\nAfter a referral, social care will make enquiries and the local child safeguarding organisation will call a multi-disciplinary case conference, where all involved will be invited and asked to send a report. In some cases, you will have limited information about the family but it is still worth sending a report.\n\nIn other cases, the family may have been registered for a while but the first you know about a child protection concern is through an invitation to write a report or to attend a case conference or child in need meeting."},{"top":75.3551,"left":386.273,"annotation":"Medical examination\nYou may be asked to carry out examinations of the children involved before a case conference. A paediatrician may be asked to examine the child if they attend secondary care or if a specialist examination is required. You may also need to examine a child presenting in an emergency situation, where an incident of abuse is suspected.\n\nIt is imperative that all facts and findings are recorded with accuracy and in considerable detail (preferably using a standard proforma) because the potential legal ramifications are not always apparent at the outset.\n\nHand-written notes and drawings may be seen in court. Clear, well written notes are important documents on which your formal typewritten report must be based.\n\nMedical notes, including all diagrams and photos, must always be dated and signed, with the times that any interviews or observations were made."}]}',
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		(int) 28 => array(
			'id' => '3684',
			'course_id' => '124',
			'course_lesson_id' => '580',
			'field_type' => 'image-hotspot',
			'field_label' => 'Rights of the Child',
			'description' => 'The United Nations Convention on the Rights of the Child (UNCRC) is an international human rights treaty that grants all children and young people (aged 17 years and under) a comprehensive set of rights. The UK signed the convention on 19 April 1990, ratified it on 16 December 1991 and it came into force on 15 January 1992.

The Joint Committee on Human Rights published its report on children’s rights in 2009. This report was produced in response and obligations set out in the UNCRC are protected in England and implementation of the convention is achieved.

Children have the right to be protected from being hurt and mistreated, whether physically or mentally.

Governments should ensure that children are properly cared for and protect them from violence, abuse and neglect by their parents, carers or anyone else who comes into contact with them.

Select the numbers to find out more information about child rights.',
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		(int) 29 => array(
			'id' => '3690',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'media-field',
			'field_label' => 'Record-Keeping Principles',
			'description' => 'Best practice in record keeping is based on the key principles of partnership, openness and accuracy.

• Good-quality case recording is essential in ensuring:
• Continuity of service to individuals when staff are unavailable or change, or when a service resumes after a period of time
• Effective risk-management practices to safeguard the well-being of individuals in receipt of services, especially in emergency situations
• Clarity of the assessment process and decision making in relation to the mental capacity of all service users/patients
• Effective partnerships between staff, individuals, their families and carers and other providers
• Clarity of information for everyone involved in the planning and delivery of services, and in the event of investigations, inquiries or audits
• Adequate information for staff and managers working to ensure the best possible utilisation of available resources
• Support for people and carers receiving services with specific communication needs so that they may contribute to and access their records and key information

Information should be recorded in accordance with the following key principles:

• All relevant information must be recorded
• Manual records must be legible, signed and dated
• Records must be contemporaneous and kept up to date
• Records must be written in plain English and prejudice must be avoided
• Records must be accurate and adequate
• Records must clearly distinguish between statements of fact and opinion
• Managers must oversee, monitor and review all records
• Records should be kept securely
• Manual records moved to a new location must be monitored
• Professional analysis, thinking, rationale for all decisions
• Show management involvement, sign off all key decision points
• Show referral by line manager to senior management/press office as needed


',
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		(int) 30 => array(
			'id' => '3689',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'media-field',
			'field_label' => 'When and how should information be recorded?',
			'description' => '• Records must be kept from the time that a concern, allegation or disclosure is made
• Each entry must be dated and timed

The name of the person recording the information must be written in full. Do not use initials.

• All records must be legible and, if written, should be in black ink
• Any alterations to records must be made by drawing a single line through a word(s)
• Correction fluid must not be used
• All records concerned with safeguarding children are strictly confidential

Health professionals must record all information in line with the record-keeping guidance of their own professional body.',
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		),
		(int) 31 => array(
			'id' => '3688',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'paragraph',
			'field_label' => 'Staff should be given clear direction as to what information should be recorded and in what format. The following questions are a guide:',
			'description' => '• What information do staff need to know in order to provide a high-quality response to the child/young person concerned?
• What information do staff need to know in order to keep a child/young person safe under the service’s duty to protect people from harm?
• What information is not necessary?
• What is the basis for any decision to share (or not) information with a third party?
• All entries must provide factual information, e.g. times, dates, names of people contacted

Avoid expressions of opinion (remember that the person you are writing about may have the right to read what you have said).

• There should be a clear link between evidence recorded and actions planned/recommended
• All contact with the child/young person and alleged perpetrator must be recorded
• Record the exact words the child/young person and alleged perpetrator used
• All consultation with a manager and/or senior manager must be recorded
• When contacting other agencies the questions asked and information received must be recorded
• If a decision is made not to contact the police, the details of why this decision was made and on whose authority it was made must be recorded

All telephone calls, those received and made in relation to the abuse, must be recorded even if there was no reply to outgoing calls

• Those who attend strategy meetings must be named
• The decisions taken at all meetings must be recorded
• It is essential to demonstrate how an assessment of risk, responsibility, rights, autonomy and protection of the child/young person was undertaken
• If no investigation is to take place, the reasons why and on whose authority this decision was taken must be recorded
• All entries to be completed with the name of each person making an entry printed, signed and dated
• A professional analysis of evidence, recommendations and rationale for these
• Use body maps to illustrate physical injuries
• When contacting other agencies the questions asked and information received must be recorded',
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		(int) 32 => array(
			'id' => '3687',
			'course_id' => '124',
			'course_lesson_id' => '581',
			'field_type' => 'image-hotspot',
			'field_label' => 'Sharing Information',
			'description' => 'How do you share relevant information with other teams?

Select the images for information.',
			'field_order' => '3',
			'attachment_id' => '1806',
			'external_media_src' => null,
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			'field_choices' => '{"width":500,"annotations":[{"top":51.4915,"left":93.2727,"annotation":"Information sharing\nThe Children Act 2004 [7] places upon healthcare staff both an obligation to share information and an obligation to co-operate to safeguard and promote the welfare of children. If healthcare professionals have concerns about sharing information with others, they should obtain advice from named or designated professionals for safeguarding children. This should be undertaken as soon as possible to ensure little delay to the safety of the child or young person.\n\nIf concerns are based on information given by a child, healthcare professionals should explain to the child why they are unable to maintain confidentiality on this occasion, explore the child's concerns about sharing this information; and reassure the child that they will continue to be kept informed about what is happening.\n\nWhen gathering collateral information from other health disciplines and agencies, professionals need to use their judgement about whether to explain to the family the need to gather this information for the overall assessment of the child."},{"top":16.0369,"left":387.273,"annotation":"Sharing dilemmas\nAll healthcare professionals sometimes have difficulty deciding whether or not to divulge what is, in most situations, confidential medical information. For example, a GP may find themselves having to support both the parent and child through the child protection process, and this may be a barrier to sharing information about child maltreatment concerns.\n\nIn this situation, it is recommended that each of the two parties should be cared for by a different GP in the practice; to enable both to act as advocate for their patient while working together in the best interests of the child.\n\nThere are constant tensions between the way general practice works (a confidential service based on a relationship of trust) and the need to share information in order to protect children from abuse and neglect.\n\nThe law is clear that where concerns are evident, then it is necessary to share concerns and key elements of information to aid the Local Authority in undertaking their investigation and supporting the child effectively. This will include the necessity of sharing information about the parent or guardian."},{"top":183.037,"left":117.273,"annotation":"Your professional obligation\n In the event of a child protection concern, the expectation is that GPs and other healthcare professionals should disclose information, though consent should usually be sought first, provided this does not endanger the child.\n\nThe GMC would seek justification from a GP or doctor who did not disclose. The GMC's 0-18 years guidance advises that 'you will be able to justify raising a concern, even if it turns out to be groundless, if you have done so honestly, promptly, on the basis of reasonable belief and through the appropriate channels’.\n\nThe central conundrum is that it is often not possible to determine whether or not there is a child protection risk until after the information has been shared between agencies. However, in order to maintain a confidential service, the threshold of concern for professionals that triggers such a sharing should remain high. This is a complex area and healthcare professionals are advised to seek advice from their defence organisation in difficult situations."},{"top":211.136,"left":402.284,"annotation":"Early intervention\nThe aim of the Common Assessment Framework (CAF) (and similar multi-disciplinary frameworks in other jurisdictions) is to identify at the earliest opportunity a child's or young person's additional needs which are not being met by the universal services they are receiving. CAF is intended to provide timely and coordinated support to meet those needs.\n\nCAF can be an important tool for early interventions in safeguarding. It is designed for use when:\n\n- You are concerned about how well a child is progressing. You might be concerned about their health, welfare, behaviour, progress in learning or any other aspect of their well-being\n- The child, their parent or another person may have raised a concern with you\n- The needs are unclear, or broader than your service can address\n- A common assessment would help identify the needs of a child, and/or get other services to help meet them"}]}',
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		(int) 33 => array(
			'id' => '3694',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'text-links',
			'field_label' => 'Female Genital Mutilation (FGM)',
			'description' => '<a href="https://www.nhs.uk/conditions/female-genital-mutilation-fgm/">Female genital mutilation (FGM)</a> is a procedure where the female genitals are deliberately cut, injured or changed, but there's no medical reason for this to be done.<br><br>FGM is usually carried out on young girls between infancy and the age of 15, most commonly before puberty starts. It's illegal in the UK and is child abuse.<br><br>It is a criminal offence under the Female Genital Mutilation Act 2003 [8].',
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		),
		(int) 34 => array(
			'id' => '3695',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'media-field',
			'field_label' => 'Female Genital Mutilation Act 2003',
			'description' => 'This Act of Parliament in the United Kingdom applying to England, Wales and Northern Ireland. Female genital mutilation (FGM) is illegal in the UK. Each nation in the UK has policy and guidance to help prevent FGM and take action to protect any child who has been affected. FGM has been a criminal offence in the UK since 1985. 

In 2003, it also became a criminal offence for UK nationals or permanent UK residents to take their child abroad to have female genital mutilation.

All NHS England organisations and Local Authorities should have processes in place to ensure that the mandatory reporting of FGM cases is undertaken in a timely way and fully supported by the organisation.

The duty to report cases of FGM sits with the individual who identifies the concern; this duty can not be passed to anyone else and reporting must be undertaken as soon as possible.',
			'field_order' => '1',
			'attachment_id' => '1811',
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		),
		(int) 35 => array(
			'id' => '3693',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'media-field',
			'field_label' => 'Young people from their teenage years onwards can be particularly vulnerable to getting involved with radical groups through direct contact with members, or increasingly, through the internet. This can put a young person at risk of being drawn into criminal activity and has the potential to cause significant harm.',
			'description' => 'The Counter-Terrorism and Security Act 2015 contains a duty on specified authorities to have due regard to the need to prevent people from being drawn into terrorism. This is also known as the Prevent duty.

PREVENT is part of the Government counter-terrorism strategy. It's designed to tackle the problem of terrorism at its roots, preventing people from supporting terrorism or becoming terrorists themselves.

PREVENT operates in the 'pre-criminal space'. It is about supporting individuals who are at risk of radicalisation, becoming terrorists or supporting terrorism. It is not about any particular ideology - it covers all forms of extremism.

PREVENT it about:
• Noticing - vulnerability to radicalisation, changes in behaviour, ideology, and other signs of extremist exploitation
• Checking - your concerns out with your line manager to help determine a proportionate response
• Sharing - your concerns, where appropriate, with partner agencies and as far as possible being open and honest with the individual around your duty to share concerns

These forms of terrorism include:
• Far right extremists
• Al-Qa’ida-influenced groups
• Environmental extremists
• Animal rights extremists

',
			'field_order' => '2',
			'attachment_id' => '1810',
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			'attachment_pos' => '1',
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		),
		(int) 36 => array(
			'id' => '3692',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Young people from their teenage years onwards can be particularly vulnerable to getting involved with radical groups through direct contact with members, or increasingly, through the internet. This can put a young person at risk of being drawn into criminal activity and has the potential to cause significant harm.',
			'field_order' => '3',
			'attachment_id' => '1809',
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			'attachment_pos' => '0',
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		),
		(int) 37 => array(
			'id' => '3691',
			'course_id' => '124',
			'course_lesson_id' => '582',
			'field_type' => 'paragraph',
			'field_label' => 'Gillick Competence',
			'description' => 'The right of a child under 16 years to consent to medical examination and treatment, including immunisation, was decided by the House of Lords in Gillick v West Norfolk and Wisbech AHA [1986] where a mother of a girl under 13 years objected to Department of Health advice that allowed doctors to give contraceptive advice and treatment to children without parental consent.

Gillick competency applies mainly to medical advice but it is also used by practitioners in other settings. Medical professionals need to consider Gillick competency if a young person under the age of 16 wishes to receive treatment without their parents' or carers' consent or, in some cases, knowledge.

Please see Resources in the   drawer for links to more support.',
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		),
		(int) 38 => array(
			'id' => '3696',
			'course_id' => '124',
			'course_lesson_id' => '583',
			'field_type' => 'bullet-points',
			'field_label' => 'Key Points',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
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			'attachment_pos' => null,
			'field_choices' => '["Maltreatment of children and young people presents in a wide variety of ways","There are factors relating to the child/young person, parent(s)/carer(s), the family and the environment that increase the risk of maltreatment","All healthcare staff need to respond appropriately and effectively when they consider or suspect that a child is being maltreated, and understand the importance of sharing concerns with colleagues and other agencies","Responsibility for safeguarding children is shared and good record keeping by healthcare professionals is essential to facilitate communication","It is important to make accurate, coded and contemporaneous records and also to document discussions, decisions and actions about safeguarding"]',
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 15:49:06',
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		),
		(int) 39 => array(
			'id' => '3697',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'What would you do if you saw a colleague in your workplace hitting a paediatric patient who was misbehaving?',
			'description' => 'Choose the correct option ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
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			'field_choices' => '["Immediately report the incident to you manager or safeguarding leadd","Tell the child that is what to expect if they misbehave","Tell your colleague that you will report it if they do it again"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 40 => array(
			'id' => '3698',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Who are potential abusers of children?',
			'description' => 'Choose one or more options',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Adults","Other patients","Trust employees","Family members","Other children"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 41 => array(
			'id' => '3699',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What makes an effective advocate for a child or young person at risk of maltreatment?',
			'description' => 'Choose three options and select Submit.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["They listen to what the child is saying","They believe everything that the parents tell them","If appropriate they see the child on their own","They always act in the child's best interests"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 42 => array(
			'id' => '3700',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What actions should be taken by a staff member when a child discloses that they are being maltreated?',
			'description' => 'Choose five options ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Document what is said","Don't promise to keep a secret","Follow safeguarding procedure","Discuss the information with an appropriate person","Do nothing as you are just there to listen","Listen to the child"]',
			'field_correct' => '0,1,2,3,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 43 => array(
			'id' => '3701',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'Single parents who are isolated in the community with no family or social network to help or support them can often be very challenging. If we are supporting a parent in this situation and they have a very young baby, they state they are struggling to manage with day-to-day tasks, they are very stressed and not sleeping well.  Should we be worried about their safety and the safety of the baby?',
			'description' => 'Choose the correct option',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Yes","No"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 44 => array(
			'id' => '3702',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the potential child vulnerability factors that may lead to child maltreatment?',
			'description' => 'Choose four options',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Having a disability","Communication difficulties","Being a looked after child","Bing an only child","Being aged under one"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 45 => array(
			'id' => '3703',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the roles and responsibilities of clinical managers in regard to safeguarding issues?',
			'description' => 'Choose three options',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Dismissing any staff concerns","Offering guidance and support","Appropriately managing and escalating concerns","Appropriately disseminating information"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 46 => array(
			'id' => '3704',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is the responsibility of the local authority in relation to safeguarding children?',
			'description' => 'Choose three options ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["As the lead organisation, they have no responsibility to share information","Complete an assessment of the needs of children at risk","Promote interagency cooperation","Analyse the information gathered from an enquiry"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 47 => array(
			'id' => '3705',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where would you find information about how to make a referral to Children's Social Care/MASH?',
			'description' => 'Choose one or more options ',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Local Authority Safeguarding Children webpage","In the Safeguarding Children's Policy"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 48 => array(
			'id' => '3706',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'In a local family, where there is known domestic abuse which is witnessed by the children, the mother is concerned about her own safety and that of her children. She has no money to buy food for them and there is no heating in the house. You are aware that the father is dealing in drugs from the family home. What actions might you take?',
			'description' => 'Choose four options',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Tell the father that his actions are illegal","Refer to Social Care","Discuss possible options with the mother","Refer to the police","Discuss with colleagues\/line manager to ascertain what actions have already been taken"]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 49 => array(
			'id' => '3708',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What should the details you record do?',
			'description' => 'Choose four options ',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Include your personal views about a parent\/carer","Be factual and not subjective","Include your observations and assessment","Include a plan of action","Reflect the child's wishes and feelings (if relevant)"]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 50 => array(
			'id' => '3707',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are true?',
			'description' => 'Choose two options',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Wealthy parents do not abuse their children","If a child does not observe dosmestic abuse, they are unaffected by it","Children with disabilities are more vulnerable to abuse","Young people can be groomed into sexual exploitation"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 51 => array(
			'id' => '3709',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'You have evidence that a child is at risk of significant harm and you have asked the parents for their permission to make a referral to social care. The parents refuse permission. What action should you take?',
			'description' => 'Choose the two correct options',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Do not make referral as you do not have permission","Make your referral to social care without telling the parents","Tell them that you are making a referral to social care as it is in the best interest of the child"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 52 => array(
			'id' => '3710',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'You are making a referral to Children's Social Care and you are aware that the family have been previously known to Children's Social Care/MASH in another area. Is it relevant and appropriate to share this information?',
			'description' => 'Choose the correct option',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Yes","No"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 53 => array(
			'id' => '3711',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'How does the UN Convention on the rights of the child change the way children are viewed and treated?',
			'description' => 'Choose the correct option ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It ensures that children are treated as passive objects of care and charity","It ensures that children are kept quiet until they are spoken to","It ensures that children are treated as human beings with a distinct set of rights"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 54 => array(
			'id' => '3712',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'The United Nations Convention of the Rights of a Child (UNCRC) is a core part of the development of legislation to safeguarding children and young people. Is this:',
			'description' => 'Choose the correct option ',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 55 => array(
			'id' => '3713',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'single-choice',
			'field_label' => 'FGM is defined as all procedures (not operations) which involve partial or total removal of the external female genitalia or injury to the female genital organs which is done for cultural or other non-therapeutic reasons.',
			'description' => 'Choose the correct option',
			'field_order' => '16',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 56 => array(
			'id' => '3714',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the health problems associated with FGM?',
			'description' => 'Choose five options ',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Fertility","Psychological and social consequences","There are no health problems associated with FGM","Severe pain and shock","Infection","Sexual dysfunction "]',
			'field_correct' => '0,1,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 57 => array(
			'id' => '3715',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following might make a child more susceptible to being radicalised?',
			'description' => 'Choose three options',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Bullying","Deprivation","Adolescence","Attending a place of worship"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 58 => array(
			'id' => '3716',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What might indicate that a child is being radicalised?',
			'description' => 'Choose three options ',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A child expresses interest in a bomb making experiment","A child who has recently been bereaved","A child withdrawing from social group activities","A child is accessing what you conside to be extremist websites or those of radical organisations"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 59 => array(
			'id' => '3717',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'What would you do if you suspected child sexual exploitation?',
			'description' => 'Choose three options ',
			'field_order' => '20',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Talk to your line manager and\/or safeguarding lead in your organisation","Identify which other health\/social care professionals are involved with the child\/family","Tell the young person not to leave their home","Refer to social care"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		),
		(int) 60 => array(
			'id' => '3718',
			'course_id' => '124',
			'course_lesson_id' => '584',
			'field_type' => 'multiple-choice',
			'field_label' => 'A child comes into your care. Which of the following might make you suspect the child is being trafficked?',
			'description' => 'Choose one or more options ',
			'field_order' => '21',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Is not registered with a GP, nursery or school","Unclear relationship with the accompanying adult","Vague and inconsistent explanation of schooling","May struggle to speak English","Appearance suggests general physical neglect","Has moved location frequently","Inconsistent information about age"]',
			'field_correct' => '0,1,2,3,4,5,6',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 16:17:38',
			'modified' => '2024-08-07 16:17:38'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3658',
		(int) 1 => '3659',
		(int) 2 => '3660',
		(int) 3 => '3661',
		(int) 4 => '3662',
		(int) 5 => '3663',
		(int) 6 => '3664',
		(int) 7 => '3665',
		(int) 8 => '3674',
		(int) 9 => '3673',
		(int) 10 => '3672',
		(int) 11 => '3671',
		(int) 12 => '3670',
		(int) 13 => '3669',
		(int) 14 => '3668',
		(int) 15 => '3667',
		(int) 16 => '3666',
		(int) 17 => '3677',
		(int) 18 => '3676',
		(int) 19 => '3675',
		(int) 20 => '3681',
		(int) 21 => '3680',
		(int) 22 => '3679',
		(int) 23 => '3678',
		(int) 24 => '3683',
		(int) 25 => '3682',
		(int) 26 => '3686',
		(int) 27 => '3685',
		(int) 28 => '3684',
		(int) 29 => '3690',
		(int) 30 => '3689',
		(int) 31 => '3688',
		(int) 32 => '3687',
		(int) 33 => '3694',
		(int) 34 => '3695',
		(int) 35 => '3693',
		(int) 36 => '3692',
		(int) 37 => '3691',
		(int) 38 => '3696',
		(int) 39 => '3697',
		(int) 40 => '3698',
		(int) 41 => '3699',
		(int) 42 => '3700',
		(int) 43 => '3701',
		(int) 44 => '3702',
		(int) 45 => '3703',
		(int) 46 => '3704',
		(int) 47 => '3705',
		(int) 48 => '3706',
		(int) 49 => '3708',
		(int) 50 => '3707',
		(int) 51 => '3709',
		(int) 52 => '3710',
		(int) 53 => '3711',
		(int) 54 => '3712',
		(int) 55 => '3713',
		(int) 56 => '3714',
		(int) 57 => '3715',
		(int) 58 => '3716',
		(int) 59 => '3717',
		(int) 60 => '3718'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '124'
$k = (int) 0
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:53:24'
		)
	),
	(int) 6 => array(
		'Attachment' => array(
			'id' => '1598',
			'record_id' => '117',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:55:19'
		)
	),
	(int) 7 => array(
		'Attachment' => array(
			'id' => '1617',
			'record_id' => '119',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 15:57:54'
		)
	),
	(int) 8 => array(
		'Attachment' => array(
			'id' => '1648',
			'record_id' => '111',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:36:24'
		)
	),
	(int) 9 => array(
		'Attachment' => array(
			'id' => '1650',
			'record_id' => '110',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:37:21'
		)
	),
	(int) 10 => array(
		'Attachment' => array(
			'id' => '1688',
			'record_id' => '120',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 10:43:35'
		)
	),
	(int) 11 => array(
		'Attachment' => array(
			'id' => '1715',
			'record_id' => '121',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 11:33:31'
		)
	),
	(int) 12 => array(
		'Attachment' => array(
			'id' => '1722',
			'record_id' => '122',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 11:57:20'
		)
	),
	(int) 13 => array(
		'Attachment' => array(
			'id' => '1783',
			'record_id' => '123',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1).jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1).jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1).jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1)_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 14:20:20'
		)
	),
	(int) 14 => array(
		'Attachment' => array(
			'id' => '1813',
			'record_id' => '124',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 16:18:21'
		)
	)
)
$thumbnail = array(
	'Attachment' => array(
		'id' => '1813',
		'record_id' => '124',
		'type' => 'course',
		'created_user_id' => '8779',
		'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg',
		'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
		'mime_type' => 'image/jpeg',
		'title' => '',
		'alt_text' => '',
		'description' => '',
		'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
		'active' => '1',
		'created' => '2024-08-07 16:18:21'
	)
)
$attachmentId = '1783'
$termId = (int) 6
$taxTerms = array(
	'Qualification' => array(
		(int) 3 => 'Primary',
		(int) 2 => 'KS3 (11-14)',
		(int) 1 => 'KS4 (14-16)',
		(int) 13 => 'KS5 (16-18)',
		(int) 5 => 'Young people not in education or work',
		(int) 18 => 'Graduates',
		(int) 19 => 'Employability programmes',
		(int) 20 => 'Career change',
		(int) 64 => 'T-Level'
	),
	'Course Type' => array(
		(int) 62 => 'Profession',
		(int) 63 => 'Work Experience',
		(int) 61 => 'Careers',
		(int) 59 => 'Creating Careers: A Step Ahead  Programme',
		(int) 21 => 'In person experiences',
		(int) 9 => 'Interactive',
		(int) 10 => 'Live Sessions',
		(int) 22 => 'Non-accredited programme',
		(int) 11 => 'Podcasts',
		(int) 60 => 'Skills in the Workplace',
		(int) 12 => 'Webinars'
	),
	'Age Bracket' => array(
		(int) 35 => '5 - 11',
		(int) 58 => '12 - 13',
		(int) 17 => '14 - 16',
		(int) 7 => '16 - 18',
		(int) 6 => '18+'
	)
)
$activeTerms = array(
	(int) 197 => '1',
	(int) 196 => '2',
	(int) 244 => '3',
	(int) 199 => '4',
	(int) 285 => '5',
	(int) 201 => '6',
	(int) 200 => '7',
	(int) 198 => '8',
	(int) 143 => '9',
	(int) 203 => '10',
	(int) 204 => '11',
	(int) 205 => '12',
	(int) 247 => '13',
	(int) 248 => '17',
	(int) 278 => '18',
	(int) 279 => '19',
	(int) 280 => '20',
	(int) 739 => '21',
	(int) 740 => '22',
	(int) 744 => '24',
	(int) 679 => '25',
	(int) 944 => '26',
	(int) 1405 => '27',
	(int) 945 => '28',
	(int) 680 => '29',
	(int) 681 => '30',
	(int) 1933 => '35',
	(int) 1403 => '36',
	(int) 1420 => '37',
	(int) 1520 => '38',
	(int) 1521 => '39',
	(int) 1533 => '40',
	(int) 1539 => '41',
	(int) 1550 => '42',
	(int) 1551 => '43',
	(int) 1573 => '44',
	(int) 1585 => '45',
	(int) 1595 => '46',
	(int) 1766 => '47',
	(int) 1748 => '48',
	(int) 1754 => '49',
	(int) 1760 => '50',
	(int) 1778 => '51',
	(int) 1736 => '52',
	(int) 1772 => '53',
	(int) 1943 => '54',
	(int) 1941 => '55',
	(int) 2035 => '56',
	(int) 2181 => '57',
	(int) 3043 => '58',
	(int) 4314 => '59',
	(int) 5264 => '60',
	(int) 6359 => '61',
	(int) 6357 => '62',
	(int) 5774 => '63',
	(int) 6356 => '64'
)
$terms = array(
	(int) 0 => '64'
)
$termName = 'Age Bracket'
$name = '18+'
$selectedTerms = array()
$termGroups = array(
	(int) 0 => array(
		(int) 0 => '64'
	)
)
$searchTerm = false
$termIds = array(
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		(int) 0 => '13',
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		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 121 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
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		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 122 => array(
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		(int) 10 => '6'
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	(int) 111 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
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	(int) 113 => array(
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		(int) 2 => '18',
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		(int) 5 => '62',
		(int) 6 => '63',
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		(int) 8 => '12',
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		(int) 10 => '6'
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	(int) 112 => array(
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		(int) 4 => '61',
		(int) 5 => '60',
		(int) 6 => '7',
		(int) 7 => '6'
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	(int) 114 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
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	(int) 115 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
		(int) 3 => '20',
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		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 118 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
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		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
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		(int) 10 => '6'
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	(int) 116 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
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		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
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			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26'
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			(int) 75 => array(
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				[maximum depth reached]
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			(int) 77 => array(
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			'created' => '2024-08-07 10:48:35',
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
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			'created' => '2024-08-07 09:50:04',
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			'created' => '2024-07-31 13:04:44',
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			'created_user_id' => '8779',
			'course_length' => '40 Minutes',
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			'active' => '1',
			'created' => '2024-07-31 10:15:23',
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)
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			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'Being a good communication partner',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1781',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 9 => array(
			'id' => '3649',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'Top 10 tips for comminication',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1782',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 10 => array(
			'id' => '3650',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'single-choice',
			'field_label' => '1200 people with learning disabilities dies avoidably in NHS hospitals each year?',
			'description' => 'select an answer',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 11 => array(
			'id' => '3651',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'single-choice',
			'field_label' => 'Learning Disabilities and learning difficulties are the same thing',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 12 => array(
			'id' => '3652',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following indicate a learning disability?',
			'description' => 'select one or more answers',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Reduced IQ of 100","Difficulties with communication","Issues following an adult brain injury","Unable to read or write","Difficulties doing everyday tasks","Aggressive of challenging behaviour"]',
			'field_correct' => '1,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 13 => array(
			'id' => '3653',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Learning disabilities can be caused by any condition that damages the development of the brain, for example:',
			'description' => 'select one or more answers',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Neglect","Infection","Trauma during birth","Injury and accidents","Lack of stimulation","Syndromes"]',
			'field_correct' => '0,1,2,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 14 => array(
			'id' => '3654',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the 3 different types of learning disability?',
			'description' => 'select 3 answers',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Aggressive","Partial","Severe\/ profound and multiple learning disabilities","Mild","Moderate"]',
			'field_correct' => '2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 15 => array(
			'id' => '3655',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'single-choice',
			'field_label' => 'A person with severe learning disabilities cannot communicate their needs or express emotions',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 16 => array(
			'id' => '3656',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are key to being a good communicator?',
			'description' => 'select one or more answers',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Follow the lead of the person that you are communicating with","Use gestures, facial expression, objects, drawings, pictures, symbols","Have perfect hearing and a loud voice","Be able to use and understand sign language","Be patient and go at their pace","Be attentive and make time for them"]',
			'field_correct' => '0,1,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 17 => array(
			'id' => '3657',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Multiple Choice Field',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Cancel the procedure if it's not that important","Read Julia's passport","Offer Julie the opportunity to come to the ward for a visit before the procedure day","Offer Julie the first appoinment","Speak to Julie's mum as advocate - she can consent on her behalf"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		)
	),
	'LessonFieldList' => array(
		(int) 571 => array(
			(int) 0 => array(
				[maximum depth reached]
			)
		),
		(int) 572 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 573 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		(int) 574 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		)
	),
	'LessonFieldAll' => array(
		(int) 0 => array(
			'id' => '3640',
			'course_id' => '123',
			'course_lesson_id' => '571',
			'field_type' => 'media-field',
			'field_label' => 'Watch this short video from Mencap',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/ylJzj8Z8GE0?autohide=1&amp;showinfo=0&amp;controls=1&amp;enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/ylJzj8Z8GE0/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:55:03',
			'modified' => '2024-08-07 13:55:03'
		),
		(int) 1 => array(
			'id' => '3641',
			'course_id' => '123',
			'course_lesson_id' => '572',
			'field_type' => 'media-field',
			'field_label' => 'What is a learning disability?',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1774',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 2 => array(
			'id' => '3642',
			'course_id' => '123',
			'course_lesson_id' => '572',
			'field_type' => 'media-field',
			'field_label' => 'Learning disability or learning difficulty?',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1775',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 3 => array(
			'id' => '3643',
			'course_id' => '123',
			'course_lesson_id' => '572',
			'field_type' => 'media-field',
			'field_label' => 'Causes',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1776',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 4 => array(
			'id' => '3644',
			'course_id' => '123',
			'course_lesson_id' => '572',
			'field_type' => 'media-field',
			'field_label' => 'Hospital Passports',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1777',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 5 => array(
			'id' => '3645',
			'course_id' => '123',
			'course_lesson_id' => '572',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1778',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 6 => array(
			'id' => '3646',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'What is communication?',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1779',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 7 => array(
			'id' => '3647',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'Communication',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1780',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 8 => array(
			'id' => '3648',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'Being a good communication partner',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1781',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 9 => array(
			'id' => '3649',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'Top 10 tips for comminication',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1782',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 10 => array(
			'id' => '3650',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'single-choice',
			'field_label' => '1200 people with learning disabilities dies avoidably in NHS hospitals each year?',
			'description' => 'select an answer',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 11 => array(
			'id' => '3651',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'single-choice',
			'field_label' => 'Learning Disabilities and learning difficulties are the same thing',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 12 => array(
			'id' => '3652',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following indicate a learning disability?',
			'description' => 'select one or more answers',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Reduced IQ of 100","Difficulties with communication","Issues following an adult brain injury","Unable to read or write","Difficulties doing everyday tasks","Aggressive of challenging behaviour"]',
			'field_correct' => '1,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 13 => array(
			'id' => '3653',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Learning disabilities can be caused by any condition that damages the development of the brain, for example:',
			'description' => 'select one or more answers',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Neglect","Infection","Trauma during birth","Injury and accidents","Lack of stimulation","Syndromes"]',
			'field_correct' => '0,1,2,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 14 => array(
			'id' => '3654',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the 3 different types of learning disability?',
			'description' => 'select 3 answers',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Aggressive","Partial","Severe\/ profound and multiple learning disabilities","Mild","Moderate"]',
			'field_correct' => '2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 15 => array(
			'id' => '3655',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'single-choice',
			'field_label' => 'A person with severe learning disabilities cannot communicate their needs or express emotions',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 16 => array(
			'id' => '3656',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are key to being a good communicator?',
			'description' => 'select one or more answers',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Follow the lead of the person that you are communicating with","Use gestures, facial expression, objects, drawings, pictures, symbols","Have perfect hearing and a loud voice","Be able to use and understand sign language","Be patient and go at their pace","Be attentive and make time for them"]',
			'field_correct' => '0,1,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 17 => array(
			'id' => '3657',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Multiple Choice Field',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Cancel the procedure if it's not that important","Read Julia's passport","Offer Julie the opportunity to come to the ward for a visit before the procedure day","Offer Julie the first appoinment","Speak to Julie's mum as advocate - she can consent on her behalf"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3640',
		(int) 1 => '3641',
		(int) 2 => '3642',
		(int) 3 => '3643',
		(int) 4 => '3644',
		(int) 5 => '3645',
		(int) 6 => '3646',
		(int) 7 => '3647',
		(int) 8 => '3648',
		(int) 9 => '3649',
		(int) 10 => '3650',
		(int) 11 => '3651',
		(int) 12 => '3652',
		(int) 13 => '3653',
		(int) 14 => '3654',
		(int) 15 => '3655',
		(int) 16 => '3656',
		(int) 17 => '3657'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '123'
$k = (int) 1
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:53:24'
		)
	),
	(int) 6 => array(
		'Attachment' => array(
			'id' => '1598',
			'record_id' => '117',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:55:19'
		)
	),
	(int) 7 => array(
		'Attachment' => array(
			'id' => '1617',
			'record_id' => '119',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 15:57:54'
		)
	),
	(int) 8 => array(
		'Attachment' => array(
			'id' => '1648',
			'record_id' => '111',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:36:24'
		)
	),
	(int) 9 => array(
		'Attachment' => array(
			'id' => '1650',
			'record_id' => '110',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:37:21'
		)
	),
	(int) 10 => array(
		'Attachment' => array(
			'id' => '1688',
			'record_id' => '120',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 10:43:35'
		)
	),
	(int) 11 => array(
		'Attachment' => array(
			'id' => '1715',
			'record_id' => '121',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 11:33:31'
		)
	),
	(int) 12 => array(
		'Attachment' => array(
			'id' => '1722',
			'record_id' => '122',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 11:57:20'
		)
	),
	(int) 13 => array(
		'Attachment' => array(
			'id' => '1783',
			'record_id' => '123',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1).jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1).jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1).jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1)_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 14:20:20'
		)
	),
	(int) 14 => array(
		'Attachment' => array(
			'id' => '1813',
			'record_id' => '124',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 16:18:21'
		)
	)
)
$thumbnail = array(
	'Attachment' => array(
		'id' => '1813',
		'record_id' => '124',
		'type' => 'course',
		'created_user_id' => '8779',
		'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg',
		'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
		'mime_type' => 'image/jpeg',
		'title' => '',
		'alt_text' => '',
		'description' => '',
		'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
		'active' => '1',
		'created' => '2024-08-07 16:18:21'
	)
)
$attachmentId = '1783'
$termId = (int) 6
$taxTerms = array(
	'Qualification' => array(
		(int) 3 => 'Primary',
		(int) 2 => 'KS3 (11-14)',
		(int) 1 => 'KS4 (14-16)',
		(int) 13 => 'KS5 (16-18)',
		(int) 5 => 'Young people not in education or work',
		(int) 18 => 'Graduates',
		(int) 19 => 'Employability programmes',
		(int) 20 => 'Career change',
		(int) 64 => 'T-Level'
	),
	'Course Type' => array(
		(int) 62 => 'Profession',
		(int) 63 => 'Work Experience',
		(int) 61 => 'Careers',
		(int) 59 => 'Creating Careers: A Step Ahead  Programme',
		(int) 21 => 'In person experiences',
		(int) 9 => 'Interactive',
		(int) 10 => 'Live Sessions',
		(int) 22 => 'Non-accredited programme',
		(int) 11 => 'Podcasts',
		(int) 60 => 'Skills in the Workplace',
		(int) 12 => 'Webinars'
	),
	'Age Bracket' => array(
		(int) 35 => '5 - 11',
		(int) 58 => '12 - 13',
		(int) 17 => '14 - 16',
		(int) 7 => '16 - 18',
		(int) 6 => '18+'
	)
)
$activeTerms = array(
	(int) 197 => '1',
	(int) 196 => '2',
	(int) 244 => '3',
	(int) 199 => '4',
	(int) 285 => '5',
	(int) 201 => '6',
	(int) 200 => '7',
	(int) 198 => '8',
	(int) 143 => '9',
	(int) 203 => '10',
	(int) 204 => '11',
	(int) 205 => '12',
	(int) 247 => '13',
	(int) 248 => '17',
	(int) 278 => '18',
	(int) 279 => '19',
	(int) 280 => '20',
	(int) 739 => '21',
	(int) 740 => '22',
	(int) 744 => '24',
	(int) 679 => '25',
	(int) 944 => '26',
	(int) 1405 => '27',
	(int) 945 => '28',
	(int) 680 => '29',
	(int) 681 => '30',
	(int) 1933 => '35',
	(int) 1403 => '36',
	(int) 1420 => '37',
	(int) 1520 => '38',
	(int) 1521 => '39',
	(int) 1533 => '40',
	(int) 1539 => '41',
	(int) 1550 => '42',
	(int) 1551 => '43',
	(int) 1573 => '44',
	(int) 1585 => '45',
	(int) 1595 => '46',
	(int) 1766 => '47',
	(int) 1748 => '48',
	(int) 1754 => '49',
	(int) 1760 => '50',
	(int) 1778 => '51',
	(int) 1736 => '52',
	(int) 1772 => '53',
	(int) 1943 => '54',
	(int) 1941 => '55',
	(int) 2035 => '56',
	(int) 2181 => '57',
	(int) 3043 => '58',
	(int) 4314 => '59',
	(int) 5264 => '60',
	(int) 6359 => '61',
	(int) 6357 => '62',
	(int) 5774 => '63',
	(int) 6356 => '64'
)
$terms = array(
	(int) 0 => '64'
)
$termName = 'Age Bracket'
$name = '18+'
$selectedTerms = array()
$termGroups = array(
	(int) 0 => array(
		(int) 0 => '64'
	)
)
$searchTerm = false
$termIds = array(
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		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 121 => array(
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		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 122 => array(
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		(int) 10 => '6'
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		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 109 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
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		(int) 5 => '62',
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		(int) 7 => '61',
		(int) 8 => '60',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 111 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
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		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
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		(int) 0 => '13',
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		(int) 2 => '18',
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		(int) 5 => '62',
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		(int) 8 => '12',
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		(int) 10 => '6'
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		(int) 4 => '61',
		(int) 5 => '60',
		(int) 6 => '7',
		(int) 7 => '6'
	),
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		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
	),
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		(int) 0 => '13',
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		(int) 2 => '18',
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		(int) 5 => '62',
		(int) 6 => '63',
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		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 118 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
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		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 116 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
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			),
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			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
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			'course_title' => 'Information Governance',
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			'logo_media_id' => null,
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			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26'
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			),
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			),
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			),
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			)
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		)
	),
	(int) 3 => array(
		'Course' => array(
			'id' => '121',
			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01'
		),
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				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
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				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
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			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
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			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		)
	),
	(int) 4 => array(
		'Course' => array(
			'id' => '120',
			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40'
		),
		'CourseLesson' => array(
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
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			)
		),
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			),
			(int) 3 => array(
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			),
			(int) 4 => array(
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			),
			(int) 5 => array(
				[maximum depth reached]
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			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
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			'created' => '2024-08-06 11:47:37',
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			'created' => '2024-08-05 14:33:41',
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			'created' => '2024-07-31 13:04:44',
			'modified' => '2024-08-07 14:24:24'
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			'created' => '2024-07-31 10:15:23',
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			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 4 => array(
			'id' => '3644',
			'course_id' => '123',
			'course_lesson_id' => '572',
			'field_type' => 'media-field',
			'field_label' => 'Hospital Passports',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1777',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 5 => array(
			'id' => '3645',
			'course_id' => '123',
			'course_lesson_id' => '572',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1778',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 6 => array(
			'id' => '3646',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'What is communication?',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1779',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 7 => array(
			'id' => '3647',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'Communication',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1780',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 8 => array(
			'id' => '3648',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'Being a good communication partner',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1781',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 9 => array(
			'id' => '3649',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'Top 10 tips for comminication',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1782',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 10 => array(
			'id' => '3650',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'single-choice',
			'field_label' => '1200 people with learning disabilities dies avoidably in NHS hospitals each year?',
			'description' => 'select an answer',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 11 => array(
			'id' => '3651',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'single-choice',
			'field_label' => 'Learning Disabilities and learning difficulties are the same thing',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 12 => array(
			'id' => '3652',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following indicate a learning disability?',
			'description' => 'select one or more answers',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Reduced IQ of 100","Difficulties with communication","Issues following an adult brain injury","Unable to read or write","Difficulties doing everyday tasks","Aggressive of challenging behaviour"]',
			'field_correct' => '1,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 13 => array(
			'id' => '3653',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Learning disabilities can be caused by any condition that damages the development of the brain, for example:',
			'description' => 'select one or more answers',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Neglect","Infection","Trauma during birth","Injury and accidents","Lack of stimulation","Syndromes"]',
			'field_correct' => '0,1,2,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 14 => array(
			'id' => '3654',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the 3 different types of learning disability?',
			'description' => 'select 3 answers',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Aggressive","Partial","Severe\/ profound and multiple learning disabilities","Mild","Moderate"]',
			'field_correct' => '2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 15 => array(
			'id' => '3655',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'single-choice',
			'field_label' => 'A person with severe learning disabilities cannot communicate their needs or express emotions',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 16 => array(
			'id' => '3656',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are key to being a good communicator?',
			'description' => 'select one or more answers',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Follow the lead of the person that you are communicating with","Use gestures, facial expression, objects, drawings, pictures, symbols","Have perfect hearing and a loud voice","Be able to use and understand sign language","Be patient and go at their pace","Be attentive and make time for them"]',
			'field_correct' => '0,1,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 17 => array(
			'id' => '3657',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Multiple Choice Field',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Cancel the procedure if it's not that important","Read Julia's passport","Offer Julie the opportunity to come to the ward for a visit before the procedure day","Offer Julie the first appoinment","Speak to Julie's mum as advocate - she can consent on her behalf"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		)
	),
	'LessonFieldList' => array(
		(int) 571 => array(
			(int) 0 => array(
				[maximum depth reached]
			)
		),
		(int) 572 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 573 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		(int) 574 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		)
	),
	'LessonFieldAll' => array(
		(int) 0 => array(
			'id' => '3640',
			'course_id' => '123',
			'course_lesson_id' => '571',
			'field_type' => 'media-field',
			'field_label' => 'Watch this short video from Mencap',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/ylJzj8Z8GE0?autohide=1&amp;showinfo=0&amp;controls=1&amp;enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/ylJzj8Z8GE0/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:55:03',
			'modified' => '2024-08-07 13:55:03'
		),
		(int) 1 => array(
			'id' => '3641',
			'course_id' => '123',
			'course_lesson_id' => '572',
			'field_type' => 'media-field',
			'field_label' => 'What is a learning disability?',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1774',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 2 => array(
			'id' => '3642',
			'course_id' => '123',
			'course_lesson_id' => '572',
			'field_type' => 'media-field',
			'field_label' => 'Learning disability or learning difficulty?',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1775',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 3 => array(
			'id' => '3643',
			'course_id' => '123',
			'course_lesson_id' => '572',
			'field_type' => 'media-field',
			'field_label' => 'Causes',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1776',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 4 => array(
			'id' => '3644',
			'course_id' => '123',
			'course_lesson_id' => '572',
			'field_type' => 'media-field',
			'field_label' => 'Hospital Passports',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1777',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 5 => array(
			'id' => '3645',
			'course_id' => '123',
			'course_lesson_id' => '572',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1778',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:00:46',
			'modified' => '2024-08-07 14:00:46'
		),
		(int) 6 => array(
			'id' => '3646',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'What is communication?',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1779',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 7 => array(
			'id' => '3647',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'Communication',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1780',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 8 => array(
			'id' => '3648',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'Being a good communication partner',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1781',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 9 => array(
			'id' => '3649',
			'course_id' => '123',
			'course_lesson_id' => '573',
			'field_type' => 'media-field',
			'field_label' => 'Top 10 tips for comminication',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1782',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:04:18',
			'modified' => '2024-08-07 14:04:18'
		),
		(int) 10 => array(
			'id' => '3650',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'single-choice',
			'field_label' => '1200 people with learning disabilities dies avoidably in NHS hospitals each year?',
			'description' => 'select an answer',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 11 => array(
			'id' => '3651',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'single-choice',
			'field_label' => 'Learning Disabilities and learning difficulties are the same thing',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 12 => array(
			'id' => '3652',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following indicate a learning disability?',
			'description' => 'select one or more answers',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Reduced IQ of 100","Difficulties with communication","Issues following an adult brain injury","Unable to read or write","Difficulties doing everyday tasks","Aggressive of challenging behaviour"]',
			'field_correct' => '1,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 13 => array(
			'id' => '3653',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Learning disabilities can be caused by any condition that damages the development of the brain, for example:',
			'description' => 'select one or more answers',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Neglect","Infection","Trauma during birth","Injury and accidents","Lack of stimulation","Syndromes"]',
			'field_correct' => '0,1,2,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 14 => array(
			'id' => '3654',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the 3 different types of learning disability?',
			'description' => 'select 3 answers',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Aggressive","Partial","Severe\/ profound and multiple learning disabilities","Mild","Moderate"]',
			'field_correct' => '2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 15 => array(
			'id' => '3655',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'single-choice',
			'field_label' => 'A person with severe learning disabilities cannot communicate their needs or express emotions',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 16 => array(
			'id' => '3656',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are key to being a good communicator?',
			'description' => 'select one or more answers',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Follow the lead of the person that you are communicating with","Use gestures, facial expression, objects, drawings, pictures, symbols","Have perfect hearing and a loud voice","Be able to use and understand sign language","Be patient and go at their pace","Be attentive and make time for them"]',
			'field_correct' => '0,1,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		),
		(int) 17 => array(
			'id' => '3657',
			'course_id' => '123',
			'course_lesson_id' => '574',
			'field_type' => 'multiple-choice',
			'field_label' => 'Multiple Choice Field',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Cancel the procedure if it's not that important","Read Julia's passport","Offer Julie the opportunity to come to the ward for a visit before the procedure day","Offer Julie the first appoinment","Speak to Julie's mum as advocate - she can consent on her behalf"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 14:19:11',
			'modified' => '2024-08-07 14:19:11'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3640',
		(int) 1 => '3641',
		(int) 2 => '3642',
		(int) 3 => '3643',
		(int) 4 => '3644',
		(int) 5 => '3645',
		(int) 6 => '3646',
		(int) 7 => '3647',
		(int) 8 => '3648',
		(int) 9 => '3649',
		(int) 10 => '3650',
		(int) 11 => '3651',
		(int) 12 => '3652',
		(int) 13 => '3653',
		(int) 14 => '3654',
		(int) 15 => '3655',
		(int) 16 => '3656',
		(int) 17 => '3657'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '123'
$k = (int) 1
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:53:24'
		)
	),
	(int) 6 => array(
		'Attachment' => array(
			'id' => '1598',
			'record_id' => '117',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:55:19'
		)
	),
	(int) 7 => array(
		'Attachment' => array(
			'id' => '1617',
			'record_id' => '119',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 15:57:54'
		)
	),
	(int) 8 => array(
		'Attachment' => array(
			'id' => '1648',
			'record_id' => '111',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:36:24'
		)
	),
	(int) 9 => array(
		'Attachment' => array(
			'id' => '1650',
			'record_id' => '110',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:37:21'
		)
	),
	(int) 10 => array(
		'Attachment' => array(
			'id' => '1688',
			'record_id' => '120',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 10:43:35'
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		'description' => '',
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)
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				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3640',
			(int) 1 => '3641',
			(int) 2 => '3642',
			(int) 3 => '3643',
			(int) 4 => '3644',
			(int) 5 => '3645',
			(int) 6 => '3646',
			(int) 7 => '3647',
			(int) 8 => '3648',
			(int) 9 => '3649',
			(int) 10 => '3650',
			(int) 11 => '3651',
			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
		)
	),
	(int) 2 => array(
		'Course' => array(
			'id' => '122',
			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
			'banner_media_id' => '1721',
			'thumbnail_media_id' => '1722',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
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		'course_title' => 'Information Governance',
		'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
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		'created' => '2024-08-07 11:35:09',
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			'description' => 'This session has been developed for all staff working within the health and social care sector. It covers key learning, which is necessary to understand data security, good record keeping and the relevant laws that govern the use of information.<br /><br />At the end of this session, you should have a good understanding of your individual as well as your organisation's responsibilities in the importance of protecting, or safely sharing, your own and others' data. Effectively practising what you learn will help you and your organisation to comply with data security and protection requirements, standards, your organisation's policies and most importantly with relevant law.<br /><br />There are certain roles within the health and social care sector that will need to have a more detailed understanding of data security, for example those working in information governance (IG). Your organisation will be able to provide you with details of the further training you are required to undertake.',
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			'modified' => '2024-08-07 11:37:10'
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			'created' => '2024-08-07 11:38:00',
			'modified' => '2024-08-07 11:38:00'
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			'course_id' => '122',
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			'created_user_id' => '8779',
			'session_length' => '7 minutes',
			'character_id' => '',
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			'created' => '2024-08-07 12:19:08',
			'modified' => '2024-08-07 12:19:08'
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			'course_id' => '122',
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			'created_user_id' => '8779',
			'session_length' => '15 minutes',
			'character_id' => '',
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			'created' => '2024-08-07 12:28:08',
			'modified' => '2024-08-07 12:28:08'
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			'created_user_id' => '8779',
			'session_length' => '12 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 12:54:40',
			'modified' => '2024-08-07 12:59:38'
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			'lesson_title' => 'Data Breaches ',
			'description' => 'Information on data breaches.',
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			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
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			'created' => '2024-08-07 13:00:13',
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			'session_length' => '5 minutes',
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			'created' => '2024-08-07 13:12:26',
			'modified' => '2024-08-07 13:12:26'
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			'lesson_title' => 'Freedom of Information',
			'description' => 'Learn more about Freedom of Information.',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 13:16:36',
			'modified' => '2024-08-07 13:16:44'
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			'lesson_title' => 'Session Summary',
			'description' => 'Summary of topics covered and references.',
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			'created_user_id' => '8779',
			'session_length' => '2 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 13:21:46',
			'modified' => '2024-08-07 13:21:46'
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			'course_id' => '122',
			'lesson_title' => 'eAssessment',
			'description' => 'Welcome to the&nbsp;Data Security Awareness Level 1 eAssessment.<br /><br />To successfully complete this eAssessment, you need to achieve a score of at least 80%.',
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			'created_user_id' => '8779',
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			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 13:25:50',
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			'field_label' => 'Objectives',
			'description' => '- Describe the importance of data security in health and social care
- Outline the steps you must follow to ensure you comply with the law
- Define potential threats to the security of information and how you can avoid or minimise them
- Identify data breaches and how to prevent them
- Outline the principles of good record keeping
- Describe the responsibilities of health and social care organisations under the Freedom of Information Act 2000 and what you can do to support compliance with this law',
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			'course_id' => '122',
			'course_lesson_id' => '561',
			'field_type' => 'paragraph',
			'field_label' => 'Duration',
			'description' => '•  45 minutes (knowledge chapters)
•  15 minutes (eAssessment)',
			'field_order' => '1',
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			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'media-field',
			'field_label' => 'The Principles of Data Protection',
			'description' => 'Good information governance underpins good care. People's safety and preferences are supported when the confidentiality of their personal data is maintained, its integrity is protected against loss or damage and the information is accessible by those who are authorised, when they need it.

Everyone who uses health and social care services should be able to trust that their health and care information is adequately protected. People should be assured that those involved in their care, and in running and improving the services, are using such information appropriately and respecting patient choices where required.

By being mindful of good practice when handling information, you can help to ensure that people remain safe and receive the best possible care.

Remember, individuals have certain legal rights with regards to their personal data and organisations have certain legal responsibilities and obligations to comply with when processing personal data. You will learn more about this as we go through the course.

When you are responsible for handling personal data, you must not forget that it's people's information; it should be treated with respect, it's important that people's information is used only in ways they would expect and that it stays safe. In this session, you will learn more about data protection law which makes sure everyone’s data is used properly and legally.

We all have a duty to protect people's personal data in a safe and secure manner and share it appropriately.
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			'field_type' => 'image-hotspot',
			'field_label' => 'Managing Information',
			'description' => 'Making sure that people's information is protected and handled securely is something all staff will recognise. We are responsible for ensuring that people's information is only used for the good of health and care, and that it is always protected.

However, the way we manage information impacts the performance of all areas of health and care, and affects all employees.  For example, support functions like HR also have a critical role in managing staff records, estates for managing information about the places we work; and commercial for managing contracts.

Staff should familiarise themselves with good records management practice (see Records Management Code of Practice for Health and Social Care [1]), preserving content in line with retention schedules, and following the information lifecycle.

Effective information management enables teams to use their time, resources and expertise effectively to make decisions and to fulfil their roles.

Select the numbers to find out more.',
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			'field_choices' => '{"width":500,"annotations":[{"top":95.9844,"left":31,"annotation":"Collection\n\nCollection of information can be done in many ways; for example, verbally, via an online or written form, or via large-scale data transfers of a database or spreadsheet. It can also be taken from various sources such as the individual themselves, their care record, their GP practice, a family member, or their health and care professional."},{"top":62.9844,"left":156,"annotation":"Sharing\n\nSharing involves consideration of questions such as: what information is to be distributed, to whom, in what format, how often, under what circumstances, for what purposes and using what security measures?"},{"top":89.9844,"left":247,"annotation":"Usage\n\nUsage is important for a range of purposes including: storage, analysis, identifying historical trends, developing lessons learned, satisfying legislative requirements etc."},{"top":62.9844,"left":355,"annotation":"Archiving\n\nArchiving takes place after a period of time, usually determined by national frameworks and organisational policy."},{"top":93.9844,"left":457,"annotation":"Disposal\n\nDisposal takes place after the information has been retained for the minimum period set out in the Records Management Code of Practice. Information may be transferred to the National Archives for long-term preservation, or securely destroyed if no longer required."}]}',
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			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'media-field',
			'field_label' => 'The Data Protection Act and UK GDPR',
			'description' => 'The UK General Data Protection Regulation (UK GDPR) [2] and the Data Protection Act (DPA) 2018 [3] together provide the legal framework for data protection.

Data protection law takes a flexible, risk-based approach which puts the onus on your organisation to think about and justify how and why personal data is used. It sets out the key principles for use of personal data and individual's rights in relation to the personal data your organisation holds about them. It also details your organisation's legal obligations to protect this data.


Everyone is responsible for protecting personal data and ensuring it is handled and used appropriately and in accordance with data protection law and within your organisation's guidance, policies and procedures.

The Information Commissioner’s Office (ICO) regulates and enforces data protection law in the UK. They offer advice and guidance, promote good practice, carry out audits, consider complaints, monitor compliance and take enforcement action, such as issuing fines, where appropriate.',
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			'id' => '3566',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'paragraph',
			'field_label' => 'Types of Data',
			'description' => 'In health and care settings, we come into contact with various types of personal data about people. It is important to be able to identify these different types of data so that they can be appropriately protected when they are used and shared.

- Personal data

Under data protection law, personal data is information that relates to a living individual who can be identified (either directly or indirectly) from that information. Examples include name, telephone number and email address.

Your organisation will handle lots of personal data during its day-to-day activities such as the personal data of patients, service users and members of staff.

- Special category data

There is also a type of personal data which under data protection law requires more protection because it is sensitive. This is known as 'special categories of personal data.' These include:

- Personal data revealing - racial or ethnic origin; political opinions; religious or philosophical beliefs; trade union membership
- Genetic data
- Biometric data (where used for identification purposes, such as fingerprints or facial recognition)
- Data concerning health; a person's sex life; and a person's sexual orientation.

- Confidential information

Confidential information is all information collected for the provision of health and social care services where people can be identified and would expect that it to be kept private. This may include for instance, details about symptoms, diagnosis, treatment, names and addresses. In some instances, it may include staff information. Confidential information is subject to a legal and professional duty of confidentiality.

The general principle is that confidential information should not be shared for purposes other than direct care of the individual. Exceptions to this principle are where the individual has explicitly consented to sharing the information; where sharing information is required by law, or expressly permitted by law; or there is an overriding public interest, such as preventing serious harm.

Confidentiality does not just relate to patients and their health information, there may also be a duty of confidence where an employee discloses information to their employer. It is important to maintain confidentiality of staff records, particularly where this relates to health or payroll information.

Maintaining confidentiality is the responsibility of all staff working in health and care. You should refer to your contract of employment for any confidentiality requirements set out by your employer, your organisation's confidentiality policy, as well as any professional standards if appropriate to your profession.
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 11:56:02',
			'modified' => '2024-08-07 11:56:02'
		),
		(int) 6 => array(
			'id' => '3567',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Some information is more identifiable than other information. It can range from fully identifiable, to effectively anonymous.

At one end of the range, a person is fully identifiable. But remove some of the information or take other measures (such as replace their name with a code), then it becomes more difficult to identify who that person is.

At the other end of the range, it is not possible to identify who someone is - they are effectively anonymous. The same information may be anonymous in the hands of one recipient, but identifiable in the hands of another as it depends on what other information they have available to them. For example, using someone's initials may allow someone looking after that person to identify them, but it may not mean anything to someone else. It all depends on the context.

What is the difference between pseudonymised and anonymised data?

Pseudonymised data - Pseudonymisation is a security technique used to protect personal data. Pseudonymised data is information which has had identifiers replaced by one or more artificial identifiers, or pseudonyms, such as a hospital number. Pseudonymised data is still considered personal data.

Anonymised data- Truly anonymised information or data cannot identify or re-identify an individual (directly or indirectly), either on its own or when combined with other information. It may be presented as general trends or statistics. Information about small groups of people with rare conditions for example, could potentially allow someone to be identified and so would not be considered anonymous.

Similarly, removing identifiers, such as a name, will reduce the likelihood of the information being immediately identifiable, but it is likely that someone could work out who that person is by looking at the other information available, such as date of birth and address. This means the information is still identifiable and is considered personal data.

In most cases, it may be acceptable and appropriate to publish or share truly anonymous information, but you should check with your information governance team to make sure. It may be that the data could still potentially be reidentified, or that it is corporately sensitive to the organisation.',
			'field_order' => '4',
			'attachment_id' => '1719',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 11:56:02',
			'modified' => '2024-08-07 11:56:02'
		),
		(int) 7 => array(
			'id' => '3568',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'image-hotspot',
			'field_label' => 'The Principles of UK GDPR',
			'description' => 'Everyone responsible for using personal data has to follow strict rules specified under data protection law. These are known as the ‘data protection principles’, listed below and must be adhered to when you are using and sharing personal data.

Select the numbers for more information on each of the seven principles.',
			'field_order' => '5',
			'attachment_id' => '1720',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":83.2188,"left":17,"annotation":"Lawful, Fair and Transparent\n\nEnsure you have a valid legal reason to use people's information.\n\nEnsure that you act in accordance with other laws, such as the common law duty of confidentiality. This means only using information you have received in confidence (such as health and care information) in ways the person would expect, such as for their care. You should speak to your information governance team if you are unsure, or if you are seeking to use the information for other purposes.\n\nYou must use personal information in a way that is fair. This means you must not use the information in a way that is unduly detrimental, unexpected or misleading to the individuals concerned.\n\nYou must be clear, open and honest with people from the start about how you will use their personal data. Your organisation will do this through the transparency (privacy) notice on the organisation's website or via other methods, such as information leaflets."},{"top":19.2188,"left":156,"annotation":"Purpose Limitation\n\nYou must be clear from the outset about the purpose for using the information.\n\nYou can only use the personal data for another purpose where this is compatible with your original purpose, or you get consent, or you have a clear obligation or function set out in law. \n\nYou must inform people if you are going to use their information in a new way. However, exemptions may apply for using personal data for other purposes and you should contact your Information Governance team for advice."},{"top":156.219,"left":145,"annotation":"Data Minimisation\n\nYou must ensure the personal data you are processing is:\n\n- adequate: sufficient to properly fulfil the stated purpose\n- relevant: has a rational link to that purpose\n- not excessive: you do not use more than you need for that purpose. Only use or share the minimum amount of personal data necessary to achieve the intended purpose"},{"top":45.2188,"left":238,"annotation":"Accurate and Kept up to Date\n\n- You should take all reasonable steps to ensure the personal data you hold is not incorrect or misleading\n- You may need to keep the personal data updated, although this will depend on what you are using it for\n- If you discover that personal data is incorrect or misleading, you must take reasonable steps to correct or erase it as soon as possible\n- You must carefully consider any challenges to the accuracy of personal data"},{"top":111.219,"left":237,"annotation":"Storage Limitation\n\n- You must not keep personal data for longer than you need it\n- You need to think about, and be able to justify, how long you keep personal data. This will depend on your purposes for holding the data\n- You should also periodically review the data you hold, and erase it when you no longer need it\n- You must carefully consider any challenges to your retention of data\n- You can keep personal data for longer if you are only keeping it for public interest archiving, scientific or historical research, or statistical purposes\n- You should manage personal data in line with your organisation's records or information management procedures and guidance and the Records Management Code of Practice for Health and Social Care (website link next page)"},{"top":35.2188,"left":388,"annotation":"Security, Integrity and Confidentiality\n\nYou and/or your organisation must ensure that appropriate security measures are in place to protect the personal data held by your organisation or any other third party working on behalf of your organisation.\n\nWhere your organisation is using or sharing personal data which may involve a high risk to individuals, including processing large volumes of health and care information, you will need to carry out a data protection impact assessment (DPIA) to identify and explain how you are managing those risks. \n\nSee your local organisation's guidance on carrying out data protection impact assessments as it may only be certain members of staff who are allocated responsibility and expected to do this."},{"top":176.219,"left":392,"annotation":"Accounted for (Accountability Principle)\n\nThe accountability principle requires your organisation to take responsibility for what you do with personal data and how you comply with the other principles.\n\nYou can support this by reading and understanding your local data protection and security policies and procedures.\n\nYou and your organisation must have appropriate measures and records in place to be able to demonstrate your compliance for example, by conducting data protection impact assessments (DPIAs) and keeping record of where and how you process personal data."}]}',
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			'active' => '1',
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			'modified' => '2024-08-07 11:56:02'
		),
		(int) 8 => array(
			'id' => '3569',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => '<a href="https://transform.england.nhs.uk/information-governance/guidance/records-management-code/">https://transform.england.nhs.uk/information-governance/guidance/records-management-code/</a>',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 11:56:02',
			'modified' => '2024-08-07 11:56:02'
		),
		(int) 9 => array(
			'id' => '3570',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'paragraph',
			'field_label' => 'The Rights of Individuals',
			'description' => 'e aware of your responsibilities for protecting people's information, using it with the principles at the heart of your approach and respect individuals' rights to privacy.

INFORMED 
An individual has the right to be informed of whether their personal data is being used, what it is being used for and who it may be shared with. An organisation must inform the individual if it is using their personal data.

This is done in health and care by publishing privacy notices, information leaflets and similar to cover all uses of data by an organisation.

ACCESS
An individual has the right to ask an organisation if they are using or storing their personal data and to ask them for copies of their information, verbally or in writing. This is commonly known as making a subject access request (SAR).

This is commonly exercised in health and care, both by people using services and by staff.

RECTIFICATION
Individuals can challenge the factual accuracy of personal information held about them by an organisation, and ask for it to be corrected or deleted. If their information is incomplete, they can ask for the organisation to complete it by adding more details.

ERASURE
Individuals can ask an organisation to delete information about them, and in some circumstances, it must then do so. This is also known as the right to be forgotten but it rarely applies to information held by health and care organisations.

RESTRICTION
Individuals have the right to request restriction or limitation of the use of their personal data in certain circumstances.                                     

This right is closely linked to rights to challenge the accuracy of data and to object to its use. This can occasionally apply to health and care data.

DATA PORTABILITY
In certain circumstances where an individual provides their personal data directly to an organisation, they have the right to request their personal data from an organisation in a common format.

They also have the right to ask an organisation to transfer their information to another organisation.

This rarely applies to information held by health and care organisations.

OBJECT
An individual has the right to object to the use of their personal data in some circumstances. If an organisation agrees to their objection, it must stop using their data for that purpose unless it can give strong and legitimate reasons to continue using their data despite the individual's objections.

This can sometimes apply to health and care data but it is the common law duty of confidentiality that is often more applicable where an individual is unhappy that their health and care data is used. You should speak to your information governance team for advice in this instance.

AUTOMATED DECISION MAKING AND PROFILING
In many circumstances, an individual has a right to prevent automated decision making. This is where automatic decisions that have a significant impact on the individual's life, are made for example, without people being involved.

It is unlikely that this is currently applicable to data used by health and care organisations, but it may become more common in the future as the use of artificial intelligence grows.

RAISE A CONCERN
An individual can tell an organisation or the Information Commissioner's Office (ICO) if they are concerned about how the organisation is using their data.

If you are approached by someone who wishes to exercise any of these rights, you should notify the relevant person or team in your organisation who has the necessary expertise to handle these requests as per your organisation's policy and procedures. This will typically be the Data Protection Officer (DPO) or Information Governance (IG) team.
',
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		),
		(int) 10 => array(
			'id' => '3571',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Keeping Data Secure',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1723',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 11 => array(
			'id' => '3572',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'The Value of Data',
			'description' => 'Poor data protection, information management and security can cause personal, social and reputational damage. You could potentially be held personally accountable for a major breach and be faced with disciplinary action as a result.   

What are Personal Data Breaches?

Personal data breaches are breaches of security which lead to the accidental or unlawful destruction, loss, alteration, unauthorised disclosure of, or access to, personal data.

A personal data breach isn't always as a result of a cyber attack on a system but can also be failure to put in place appropriate technical and organisational measures to protect the confidentiality, integrity or availability of personal data.

Examples can include:

- Unauthorised access by third party
- Deliberate or accidental action (or inaction)
- Sending personal data to an incorrect recipient
- Mobile devices containing personal data being lost or stolen
- Alteration of personal data without permission
- Loss of availability of personal data

What Steps can you take to Avoid such Breaches?

You can take the following steps to avoid breaches:

• Read and comply with your organisation's policies on:
- Data protection
- Records management
- Security management 
• Complete relevant training and put your learning into practice
• Apply core data protection, security, records management and confidentiality principles in your day-to-day processing of data
• Use relevant best practice guidance
• Assess the risks of your data use by completing a data protection impact assessment (DPIA)
• Use relevant best practice guidance

',
			'field_order' => '1',
			'attachment_id' => '1724',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
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		),
		(int) 12 => array(
			'id' => '3573',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'image-bullets',
			'field_label' => 'Data Security',
			'description' => 'Data security can be broken down into three areas:',
			'field_order' => '2',
			'attachment_id' => '1725',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Confidentiality","Integrity","Availability"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 13 => array(
			'id' => '3574',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Confidentiality',
			'description' => 'Confidentiality is about privacy and ensuring that information is only accessible to those who have a legitimate reason to see it.

It would be unacceptable for a perfect stranger to be able to access sensitive information by walking into an office and reading files stored there, or by simply lifting the lid on a laptop and switching it on.

This is why sensitive files should be securely locked away, and laptops and other devices should be protected with security measures such as encryption. This is also why you should only use devices that are authorised by your organisation.

',
			'field_order' => '3',
			'attachment_id' => '1726',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 14 => array(
			'id' => '3575',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Integrity',
			'description' => 'Integrity is about information being accurate, up-to-date and reliable. Unauthorised or accidental alteration or loss of data can have serious consequences.  Systems will often log all user actions to help protect the integrity of people's information.
',
			'field_order' => '4',
			'attachment_id' => '1727',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 15 => array(
			'id' => '3576',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Availability',
			'description' => 'Availability is about information being there when it is needed: to support care, to pay staff wages, or for any other legitimate purpose. Systems must be protected from cyber attack and accidental damage.

',
			'field_order' => '5',
			'attachment_id' => '1728',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 16 => array(
			'id' => '3577',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Jane has an accident while decorating her flat and falls badly, hurting her leg. She calls an ambulance. The paramedics ask Jane for her name and address and ask her about her injury. They can see that she is in pain and ask if she is allergic to any medications. She isn't sure.
 
The paramedics use their tablet device to look up Jane's Summary Care Record (SCR) as their role allows them to access details of her medical history. An SCR is an electronic record of people's information that is sourced from their GP record. As a minimum, it contains details of current medications, allergies and adverse reactions and the person's name, address, date of birth and NHS number.
 
By accessing Jane's record, the paramedics can see that Jane is actually allergic to morphine, so they administer an alternative pain relief while she is driven to hospital, where she is treated for her injuries.

Let's see how confidentiality, integrity and availability apply to the scenario.

Confidentiality
The paramedics used their tablet device to look up Jane’s SCR which gives details of her medical history. Because they are paramedics, the system permits them to access Jane’s record, a non-qualified person would not be able to see this level of information about Jane.

Integrity
By accessing Jane’s record, the paramedics can see that Jane is allergic to morphine, so they administer an alternative pain relief. The record is up-to-date and accurate, showing the last person who updated the record with the allergy information and the time of the update. Jane is driven to hospital, where she is treated for her injuries.

Availability
In this case, the availability of accurate and up-to-date information at the point it is needed has had a direct impact on individual care.
',
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			'attachment_id' => '1729',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:27:14',
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		),
		(int) 17 => array(
			'id' => '3578',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Social Engineering',
			'description' => 'Social engineering involves those who want to steal data, such as health and care records, either digital or physical, by using tricks or deception to manipulate people into giving access to that data and other valuable information.
This component is a flipcard comprised of flippable cards containing display image. Select the front face image to flip to the back face of these card to display associated text.
Criminals will often take weeks and months getting to know a place before even coming through the door or making a phone call.

Select all the images to view ways criminals might gain your trust.',
			'field_order' => '0',
			'attachment_id' => '1730',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":101.25,"left":168,"annotation":"Preparation\n \nTheir preparation might include finding your organisation’s phone list or organisation chart and researching employees on social networking sites, like LinkedIn or Facebook.\n \nThe goal is always to gain the trust of one or more employees, though a variety of means."},{"top":93.25,"left":387,"annotation":"In the office\n\n'Can you hold the door for me? I don’t have my key/access card on me.’\n\nHow often have you heard that in your building? Although the person asking may not seem suspicious, this is a very common tactic used by fraudsters."},{"top":301.25,"left":126,"annotation":"On the phone\n\nA social engineer might call and pretend to be a fellow employee, for example from your ICT department or provider, or a trusted outside authority, such as the police or an auditor."},{"top":211.25,"left":298,"annotation":"Online\n\nSocial networking and new apps and sites opened a whole door for more social engineering scams. However, email is still the most common method which is covered later.\n\nOnline quizzes may encourage you to reveal more information about yourself for fun. This includes revealing your favourite colour or holiday destination as they were commonly used as password reset questions."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
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		),
		(int) 18 => array(
			'id' => '3580',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'There are examples of many people being scammed by criminals pretending to be calling from a call centre.
For example, they may say they are calling about an online order you’ve made. If you’re expecting a delivery, it is easy to be taken in.
 
The criminal may already have a lot of information about you and ask you to confirm additional details about your online account, so that the order is not delayed.
 
If they have your email address, they may try to get you to click on a malicious link in an email they send you.',
			'field_order' => '1',
			'attachment_id' => '1731',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:53:52',
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		),
		(int) 19 => array(
			'id' => '3581',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Example',
			'description' => 'Hi. This is Mike from the ICT department. How are you?
 
Hi Mike. I’m fine.
 
We are doing some urgent updates today on the system. Can you confirm your full name so I can bring up your details?
 
It’s Georgina Jenkins here. I didn’t realise we had an update today.

We had a few problems last night and now need to do some urgent work which may affect your access. Can you confirm your username and password so I can make sure these are transferred when we carry out the urgent update.
 
Oh, of course, it’s...

Would you disclose your username, password, email addresses or other details about where you work?
 
Your line manager, ICT department or provider already know a lot about you and will not need to ask these types of questions.',
			'field_order' => '2',
			'attachment_id' => '1732',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 20 => array(
			'id' => '3582',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Similarly, calls have been made to NHS and care staff where the caller pretends to be from the ICT department or provider.
 
For example, the caller advises that ICT have detected some problem with the employee’s work account, which they can resolve if the employee allows them to remotely access the laptop or PC.
 
They may ask you to disclose your username, password, email address or other details about where you work.',
			'field_order' => '3',
			'attachment_id' => '1733',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 21 => array(
			'id' => '3583',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Similarly, calls have been made to NHS and care staff where the caller pretends to be from the ICT department or provider.   For example, the caller advises that ICT have detected some problem with the employee’s work account, which they can resolve if the employee allows them to remotely access the laptop or PC.   They may ask you to disclose your username, password, email address or other details about where you work.',
			'description' => 'Revealing any information about your organisation on social media can be valuable to a fraudster.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 22 => array(
			'id' => '3584',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Hola! it’s holiday time again in 24 hours. Can you do me a favour? I forgot to update Jane Smith’s record – you know my password, don’t you?
 
No I don’t. Can you send it to me?
 
It’s Katie2011.
 
Got it. Haha! I do that with my passwords too – name them after my kids' names.
',
			'field_order' => '7',
			'attachment_id' => '1734',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 23 => array(
			'id' => '3585',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'It’s the office move day today so we’re having to use these stupid passes and door entry codes everywhere.
 
The amount of codes I have to remember these days is crazy - mine are all the same anyway!
 
Having to sort out all this funding today - we’ve just been awarded £1m to cut our waiting times. So guess what? I can sign off up to £50 000 now! 
',
			'field_order' => '5',
			'attachment_id' => '1735',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 24 => array(
			'id' => '3586',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'I can’t get in the office – can you pass me your door code?
 
Sure, it’s 12345.',
			'field_order' => '6',
			'attachment_id' => '1736',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 25 => array(
			'id' => '3587',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'A criminal reading the posts will gain vital intelligence about how the organisation's processes work.',
			'description' => 'What Information Could a Criminal get?

• Find out where Sandra's new office is by searching her organisation's website, then aligning the social worker’s online pictures to that office 
• Find out the dates of when Sandra will be on holiday and when her house will be vacant
• Find out children's names and birthdates to work out passwords

What Could a Criminal do with this Information?

• Gain access to Sandra's office using the door entry code
• Burgle Sandra's house when she is on holiday
• Install malicious software that corrupts data or prevents the organisation using it until they pay a ransom
• Gain access to data to sell on to other criminals
• Attempt to authorise one or more £50 000 transactions
• Attempt to create a new referral to claim a personal budget
• Access bank account details listed in the system, to steal a service user’s money',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 26 => array(
			'id' => '3588',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Email',
			'description' => 'Email can be the most efficient option for exchanging information securely but, as with all forms of information transfer, there are risks. Hackers and criminals sometimes use unsolicited emails that contain attachments or links to try to trick people into providing access to information. This type of threat is known as phishing.

Select the numbers to find out more information.',
			'field_order' => '9',
			'attachment_id' => '1737',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":141.219,"left":108,"annotation":"Click on a link\n\nClick on a link that will take you to a website that looks genuine and enter sensitive or financial information about yourself, your organisation or the people who use its services."},{"top":45.2188,"left":345,"annotation":"Open an attachment\n\nOpen an attachment that runs malicious code on your computer, giving an attacker full access to all data and systems that you can normally access."},{"top":106.219,"left":448,"annotation":"Unknowingly install malware\n\nSome malware can enable the hacker to steal data from your computer or your organisation’s network. Other types of malware might lock all your files and lead to your organisation being asked to pay a ransom to unlock them."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 27 => array(
			'id' => '3589',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'If you receive a request from a supposed colleague asking for login details or sensitive or financial information, or any information about the people using your service, you should always double-check the request by contacting the colleague by another method, such as by calling them.
 
Equally, if you receive an unsolicited email that contains attachments or links that you have not asked for, do not open them.
 
Remain vigilant and report the suspicious email to your line manager, ICT department or provider.
 
Never give your login details to anyone.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 28 => array(
			'id' => '3590',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Phishing',
			'description' => 'Phishing is by far the biggest and easiest form of social engineering.

Criminals use phishing emails and websites to scam people on a regular basis. They are hoping that you will click on fake links to sites or open attachments so that they can steal data or install malicious software.

• Aim of Phishing
- The aim of phishing emails is to force users to make a mistake for, example, by imitating a legitimate company’s emails or by creating a time-limited or pressurised situation.

• Do not Install Software
- Phishing email attachments or websites might ask you to enter personal information or a password, or they could start downloading and installing malware.
- Do not install any new software unless you are advised to do so by your line manager, ICT department or provider.
- Think – is someone trying to extract or extort information from you?

• Contact your ICT Department or Provider
You must contact your manager and ICT department or provider for advice immediately if you:
- Are unsure about an email or think that this may be happening to you
- Have clicked on a phishing link or visited a phishing website
',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 29 => array(
			'id' => '3591',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'There are warning signs that your email might be from a phisher or fraudster.',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '12',
			'attachment_id' => '1738',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":3.03125,"left":37,"annotation":"Sender\n\nHovering over the 'From' column is a simple way to check if an email is legitimate or not.\n\nIs the email from a person or organisation you recognise? A quick online search can bring up genuine email domain names such as @nhs.net or @xxx.gov.uk."},{"top":28.0312,"left":138,"annotation":"Subject\n\nIs the subject relevant to something that you are actually working on or is it in any way relevant to you? If not, alarm bells should start ringing.\n\nHowever, it may also be that the sender has incorrectly addressed the email."},{"top":14.0312,"left":216,"annotation":"Addressees\n\nCheck the address fields ‘To’ and ‘CC’, to see where the email has been sent.\n\nIf the fields contain multiple addressees (sometimes it can be 10s or even 100s), it is likely that the sender is ‘spamming’ potential targets and hoping to catch someone out. Don’t be that person."},{"top":42.0312,"left":71,"annotation":"Suspicious attachments\n\nIf a source, for example your bank, does not normally send you attachments, but then sends an email with an attachment, this may be evidence of spam."},{"top":87.0312,"left":318,"annotation":"Spelling, punctuation and incorrect grammar\n\nMany hackers misspell words and use bad grammar on purpose. Emails written in bulk may have visible errors or content that doesn’t make sense."},{"top":90.0312,"left":393,"annotation":"Links\n\nIf an email has provided you with some links and instructed you to click them, check it is a legitimate website link, also known as a URL.\n\nHover your mouse over any URLs that the email is trying to persuade you to visit, to make sure that they are legitimate."},{"top":129.031,"left":378,"annotation":"Requesting personal information\n\nA common tactic of spam emails is to alert you that you must provide or update personal information, including bank account details or an account password.\n \nYou will never legitimately be asked to provide your email login details, such as your password, by a genuine ICT department or service."},{"top":186.031,"left":243,"annotation":"What do I do if I receive a phishing email?\n\nDo not reply.\n \nSelect the email, right-click it and mark it as junk.\n \nInform your line manager, local ICT department or service provider and they will advise on how you can block further emails from being received."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 30 => array(
			'id' => '3592',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Macros and Malware',
			'description' => 'Select the numbers for more information.',
			'field_order' => '13',
			'attachment_id' => '1739',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":90.6406,"left":128,"annotation":"Macros\n\nMacros are a series of actions that a program such as Microsoft Excel may perform to work out some formulas. Your computer will disable macros by default because they can be programmed to install malware.\n\nAlways be vigilant when enabling macros.\n \nDo you trust the source of the document?"},{"top":155.641,"left":370,"annotation":"Malware\n\nMalware can reside on your computer and avoid detection, making it easier for someone to be active on your system without you noticing.\n\nTo protect your organisation from this type of threat, your ICT department or provider will ensure that you have up-to-date antivirus software installed.\n \nMalware can make computers run slowly or perform in unusual ways.\n \nIf you suspect that your computer is not performing as it normally does, contact your line manager, ICT department or provider for help."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 31 => array(
			'id' => '3593',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Good Practice',
			'description' => 'Select the numbers for more information.',
			'field_order' => '14',
			'attachment_id' => '1740',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":111.75,"left":169,"annotation":"Untrusted websites\n\nBe vigilant when you visit a website that is declared ‘untrusted’.\n\nIf a web browser states that you are about to enter an untrusted site, be very careful. It could be a fake phishing website that has been made to look genuine.\n \nA browser may display a red padlock or a warning message stating your connection is not private."},{"top":78.75,"left":414,"annotation":"Passwords\n\nIt is important to use strong passwords on all of your devices to prevent unauthorised access. You should also use different passwords for each account.\n \nCreating strong passwords doesn’t need to be a daunting task if you follow some simple guidelines.\n \nThe National Cyber Security Centre (NCSC) has a range of guidance on good password management.\n \nConsider the use of a free password manager, too. Again, the NCSC has detailed guidance on what to look for - a link to NCSC can be found in Resources."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 32 => array(
			'id' => '3594',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Understanding your Environment',
			'description' => 'Using your home internet connection, your workplace Wi-Fi connection and your phone’s personal hotspot should be password protected.
 
Security measures
 
• Change default passwords
• Use encryption - WPA2 is a type of encryption used to secure the vast majority of Wi-Fi networks
• Use password managers
• Disable auto connect to unknown Wi-Fi networks
• Update phones and devices with latest patches

The environment where you access information is also important. For example, Wi-Fi hotspots in public places such as cafes, fast food chains, public transport, people's homes, hotels and shops are not secure.',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 33 => array(
			'id' => '3595',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Staying safe online

• Passwords protect your device
• Use personal hotspot for internet access
• Keep belongings close by
• Do not assume Wi-Fi hotspots are secure
• Sit where you are not overlooked or use a privacy screen on your laptop - back against the wall is best
• Keep paperwork or documents to a minimum
•Do not discuss confidential data on the phone where you may be overheard
 
Remember to keep secure and be vigilant at all times.',
			'field_order' => '16',
			'attachment_id' => '1741',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 34 => array(
			'id' => '3596',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Cloud Storage',
			'description' => 'It can be the case that although the storage systems you use at home may be similar to those in your workplace, be aware of the different arrangements with regards to data security and protection. Check your local policies, or seek advice from your organisation's IT service desk or IG/data security contact.',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 35 => array(
			'id' => '3597',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Devices',
			'description' => 'A number of simple measures can help you to stay safe online.
 
You should ensure your device is kept up-to-date particularly with any security updates.
 
You should lock your device as soon as you stop using it. All mobile phones, laptops, PCs and tablets whether personal or not, should have a password set. If you see a colleague’s device open and unlocked, lock it for them and gently remind them to do so in future. This also applies to corporate mobile devices – activate the lock function so that a password or code is needed to unlock them.
 
Tip: Press the Windows key + L on your keyboard to quickly lock your laptop or PC.',
			'field_order' => '18',
			'attachment_id' => '1742',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 36 => array(
			'id' => '3598',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Do not use unauthorised USB drives and mobile devices and avoid plugging in any non-approved devices to charge via USB cable. A private mobile phone is effectively a large USB storage device and may contain malware.',
			'description' => 'Many organisations have policies about using USB drives, such as only using encrypted drives. Make sure you understand and follow your organisation's rules.
 
Using untrusted USB drives on your work computer can introduce malicious software and allow an attacker access to your network. Similarly, using trusted USB devices on public computers can cause a data breach.  If you are unsure, ask your line manager or IT department.',
			'field_order' => '19',
			'attachment_id' => '1743',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 37 => array(
			'id' => '3599',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Disposal of Information',
			'description' => 'We have to be careful when disposing of any information. Much of the data that health and care organisations create and use is classed as official in the eyes of the government.
 
USB drives and other digital storage media should be returned to your IT department for secure erasure, and paper records should be put into confidential waste bins or shredded.',
			'field_order' => '20',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 38 => array(
			'id' => '3600',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Clear Desk Policy',
			'description' => 'Most organisations now have a clear desk policy or equivalent guidance which includes working from home and you need to be aware of this.

Do not leave information such as documents that identify someone or financial details in unsecure locations
Having a clear desk ensures that you are not potentially leaving sensitive information lying around, raising the risk of a breach
A clear desk policy reduces the risk of data loss by ensuring no confidential or commercial information is left unattended throughout the workplace',
			'field_order' => '21',
			'attachment_id' => '1744',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 39 => array(
			'id' => '3601',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Home Working',
			'description' => 'More of us are working from home on a regular basis. Are you aware of the data security and protection issues?

Select the numbers below to find out more.',
			'field_order' => '22',
			'attachment_id' => '1745',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":173.25,"left":144,"annotation":"Your workspace\n\nYour kitchen table could be your office, be mindful of sensitive work conversations in shared household spaces."},{"top":152.25,"left":346,"annotation":"Being vigilant\n\nAt home we can sometimes drop our defences and forget that we should treat our home workspaces as much as possible like work."},{"top":41.25,"left":371,"annotation":"Video calls\n\nYour working environment will be visible. For example, notice boards with sensitive information such as bank statements, login details to personal accounts and clinic appointment letters.\n\nYou should consider blurring your background in a video call or using a fake background effect. This will also help to protect the privacy of those who you live with."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 40 => array(
			'id' => '3602',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'Confidentiality and Sharing Information',
			'description' => 'Confidential data is all data collected for the provision of health and social care services where people can be identified and would expect it to be kept private. This may include details about symptoms, diagnosis, treatment, names and addresses (this applies whether they are alive or deceased). In some instances, it may include staff information.

Under the common law duty of confidentiality, confidential information can be used or shared further with the consent of the individual. This consent can be implied (in relation to sharing for direct care) or expressly given.

Where this is not possible  or appropriate, decisions on whether or not confidential data can be shared for purposes beyond individual care should be made by senior staff. This could be, for example, your Information Governance (IG) lead, Caldicott Guardian, your manager or someone in your organisation who has responsibility for data protection. These decisions should be documented.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 41 => array(
			'id' => '3603',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'image-hotspot',
			'field_label' => 'The Caldicott Principles',
			'description' => 'Before using confidential information, you should consider the Caldicott Principles [4]. The Caldicott Principles are intended to guide organisations on the use of confidential information within health and social care organisations and when such information is shared with other organisations or individuals. They apply to all data collected for the provision of health and social care services, where people can be identified and would expect that the data be kept private.

Caldicott Guardians are senior people within an organisation who protect the confidentiality of people's information by considering the ethical and legal aspects of data sharing. They play a vital role in ensuring that health and social care data is used responsibly to support the delivery of better care. Previously, only NHS organisations and local authorities were required to have a Caldicott Guardian.

The National Data Guardian released guidance in August 2021 that all of the following organisations that process confidential information of patients and service users should appoint a Caldicott Guardian: public bodies exercising functions that relate to the health service, adult social care or adult career support in England, as well as other organisations providing services as part of the publicly funded health service, adult social care, or adult carer support [5]. It is good practice for any organisation using health and care data to appoint a Caldicott Guardian, even if they are not required to.',
			'field_order' => '1',
			'attachment_id' => '1746',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":13.8906,"left":106,"annotation":"Every proposed use or transfer of confidential information should be clearly defined, scrutinised and documented, with continuing uses regularly reviewed by an appropriate guardian."},{"top":7.89062,"left":211,"annotation":"Confidential information should not be included unless it is necessary for the specified purpose(s) for which the information is used or accessed. The need to identify individuals should be considered at each stage of satisfying the purpose(s) and alternatives used where possible."},{"top":6.89062,"left":329,"annotation":"Where use of confidential information is considered to be necessary, each item of information must be justified so that only the minimum amount of confidential information is included as necessary for a given function."},{"top":11.8906,"left":438,"annotation":"Only those who need access to confidential information should have access to it, and then only to the items that they need to see. This may mean introducing access controls or splitting information flows where one flow is used for several purposes."},{"top":173.891,"left":50,"annotation":"Action should be taken to ensure that all those handling confidential information understand their responsibilities and obligations to respect people's confidentiality."},{"top":173.891,"left":171,"annotation":"Every use of confidential information must be lawful. All those handling confidential information are responsible for ensuring that their use of and access to that information complies with legal requirements set out in statute and under the common law."},{"top":173.891,"left":281,"annotation":"Health and social care professionals should have the confidence to share confidential information in the best interests of patients and service users people using their services within the framework set out by these principles. They should be supported by the policies of their employers, regulators and professional bodies."},{"top":180.891,"left":376,"annotation":"A range of steps should be taken to ensure there are no surprises, so that people have clear expectations about how and why their confidential information is used, and what choices they have about this. These steps will vary depending on the use: as a minimum, this should include providing accessible, relevant and appropriate information - in some cases, greater engagement will be required."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:59:31',
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		),
		(int) 42 => array(
			'id' => '3604',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'media-field',
			'field_label' => 'Informing People',
			'description' => 'People will not expect health and care professionals to look at their health records unless those professionals are involved in their care.
 
Wherever possible, you should inform people that you are accessing and using their information and the reason for doing so. There are specific techniques that you should use.

Explain
Clearly explain to people how you will use their information and point them to additional information if they ask for it. For example, on your organisation's website, in a leaflet or on a poster, or verbally when you see the person where appropriate.

Choices
Let people know what choices they have in relation to how their information is used and tell them whether that choice will affect the services offered to them. For example, it may not be possible to provide some services without being able to access their information.

If people are offered a choice, then it must be genuine and that choice should be respected, as and where appropriate.

Meet Expectations
Only use personal data in ways that people would reasonably expect. If people feel that their information may be used in unexpected ways or for purposes they may not support, this greatly undermines the relationship of trust.

The effect may be to deter people from seeking treatment, or, when seeking treatment, to only disclose partial or false details, thereby denying health and care providers the information they need to deliver safe and effective care.',
			'field_order' => '2',
			'attachment_id' => '1747',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 43 => array(
			'id' => '3605',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'Sharing Information for Individual Care',
			'description' => 'In line with the seventh Caldicott principle, sharing information with the right people can be just as important as not disclosing to the wrong person.
 
You have a legal duty to share the information:
• If it will assist in the care or treatment of an individual concerned and
• It is reasonable to believe that the individual concerned understands the reason for sharing

Check
Check that the individual understands what information will be shared and has no concerns.

Data Protection
Ensure that the data protection, record keeping and security best practice (covered elsewhere in this session) are met.

Respect Objections
Normally, if the individual objects to any proposed information sharing, you must respect their objection even if it undermines or prevents care provision.

Your Caldicott Guardian, IG lead, your manager or someone in your organisation who has responsibility for data protection will be able to advise on what to do in these circumstances.
',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 44 => array(
			'id' => '3606',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'Sharing Information for Secondary Care',
			'description' => 'Consent is not always needed to share personal information for purposes other than individual care, such as planning and research as there are other legal gateways which permit data to be used for the purposes explained above.

Public Interest
This includes times where sharing personal information can be justified in the public interest including where there is a risk of serious harm to someone. If there is a risk of immediate harm to an individual, and you cannot find an appropriate person with whom to discuss the information request, you should share the information.

At the first opportunity afterward, you should inform the person responsible for IG in your organisation so they can follow-up the legal basis for sharing and document it.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 45 => array(
			'id' => '3607',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'The National Data Opt-Out',
			'description' => 'A national data opt out has been introduced to allow people to choose whether their confidential information is used for research and planning purposes. Health and care organisations must comply with this policy.

In practical terms, this means that people can register their national data opt-out online, through a national telephone service or through the NHS App. People can also change their national data opt-out choice at any time.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 46 => array(
			'id' => '3608',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'paragraph',
			'field_label' => 'Data Breaches',
			'description' => 'he UK GDPR introduces a duty on all organisations to report personal data breaches that have a significant impact on people to the ICO within 72 hours. A personal data breach is a breach of security leading to the accidental or unlawful destruction, loss, alteration, unauthorised disclosure of, or access to, personal data. This includes breaches that are the result of both accidental and deliberate causes. It also means that a breach is more than just about losing personal data.

There are three different types of personal data breaches.

Confidentiality Breach
A confidentiality breach is where there is an unauthorised or accidental disclosure of, or access to, personal data. This is also a criminal offence under UK law.

Examples include:

• Names and email addresses of 500 survey respondents are sent by email to the wrong supplier
• Unencrypted portable devices containing dataset extracts, which include details of hospital admissions are stolen from a research office
• An IT services firm has been contracted to archive and store customer records. The IT firm detects an attack on its network that results in personal data about customers being unlawfully accessed
• An employee file containing references and sickness records is left on public transport

Integrity Breach
An integrity breach is where there is an unauthorised or accidental alteration of personal data.

Examples include:

• An authorised user of a system modifies the profiles and access controls of other users without permission
• An analyst with authorised access to a dataset containing personal data makes additional copies of the dataset without applying robust version control procedures

Availability Breach
An availability breach is where there is an accidental or unauthorised loss of access to, or destruction of, personal data.

Examples include:

•  Records destroyed earlier than scheduled because the list for destruction said 2012 instead of 2021
• Records misfiled in wrong person's record so not available when providing care
• The decryption key to securely encrypted personal data has been lost rendering the data unavailable until it is restored from a backup
• An operating system vulnerability is exploited by a ransomware attack, which results in personal data being encrypted for several days until the issue is resolved',
			'field_order' => '0',
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			'active' => '1',
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		),
		(int) 47 => array(
			'id' => '3609',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Cyber and Non-Cyber Incidents',
			'description' => 'The ICO has provided further guidance on the types of incidents that may involve a breach of personal data.

Cyber incidents
• Brute force
• Cryptographic flaw
• Denial of service
• Hardware and software misconfiguration
• Malware
• Phishing
• Ransomware
• Unauthorised access

Non-cyber incidents

• Alteration of personal data
• Data emailed to the incorrect recipient
• Wrong person's information shown in online portal
• Failure to redact (remove or obscure sensitive information from view within a document)
• Unsecure disposal of paperwork
• Loss and theft of information left in an insecure location
• Verbal disclosure of personal data
• Failure to use bcc

Imagine the risk involved in making an important decision about a person’s care if his or her record was no longer available, was wrong or incomplete or if someone had tampered with it. Security incidents can lead to serious personal data breaches which can impact the care and treatment people receive.

Imagine a person's care being adversely affected either by the lack of availability or alteration of a connected medical device.
',
			'field_order' => '1',
			'attachment_id' => '1748',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 13:11:49',
			'modified' => '2024-08-07 13:11:49'
		),
		(int) 48 => array(
			'id' => '3610',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Postal Breaches',
			'description' => 'Certain procedures can help to reduce the risk of data breaches when sending information by post, email, telephone and other means.
 
Consider the different ways in which breaches and incidents can be avoided by remaining vigilant and aware of your personal responsibility.

Miss Broom is waiting to receive information from her social worker. She opens her post one morning and finds that, as well as her own letter, the envelope contains two further letters addressed to other people.
 
Miss Broom contacts the organisation and tells an administrative officer about the letters.

The organisation's IG lead telephones Miss Broom to apologise for the error and asks her to keep the letters safe while arrangements are made for someone to collect them.
 
The organisation writes a formal apology to Miss Broom and to the two individuals about whom she received letters.

Both individuals were deeply concerned that Miss Broom, who they did not know, now knew important information about them. One of them wrote to their local paper about the breach.
 
Senior staff in the local authority spent the next two weeks responding to media queries about the number of breaches that the organisation had experienced.
 
The other individual, who had suffered from a similar breach the previous year, instructed his solicitor to bring legal proceedings against the local authority.

Make sure that all correspondence containing personal data is always addressed to a named person, not to a department, a unit or an organisation.
 
If the information contained in a letter includes more than basic clinical information, for example, appointment details, consider sending it by recorded or tracked delivery.

Recorded Delivery 
You should assess the risks of posting paper records which include personal data and use this method only where it is absolutely necessary, secure and appropriate to do so. Consider using tracked or recorded delivery. Take special care when sending large amounts of information, for example, case notes or care records on paper, encrypted disk or other media.
 
Send these by tracked or recorded post or by NHS courier to ensure that such information is only seen by the authorised recipients. In some circumstances, you should obtain a receipt as proof of delivery, for example, when sending care records to a solicitor.

Approved Packaging
Only send case notes and other bulky material in robust, approved packaging, never in dustbin sacks, carrier bags or other containers.
 
Don’t leave the packages unattended unless they are securely stored, when waiting for collection.
 
Make certain that the packages are taken and transported by the approved carrier.
',
			'field_order' => '2',
			'attachment_id' => '1749',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'field_correct' => null,
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			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 13:11:49',
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		),
		(int) 49 => array(
			'id' => '3611',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Email Breaches',
			'description' => 'Email is increasingly becoming the preferred method for exchanging information, but as with other forms of communication, there are risks.

Mr Foster has recently been diagnosed with depression and has joined a support group to help him through this care.
 
He has just received his monthly email and noticed the names and email addresses of more than 500 people.

The organisation undertakes an investigation and finds that a new member of staff had sent out the email.

Everyone who received the email could identify who was a member of the depression support group.
 
The investigations found that all existing staff members involved in sending out emails knew what to do but had not supervised the new member of staff.

',
			'field_order' => '3',
			'attachment_id' => '1750',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:11:49',
			'modified' => '2024-08-07 13:11:49'
		),
		(int) 50 => array(
			'id' => '3612',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'image-hotspot',
			'field_label' => 'Your organisation will have guidance on sending secure emails. If you are an NHSmail user, you can go to the NHSmail portal to access guidance about sending emails securely [6].',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '4',
			'attachment_id' => '1751',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":133.672,"left":36,"annotation":"Check with your line manager whether it is acceptable to send information in this way."},{"top":132.672,"left":125,"annotation":"Confirm the accuracy of the email addresses for all intended recipients, sending test emails if you are unsure.\n\nBe aware that autofill functions may sometimes add an incorrect recipient with a similar name."},{"top":141.672,"left":243,"annotation":"Check that everyone on the copy list has a genuine ‘need to know’ the information you are to send."},{"top":131.672,"left":364,"annotation":"Health and social care organisations must meet the secure email standard (DCB1596) so that everyone can be sure that sensitive and confidential information is kept secure.\n\nIf you are unsure of what to do, ask your line manager, ICT department or provider for advice."},{"top":131.672,"left":461,"annotation":"Where an email needs to be sent to an unsecured email address, check whether this is at the request of a service user who understands and accepts the risks.\n \nConsider whether it would be more appropriate to encrypt the email yourself."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:11:49',
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		),
		(int) 51 => array(
			'id' => '3613',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Video Conference and Telephone Breaches',
			'description' => 'If a request for information is made by phone you should, where possible, adhere to the following processes and procedures.

• Confirm the name, job title, department and organisation of the person requesting the information
• Confirm that the reason for the information request is appropriate
• Find a contact telephone number that you know is correct for the organisation - such as the main switchboard number - so you can call back and ask for the named individual, to confirm that the caller is genuine
• Check whether the information can be provided. If in doubt, tell the person you will call them back
• Only provide the information to the person who requested it. Do not leave messages
• Ensure that you record your name, the reason for the disclosure and who authorised the disclosure in the patient/service user's record. Make sure you also record the recipient's name, job title, organisation and telephone number

Joe, a practice manager, receives a call from a local hospital requesting information about Mrs Smith, one of the practice patients.
 
He knows that she has been referred to that hospital for cancer investigation, so he gives the information to the caller.
 
Joe should not give patient information over the phone without first checking the identity of the caller and whether they have a valid reason to request it. Joe had no proof that the previous day’s call was from the local hospital.
 
The next morning, Mrs Smith phones the practice and tells Joe that her brother-in-law has information about her health that he can only have obtained from the practice. At that point, Joe realises that he had no proof that the previous day’s call was from the local hospital.',
			'field_order' => '5',
			'attachment_id' => '1752',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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		),
		(int) 52 => array(
			'id' => '3614',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'paragraph',
			'field_label' => 'Physical and Data Security Risks',
			'description' => 'Last week, someone in a high-visibility vest visited a social care office as well as a GP practice in the same local area. In each case, he followed a member of staff into the building and told the receptionist that he needed everyone's details for a 'software update'.
 
The person then sold these details to other criminals. Let's find out what else he found.

Doors
Nearly every door the visitor encounters is open. Even those doors marked as 'restricted access' have been propped open to allow for a delivery.
 
This means he is able to wander freely in and out without challenge, and could have stolen equipment or personal items belonging to staff.
 
Don't leave open or prop open doors, especially those in restricted zones.

Visitors
The visitor has forged a badge. He approaches the reception desk and asks for directions to the server room. They are happy to help. His badge isn't even checked.
 
With access to the server room, he can disrupt the server as much as he likes, causing connectivity problems across the whole organisation.
Do check identification badges when you feel safe to do so. If not, seek help. 

Desk
Despite most organisations having strict clear desk policies, a lot of data is found in unoccupied office areas. Financial documents, including client account details, are lying on desks.
 
The visitor has a bag of memory sticks and randomly disperses them on desks in the hope that someone will plug one in. It will then start installing malware onto the computer.
Don't plug in unknown or unapproved devices and seek from your IT support provider if in doubt. ',
			'field_order' => '6',
			'attachment_id' => null,
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			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 13:11:49',
			'modified' => '2024-08-07 13:11:49'
		),
		(int) 53 => array(
			'id' => '3615',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'paragraph',
			'field_label' => 'Reporting Incidents',
			'description' => 'Your role is to report concerns or details of a security incident as soon as you become aware of it. Your organisation should have an incident reporting procedure setting out what staff members should do on discovering a security incident or suspecting one has occurred.

You have a responsibility to familiarise yourself with your organisation's incident reporting procedure and to know who to report data security incidents to.

If you have concerns or become aware of a data security incident, report it. Do not assume that it is somebody else's responsibility to report the incident. We all have a role to play in protecting information.

Your organisation will have an individual or team whose responsibility it is to manage and investigate an incident
Near misses, where information was nearly lost or where someone attempted to access information should also be reported

Know your organisation's policy regarding the safe and acceptable use of IT.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:11:49',
			'modified' => '2024-08-07 13:11:49'
		),
		(int) 54 => array(
			'id' => '3616',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'media-field',
			'field_label' => 'Information Disposal',
			'description' => 'Make sure you know and follow your organisation's policy and procedures for the disposal of information.

Seek advice from your line manager, ICT department or technology provider when disposing of the information held on digital assets for example, laptops and smartphones.

All devices, such as laptops, must be disposed of by your ICT department or provider.

Any personal data must be treated as confidential and securely disposed of. This includes secure disposal of paper records in locked confidential waste bins.

When disposing of records, it is important to obtain a record of its disposal. This could be a certificate of destruction (so it is clear that the record has been destroyed, rather than misplaced), or an accession notice (when records are deposited with the local Place of Deposit or the National Archives, for long-term archival preservation).',
			'field_order' => '3',
			'attachment_id' => '1753',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 55 => array(
			'id' => '3617',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'media-field',
			'field_label' => 'Good Practice',
			'description' => 'Certain simple actions can ensure that you comply with data protection principles and follow the Records Management Code of Practice for Health and Care. Your organisation will have policies and procedures and can give you training to help ensure good governance.
 
It is important that records are complete, accurate, dated and timed, with an audit trail of who has added what.
 
They should distinguish between people's records, your opinions and any information provided by others.

This component is an accordion comprised of collapsible content panels containing display text. Select the item titles to toggle the visibility of these content panels.
Poor quality information presents a risk to people, staff members and the organisation. If you are uncertain about any of the good practice raised, talk to your records manager or IG team to improve your understanding.

Timely and up-to-date
Records are primarily intended to support care and should authentically represent each and every consultation (including by telephone or any other remote method). Therefore, record information at the time or as soon as possible after the event.

Accurate
Records made about the care and support given to people must be accurate and reflect what was provided to people. 

Give people the opportunity to check and confirm the personal details held about them.

Complete
Ensure all necessary information is included so that records can be used effectively. Remember to include the NHS number if available.

Free from Duplication
Before you create a new record, make sure that one doesn’t already exist.',
			'field_order' => '2',
			'attachment_id' => '1754',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 56 => array(
			'id' => '3618',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'media-field',
			'field_label' => 'Information Management Lifecycle',
			'description' => 'All records go through a series of phases:

• Creation
• Use
• Retention
• Disposal decisions (usually destruction)

For guidance, refer to:

• Your organisation's records management policy and/or retention schedule and guidance
• The Records Management Code of Practice for Health and Social Care Organisations [1]
 ',
			'field_order' => '1',
			'attachment_id' => '1755',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 57 => array(
			'id' => '3619',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'paragraph',
			'field_label' => 'Good Record Keeping',
			'description' => 'Records management is about the creation, use and disposal of records. Health and care organisations create records about the care and support they provide to people, and how they operate.

Effective records management will ensure records are available when needed, and the responsibility for managing them is everyone's.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 58 => array(
			'id' => '3620',
			'course_id' => '122',
			'course_lesson_id' => '568',
			'field_type' => 'media-field',
			'field_label' => 'Making a Request',
			'description' => 'An organisation has 2 separate duties when responding to requests:

• To tell the applicant whether they hold any information falling within the scope of their request
• To provide that information, unless there is a legitimate reason not to disclose (where an exemption applies)

An organisation normally has 20 working days to respond to a request.

For a request to be valid under the Freedom of Information Act, it must be in writing, but requesters do not have to mention the Act or direct their request to a designated member of staff.

It is good practice to provide the contact details of your freedom of information officer/team (which is on your organisation's website), but you cannot ignore or refuse a request simply because it is addressed to a different member of staff. Any written request to a public authority asking for information is a request for recorded information under the Act.

This doesn't mean you have to treat every enquiry formally as a request under the Act. It will often be most sensible and provide better customer service to deal with it as a normal customer enquiry under your usual customer service procedures.

When a request is received or you are asked how to submit an FOI request, it is important that you follow your organisation's policy and procedure and immediately direct the requests to the relevant team.',
			'field_order' => '2',
			'attachment_id' => '1756',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:21:14',
			'modified' => '2024-08-07 13:21:14'
		),
		(int) 59 => array(
			'id' => '3621',
			'course_id' => '122',
			'course_lesson_id' => '568',
			'field_type' => 'media-field',
			'field_label' => 'Publishing Information',
			'description' => 'As well as responding to requests for information, organisations must publish information proactively. The Freedom of Information Act requires every public authority to have a publication scheme, approved by the Information Commissioner’s Office (ICO), and to publish information covered by the scheme.

The scheme must set out your organisation’s commitment to make certain classes of information routinely available, such as policies and procedures, minutes of meetings, annual reports and financial information.',
			'field_order' => '1',
			'attachment_id' => '1757',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:21:14',
			'modified' => '2024-08-07 13:21:14'
		),
		(int) 60 => array(
			'id' => '3622',
			'course_id' => '122',
			'course_lesson_id' => '568',
			'field_type' => 'paragraph',
			'field_label' => 'Freedom of Information',
			'description' => 'The Freedom of Information (FOI) Act 2000 [7] provides public access to information held by public authorities.

The Act covers any recorded information* that is held by a public authority in England, Wales and Northern Ireland, and by UK-wide public authorities based in Scotland.

*It should be noted that data will normally be exempt from release under this legislation as it is covered by the data protection legislation.

Recorded Information
This might include but is not limited to information contained in:

• Printed documents
• Computer files
• Letters
• Emails
• Notes
• Photographs
• Messages sent through text or messaging apps
• Sound or video recordings, for example, telephone conversations or CCTV 

Recorded information is not limited to official documents, nor is it limited to information you create, so it also covers, for example, letters you receive from members of the public, although there may be a good reason not to release them or to release only parts of the information within documents, for example, you would redact personal data.

Public Authority
Public authorities include:

• Government departments
• Local authorities
• NHS organisations
• State schools
• Police forces

However, the Act does not necessarily cover every organisation that receives public money. For example, it does not cover some charities that receive grants and certain private sector organisations that perform public functions.

Anyone can ask for any information that is held by a public authority. However, this does not mean you are always obliged to provide the information. In some cases, there will be a good reason why you should not make public some or all of the information requested. There are therefore exemptions within the Act which permit public authorities to withhold information in certain circumstances or to refuse to comply with a request. Your FOI team will be able to provide advice on when these exemptions may apply',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:21:14',
			'modified' => '2024-08-07 13:21:14'
		),
		(int) 61 => array(
			'id' => '3623',
			'course_id' => '122',
			'course_lesson_id' => '569',
			'field_type' => 'paragraph',
			'field_label' => 'Key Points',
			'description' => 'We all have a legal and professional duty to handle public information in a safe and secure manner
Data security can be broken down into 3 areas: confidentiality, integrity and availability
To make sure you comply with the law, you must know and comply with any information policies, procedures or protocols that your organisation has in place
Make sure information is shared in a secure way and that you have consent to do so where needed. Give individuals an opportunity to check the accuracy of information held to enable any mistakes to be corrected
By following good practice, you can help to ensure that people's information is not put at risk',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:25:12',
			'modified' => '2024-08-07 13:25:12'
		),
		(int) 62 => array(
			'id' => '3624',
			'course_id' => '122',
			'course_lesson_id' => '569',
			'field_type' => 'text-links',
			'field_label' => 'Further Information',
			'description' => '1. NHS Records Management Code of Practice 2021. <a href="https://transform.england.nhs.uk/information-governance/guidance/records-management-code/">View website</a><br>2. Information Commissioner's Office. Guide to the UK General Data Protection Regulation. London: ICO, 2018. <a href="https://ico.org.uk/for-organisations/uk-gdpr-guidance-and-resources/">View website</a><br>3. The Data Protection Act 2018. London: HMSO, 2018. <a href="https://www.legislation.gov.uk/ukpga/2018/12/contents/enacted">View website</a><br>4. National Data Guardian. The Caldicott Principles. London: NDG, 2020. <a href="https://www.gov.uk/government/publications/the-caldicott-principles">View website</a><br>5. National Data Guardian. National Data Guardian guidance on the appointment of Caldicott Guardians, their role and responsibilities. London: NDG, 2021. <a href="https://www.gov.uk/government/publications/national-data-guardian-guidance-on-the-appointment-of-caldicott-guardians-their-role-and-responsibilities">View guidance</a><br>6. NHS Digital. Guidance for sending secure email (including to patients). <a href="https://digital.nhs.uk/services/nhsmail/guidance-for-sending-secure-email">View website</a><br>7. Freedom of Information Act 2000. London: HMSO, 2000. <a href="https://www.legislation.gov.uk/ukpga/2000/36/contents">View website</a>',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:25:12',
			'modified' => '2024-08-07 13:25:12'
		),
		(int) 63 => array(
			'id' => '3625',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  It is important to lock your computer or mobile device when you're not using it.',
			'description' => 'Choose the correct option',
			'field_order' => '0',
			'attachment_id' => '1758',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 64 => array(
			'id' => '3626',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Someone follows you into your workplace and asks you to hold the door as they have forgotten their access card. Should you stop and challenge them?',
			'description' => 'Choose the correct option',
			'field_order' => '1',
			'attachment_id' => '1759',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No","Yes"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 65 => array(
			'id' => '3627',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is  the following statement true or false?  You are generally allowed to share people's data by using social media such as Facebook, Snapchat, Twitter or LinkedIn, because it is securely stored.',
			'description' => 'Choose the correct option',
			'field_order' => '2',
			'attachment_id' => '1760',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 66 => array(
			'id' => '3628',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  You need consent or an alternative legal basis to use a person's health and care information for non-care purposes.',
			'description' => 'Is the following statement true or false?

You need consent or an alternative legal basis to use a person's health and care information for non-care purposes.',
			'field_order' => '3',
			'attachment_id' => '1761',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 67 => array(
			'id' => '3629',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Important work-related documents, files or information should always be safely stored in folders that are backed up.',
			'description' => 'Choose the correct option',
			'field_order' => '4',
			'attachment_id' => '1762',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 68 => array(
			'id' => '3630',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Only use authorised USB drives or memory cards in work computers or mobile devices.',
			'description' => 'Choose the correct option',
			'field_order' => '5',
			'attachment_id' => '1763',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 69 => array(
			'id' => '3631',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Should you include sensitive information in social media posts relating to your work even though the system may allow you to?',
			'description' => 'Choose the correct option',
			'field_order' => '6',
			'attachment_id' => '1764',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No","Yes"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 70 => array(
			'id' => '3632',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Opening attachments or clicking web links from personal email or social media accounts on work devices can increase the risk of malware being downloaded.',
			'description' => 'Choose the correct option',
			'field_order' => '7',
			'attachment_id' => '1765',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 71 => array(
			'id' => '3633',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'multiple-choice',
			'field_label' => 'On a video conference from home, what should you ensure is not visible?',
			'description' => 'Choose all that apply and select Submit.',
			'field_order' => '8',
			'attachment_id' => '1766',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Any passwords and key codes","Individual's personal telephone numbers","Clinical correspondance"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 72 => array(
			'id' => '3634',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Someone in your team nearly lost or mistakenly shared a large quantity of sensitive information. It was a 'near miss'.  Should you report it?',
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			'description' => 'Choose the correct option',
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			'course_lesson_id' => '570',
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			'description' => 'Choose the correct option',
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			'modified' => '2024-08-07 13:42:49'
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			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Under UK GDPR, an individual can be held responsible for a data breach.',
			'description' => 'Choose the correct option',
			'field_order' => '12',
			'attachment_id' => '1770',
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			'modified' => '2024-08-07 13:42:49'
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			'course_lesson_id' => '570',
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			'field_label' => 'Is the following statement True or False?  Sharing information with the right people can be just as important as not disclosing to the wrong person.',
			'description' => 'Choose the correct option ',
			'field_order' => '13',
			'attachment_id' => '1771',
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			'modified' => '2024-08-07 13:42:49'
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			'field_label' => 'When an individual requests information under a Freedom of Information Act, do they have to mention FOIA or direct their request to a designated member of staff?',
			'description' => 'Choose the correct option ',
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			'modified' => '2024-08-07 13:42:49'
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			'id' => '3561',
			'course_id' => '122',
			'course_lesson_id' => '561',
			'field_type' => 'paragraph',
			'field_label' => 'Objectives',
			'description' => '- Describe the importance of data security in health and social care
- Outline the steps you must follow to ensure you comply with the law
- Define potential threats to the security of information and how you can avoid or minimise them
- Identify data breaches and how to prevent them
- Outline the principles of good record keeping
- Describe the responsibilities of health and social care organisations under the Freedom of Information Act 2000 and what you can do to support compliance with this law',
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			'course_id' => '122',
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			'field_type' => 'paragraph',
			'field_label' => 'Duration',
			'description' => '•  45 minutes (knowledge chapters)
•  15 minutes (eAssessment)',
			'field_order' => '1',
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			'field_label' => 'The Principles of Data Protection',
			'description' => 'Good information governance underpins good care. People's safety and preferences are supported when the confidentiality of their personal data is maintained, its integrity is protected against loss or damage and the information is accessible by those who are authorised, when they need it.

Everyone who uses health and social care services should be able to trust that their health and care information is adequately protected. People should be assured that those involved in their care, and in running and improving the services, are using such information appropriately and respecting patient choices where required.

By being mindful of good practice when handling information, you can help to ensure that people remain safe and receive the best possible care.

Remember, individuals have certain legal rights with regards to their personal data and organisations have certain legal responsibilities and obligations to comply with when processing personal data. You will learn more about this as we go through the course.

When you are responsible for handling personal data, you must not forget that it's people's information; it should be treated with respect, it's important that people's information is used only in ways they would expect and that it stays safe. In this session, you will learn more about data protection law which makes sure everyone’s data is used properly and legally.

We all have a duty to protect people's personal data in a safe and secure manner and share it appropriately.
 ',
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			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'image-hotspot',
			'field_label' => 'Managing Information',
			'description' => 'Making sure that people's information is protected and handled securely is something all staff will recognise. We are responsible for ensuring that people's information is only used for the good of health and care, and that it is always protected.

However, the way we manage information impacts the performance of all areas of health and care, and affects all employees.  For example, support functions like HR also have a critical role in managing staff records, estates for managing information about the places we work; and commercial for managing contracts.

Staff should familiarise themselves with good records management practice (see Records Management Code of Practice for Health and Social Care [1]), preserving content in line with retention schedules, and following the information lifecycle.

Effective information management enables teams to use their time, resources and expertise effectively to make decisions and to fulfil their roles.

Select the numbers to find out more.',
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			'attachment_id' => '1717',
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			'field_choices' => '{"width":500,"annotations":[{"top":95.9844,"left":31,"annotation":"Collection\n\nCollection of information can be done in many ways; for example, verbally, via an online or written form, or via large-scale data transfers of a database or spreadsheet. It can also be taken from various sources such as the individual themselves, their care record, their GP practice, a family member, or their health and care professional."},{"top":62.9844,"left":156,"annotation":"Sharing\n\nSharing involves consideration of questions such as: what information is to be distributed, to whom, in what format, how often, under what circumstances, for what purposes and using what security measures?"},{"top":89.9844,"left":247,"annotation":"Usage\n\nUsage is important for a range of purposes including: storage, analysis, identifying historical trends, developing lessons learned, satisfying legislative requirements etc."},{"top":62.9844,"left":355,"annotation":"Archiving\n\nArchiving takes place after a period of time, usually determined by national frameworks and organisational policy."},{"top":93.9844,"left":457,"annotation":"Disposal\n\nDisposal takes place after the information has been retained for the minimum period set out in the Records Management Code of Practice. Information may be transferred to the National Archives for long-term preservation, or securely destroyed if no longer required."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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		(int) 4 => array(
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			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'media-field',
			'field_label' => 'The Data Protection Act and UK GDPR',
			'description' => 'The UK General Data Protection Regulation (UK GDPR) [2] and the Data Protection Act (DPA) 2018 [3] together provide the legal framework for data protection.

Data protection law takes a flexible, risk-based approach which puts the onus on your organisation to think about and justify how and why personal data is used. It sets out the key principles for use of personal data and individual's rights in relation to the personal data your organisation holds about them. It also details your organisation's legal obligations to protect this data.


Everyone is responsible for protecting personal data and ensuring it is handled and used appropriately and in accordance with data protection law and within your organisation's guidance, policies and procedures.

The Information Commissioner’s Office (ICO) regulates and enforces data protection law in the UK. They offer advice and guidance, promote good practice, carry out audits, consider complaints, monitor compliance and take enforcement action, such as issuing fines, where appropriate.',
			'field_order' => '2',
			'attachment_id' => '1718',
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		(int) 5 => array(
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			'field_type' => 'paragraph',
			'field_label' => 'Types of Data',
			'description' => 'In health and care settings, we come into contact with various types of personal data about people. It is important to be able to identify these different types of data so that they can be appropriately protected when they are used and shared.

- Personal data

Under data protection law, personal data is information that relates to a living individual who can be identified (either directly or indirectly) from that information. Examples include name, telephone number and email address.

Your organisation will handle lots of personal data during its day-to-day activities such as the personal data of patients, service users and members of staff.

- Special category data

There is also a type of personal data which under data protection law requires more protection because it is sensitive. This is known as 'special categories of personal data.' These include:

- Personal data revealing - racial or ethnic origin; political opinions; religious or philosophical beliefs; trade union membership
- Genetic data
- Biometric data (where used for identification purposes, such as fingerprints or facial recognition)
- Data concerning health; a person's sex life; and a person's sexual orientation.

- Confidential information

Confidential information is all information collected for the provision of health and social care services where people can be identified and would expect that it to be kept private. This may include for instance, details about symptoms, diagnosis, treatment, names and addresses. In some instances, it may include staff information. Confidential information is subject to a legal and professional duty of confidentiality.

The general principle is that confidential information should not be shared for purposes other than direct care of the individual. Exceptions to this principle are where the individual has explicitly consented to sharing the information; where sharing information is required by law, or expressly permitted by law; or there is an overriding public interest, such as preventing serious harm.

Confidentiality does not just relate to patients and their health information, there may also be a duty of confidence where an employee discloses information to their employer. It is important to maintain confidentiality of staff records, particularly where this relates to health or payroll information.

Maintaining confidentiality is the responsibility of all staff working in health and care. You should refer to your contract of employment for any confidentiality requirements set out by your employer, your organisation's confidentiality policy, as well as any professional standards if appropriate to your profession.
',
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		(int) 6 => array(
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			'description' => 'Some information is more identifiable than other information. It can range from fully identifiable, to effectively anonymous.

At one end of the range, a person is fully identifiable. But remove some of the information or take other measures (such as replace their name with a code), then it becomes more difficult to identify who that person is.

At the other end of the range, it is not possible to identify who someone is - they are effectively anonymous. The same information may be anonymous in the hands of one recipient, but identifiable in the hands of another as it depends on what other information they have available to them. For example, using someone's initials may allow someone looking after that person to identify them, but it may not mean anything to someone else. It all depends on the context.

What is the difference between pseudonymised and anonymised data?

Pseudonymised data - Pseudonymisation is a security technique used to protect personal data. Pseudonymised data is information which has had identifiers replaced by one or more artificial identifiers, or pseudonyms, such as a hospital number. Pseudonymised data is still considered personal data.

Anonymised data- Truly anonymised information or data cannot identify or re-identify an individual (directly or indirectly), either on its own or when combined with other information. It may be presented as general trends or statistics. Information about small groups of people with rare conditions for example, could potentially allow someone to be identified and so would not be considered anonymous.

Similarly, removing identifiers, such as a name, will reduce the likelihood of the information being immediately identifiable, but it is likely that someone could work out who that person is by looking at the other information available, such as date of birth and address. This means the information is still identifiable and is considered personal data.

In most cases, it may be acceptable and appropriate to publish or share truly anonymous information, but you should check with your information governance team to make sure. It may be that the data could still potentially be reidentified, or that it is corporately sensitive to the organisation.',
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			'course_id' => '122',
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			'field_type' => 'image-hotspot',
			'field_label' => 'The Principles of UK GDPR',
			'description' => 'Everyone responsible for using personal data has to follow strict rules specified under data protection law. These are known as the ‘data protection principles’, listed below and must be adhered to when you are using and sharing personal data.

Select the numbers for more information on each of the seven principles.',
			'field_order' => '5',
			'attachment_id' => '1720',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":83.2188,"left":17,"annotation":"Lawful, Fair and Transparent\n\nEnsure you have a valid legal reason to use people's information.\n\nEnsure that you act in accordance with other laws, such as the common law duty of confidentiality. This means only using information you have received in confidence (such as health and care information) in ways the person would expect, such as for their care. You should speak to your information governance team if you are unsure, or if you are seeking to use the information for other purposes.\n\nYou must use personal information in a way that is fair. This means you must not use the information in a way that is unduly detrimental, unexpected or misleading to the individuals concerned.\n\nYou must be clear, open and honest with people from the start about how you will use their personal data. Your organisation will do this through the transparency (privacy) notice on the organisation's website or via other methods, such as information leaflets."},{"top":19.2188,"left":156,"annotation":"Purpose Limitation\n\nYou must be clear from the outset about the purpose for using the information.\n\nYou can only use the personal data for another purpose where this is compatible with your original purpose, or you get consent, or you have a clear obligation or function set out in law. \n\nYou must inform people if you are going to use their information in a new way. However, exemptions may apply for using personal data for other purposes and you should contact your Information Governance team for advice."},{"top":156.219,"left":145,"annotation":"Data Minimisation\n\nYou must ensure the personal data you are processing is:\n\n- adequate: sufficient to properly fulfil the stated purpose\n- relevant: has a rational link to that purpose\n- not excessive: you do not use more than you need for that purpose. Only use or share the minimum amount of personal data necessary to achieve the intended purpose"},{"top":45.2188,"left":238,"annotation":"Accurate and Kept up to Date\n\n- You should take all reasonable steps to ensure the personal data you hold is not incorrect or misleading\n- You may need to keep the personal data updated, although this will depend on what you are using it for\n- If you discover that personal data is incorrect or misleading, you must take reasonable steps to correct or erase it as soon as possible\n- You must carefully consider any challenges to the accuracy of personal data"},{"top":111.219,"left":237,"annotation":"Storage Limitation\n\n- You must not keep personal data for longer than you need it\n- You need to think about, and be able to justify, how long you keep personal data. This will depend on your purposes for holding the data\n- You should also periodically review the data you hold, and erase it when you no longer need it\n- You must carefully consider any challenges to your retention of data\n- You can keep personal data for longer if you are only keeping it for public interest archiving, scientific or historical research, or statistical purposes\n- You should manage personal data in line with your organisation's records or information management procedures and guidance and the Records Management Code of Practice for Health and Social Care (website link next page)"},{"top":35.2188,"left":388,"annotation":"Security, Integrity and Confidentiality\n\nYou and/or your organisation must ensure that appropriate security measures are in place to protect the personal data held by your organisation or any other third party working on behalf of your organisation.\n\nWhere your organisation is using or sharing personal data which may involve a high risk to individuals, including processing large volumes of health and care information, you will need to carry out a data protection impact assessment (DPIA) to identify and explain how you are managing those risks. \n\nSee your local organisation's guidance on carrying out data protection impact assessments as it may only be certain members of staff who are allocated responsibility and expected to do this."},{"top":176.219,"left":392,"annotation":"Accounted for (Accountability Principle)\n\nThe accountability principle requires your organisation to take responsibility for what you do with personal data and how you comply with the other principles.\n\nYou can support this by reading and understanding your local data protection and security policies and procedures.\n\nYou and your organisation must have appropriate measures and records in place to be able to demonstrate your compliance for example, by conducting data protection impact assessments (DPIAs) and keeping record of where and how you process personal data."}]}',
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			'created' => '2024-08-07 11:56:02',
			'modified' => '2024-08-07 11:56:02'
		),
		(int) 8 => array(
			'id' => '3569',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => '<a href="https://transform.england.nhs.uk/information-governance/guidance/records-management-code/">https://transform.england.nhs.uk/information-governance/guidance/records-management-code/</a>',
			'field_order' => '6',
			'attachment_id' => null,
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			'active' => '1',
			'created' => '2024-08-07 11:56:02',
			'modified' => '2024-08-07 11:56:02'
		),
		(int) 9 => array(
			'id' => '3570',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'paragraph',
			'field_label' => 'The Rights of Individuals',
			'description' => 'e aware of your responsibilities for protecting people's information, using it with the principles at the heart of your approach and respect individuals' rights to privacy.

INFORMED 
An individual has the right to be informed of whether their personal data is being used, what it is being used for and who it may be shared with. An organisation must inform the individual if it is using their personal data.

This is done in health and care by publishing privacy notices, information leaflets and similar to cover all uses of data by an organisation.

ACCESS
An individual has the right to ask an organisation if they are using or storing their personal data and to ask them for copies of their information, verbally or in writing. This is commonly known as making a subject access request (SAR).

This is commonly exercised in health and care, both by people using services and by staff.

RECTIFICATION
Individuals can challenge the factual accuracy of personal information held about them by an organisation, and ask for it to be corrected or deleted. If their information is incomplete, they can ask for the organisation to complete it by adding more details.

ERASURE
Individuals can ask an organisation to delete information about them, and in some circumstances, it must then do so. This is also known as the right to be forgotten but it rarely applies to information held by health and care organisations.

RESTRICTION
Individuals have the right to request restriction or limitation of the use of their personal data in certain circumstances.                                     

This right is closely linked to rights to challenge the accuracy of data and to object to its use. This can occasionally apply to health and care data.

DATA PORTABILITY
In certain circumstances where an individual provides their personal data directly to an organisation, they have the right to request their personal data from an organisation in a common format.

They also have the right to ask an organisation to transfer their information to another organisation.

This rarely applies to information held by health and care organisations.

OBJECT
An individual has the right to object to the use of their personal data in some circumstances. If an organisation agrees to their objection, it must stop using their data for that purpose unless it can give strong and legitimate reasons to continue using their data despite the individual's objections.

This can sometimes apply to health and care data but it is the common law duty of confidentiality that is often more applicable where an individual is unhappy that their health and care data is used. You should speak to your information governance team for advice in this instance.

AUTOMATED DECISION MAKING AND PROFILING
In many circumstances, an individual has a right to prevent automated decision making. This is where automatic decisions that have a significant impact on the individual's life, are made for example, without people being involved.

It is unlikely that this is currently applicable to data used by health and care organisations, but it may become more common in the future as the use of artificial intelligence grows.

RAISE A CONCERN
An individual can tell an organisation or the Information Commissioner's Office (ICO) if they are concerned about how the organisation is using their data.

If you are approached by someone who wishes to exercise any of these rights, you should notify the relevant person or team in your organisation who has the necessary expertise to handle these requests as per your organisation's policy and procedures. This will typically be the Data Protection Officer (DPO) or Information Governance (IG) team.
',
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		),
		(int) 10 => array(
			'id' => '3571',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Keeping Data Secure',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1723',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 11 => array(
			'id' => '3572',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'The Value of Data',
			'description' => 'Poor data protection, information management and security can cause personal, social and reputational damage. You could potentially be held personally accountable for a major breach and be faced with disciplinary action as a result.   

What are Personal Data Breaches?

Personal data breaches are breaches of security which lead to the accidental or unlawful destruction, loss, alteration, unauthorised disclosure of, or access to, personal data.

A personal data breach isn't always as a result of a cyber attack on a system but can also be failure to put in place appropriate technical and organisational measures to protect the confidentiality, integrity or availability of personal data.

Examples can include:

- Unauthorised access by third party
- Deliberate or accidental action (or inaction)
- Sending personal data to an incorrect recipient
- Mobile devices containing personal data being lost or stolen
- Alteration of personal data without permission
- Loss of availability of personal data

What Steps can you take to Avoid such Breaches?

You can take the following steps to avoid breaches:

• Read and comply with your organisation's policies on:
- Data protection
- Records management
- Security management 
• Complete relevant training and put your learning into practice
• Apply core data protection, security, records management and confidentiality principles in your day-to-day processing of data
• Use relevant best practice guidance
• Assess the risks of your data use by completing a data protection impact assessment (DPIA)
• Use relevant best practice guidance

',
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			'attachment_id' => '1724',
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			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'modified' => '2024-08-07 12:27:14'
		),
		(int) 12 => array(
			'id' => '3573',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'image-bullets',
			'field_label' => 'Data Security',
			'description' => 'Data security can be broken down into three areas:',
			'field_order' => '2',
			'attachment_id' => '1725',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Confidentiality","Integrity","Availability"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 13 => array(
			'id' => '3574',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Confidentiality',
			'description' => 'Confidentiality is about privacy and ensuring that information is only accessible to those who have a legitimate reason to see it.

It would be unacceptable for a perfect stranger to be able to access sensitive information by walking into an office and reading files stored there, or by simply lifting the lid on a laptop and switching it on.

This is why sensitive files should be securely locked away, and laptops and other devices should be protected with security measures such as encryption. This is also why you should only use devices that are authorised by your organisation.

',
			'field_order' => '3',
			'attachment_id' => '1726',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 14 => array(
			'id' => '3575',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Integrity',
			'description' => 'Integrity is about information being accurate, up-to-date and reliable. Unauthorised or accidental alteration or loss of data can have serious consequences.  Systems will often log all user actions to help protect the integrity of people's information.
',
			'field_order' => '4',
			'attachment_id' => '1727',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 15 => array(
			'id' => '3576',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Availability',
			'description' => 'Availability is about information being there when it is needed: to support care, to pay staff wages, or for any other legitimate purpose. Systems must be protected from cyber attack and accidental damage.

',
			'field_order' => '5',
			'attachment_id' => '1728',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 16 => array(
			'id' => '3577',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Jane has an accident while decorating her flat and falls badly, hurting her leg. She calls an ambulance. The paramedics ask Jane for her name and address and ask her about her injury. They can see that she is in pain and ask if she is allergic to any medications. She isn't sure.
 
The paramedics use their tablet device to look up Jane's Summary Care Record (SCR) as their role allows them to access details of her medical history. An SCR is an electronic record of people's information that is sourced from their GP record. As a minimum, it contains details of current medications, allergies and adverse reactions and the person's name, address, date of birth and NHS number.
 
By accessing Jane's record, the paramedics can see that Jane is actually allergic to morphine, so they administer an alternative pain relief while she is driven to hospital, where she is treated for her injuries.

Let's see how confidentiality, integrity and availability apply to the scenario.

Confidentiality
The paramedics used their tablet device to look up Jane’s SCR which gives details of her medical history. Because they are paramedics, the system permits them to access Jane’s record, a non-qualified person would not be able to see this level of information about Jane.

Integrity
By accessing Jane’s record, the paramedics can see that Jane is allergic to morphine, so they administer an alternative pain relief. The record is up-to-date and accurate, showing the last person who updated the record with the allergy information and the time of the update. Jane is driven to hospital, where she is treated for her injuries.

Availability
In this case, the availability of accurate and up-to-date information at the point it is needed has had a direct impact on individual care.
',
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			'attachment_id' => '1729',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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		),
		(int) 17 => array(
			'id' => '3578',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Social Engineering',
			'description' => 'Social engineering involves those who want to steal data, such as health and care records, either digital or physical, by using tricks or deception to manipulate people into giving access to that data and other valuable information.
This component is a flipcard comprised of flippable cards containing display image. Select the front face image to flip to the back face of these card to display associated text.
Criminals will often take weeks and months getting to know a place before even coming through the door or making a phone call.

Select all the images to view ways criminals might gain your trust.',
			'field_order' => '0',
			'attachment_id' => '1730',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":101.25,"left":168,"annotation":"Preparation\n \nTheir preparation might include finding your organisation’s phone list or organisation chart and researching employees on social networking sites, like LinkedIn or Facebook.\n \nThe goal is always to gain the trust of one or more employees, though a variety of means."},{"top":93.25,"left":387,"annotation":"In the office\n\n'Can you hold the door for me? I don’t have my key/access card on me.’\n\nHow often have you heard that in your building? Although the person asking may not seem suspicious, this is a very common tactic used by fraudsters."},{"top":301.25,"left":126,"annotation":"On the phone\n\nA social engineer might call and pretend to be a fellow employee, for example from your ICT department or provider, or a trusted outside authority, such as the police or an auditor."},{"top":211.25,"left":298,"annotation":"Online\n\nSocial networking and new apps and sites opened a whole door for more social engineering scams. However, email is still the most common method which is covered later.\n\nOnline quizzes may encourage you to reveal more information about yourself for fun. This includes revealing your favourite colour or holiday destination as they were commonly used as password reset questions."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:53:52',
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		),
		(int) 18 => array(
			'id' => '3580',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'There are examples of many people being scammed by criminals pretending to be calling from a call centre.
For example, they may say they are calling about an online order you’ve made. If you’re expecting a delivery, it is easy to be taken in.
 
The criminal may already have a lot of information about you and ask you to confirm additional details about your online account, so that the order is not delayed.
 
If they have your email address, they may try to get you to click on a malicious link in an email they send you.',
			'field_order' => '1',
			'attachment_id' => '1731',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
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			'active' => '1',
			'created' => '2024-08-07 12:53:52',
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		),
		(int) 19 => array(
			'id' => '3581',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Example',
			'description' => 'Hi. This is Mike from the ICT department. How are you?
 
Hi Mike. I’m fine.
 
We are doing some urgent updates today on the system. Can you confirm your full name so I can bring up your details?
 
It’s Georgina Jenkins here. I didn’t realise we had an update today.

We had a few problems last night and now need to do some urgent work which may affect your access. Can you confirm your username and password so I can make sure these are transferred when we carry out the urgent update.
 
Oh, of course, it’s...

Would you disclose your username, password, email addresses or other details about where you work?
 
Your line manager, ICT department or provider already know a lot about you and will not need to ask these types of questions.',
			'field_order' => '2',
			'attachment_id' => '1732',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 20 => array(
			'id' => '3582',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Similarly, calls have been made to NHS and care staff where the caller pretends to be from the ICT department or provider.
 
For example, the caller advises that ICT have detected some problem with the employee’s work account, which they can resolve if the employee allows them to remotely access the laptop or PC.
 
They may ask you to disclose your username, password, email address or other details about where you work.',
			'field_order' => '3',
			'attachment_id' => '1733',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 21 => array(
			'id' => '3583',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Similarly, calls have been made to NHS and care staff where the caller pretends to be from the ICT department or provider.   For example, the caller advises that ICT have detected some problem with the employee’s work account, which they can resolve if the employee allows them to remotely access the laptop or PC.   They may ask you to disclose your username, password, email address or other details about where you work.',
			'description' => 'Revealing any information about your organisation on social media can be valuable to a fraudster.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 22 => array(
			'id' => '3585',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'It’s the office move day today so we’re having to use these stupid passes and door entry codes everywhere.
 
The amount of codes I have to remember these days is crazy - mine are all the same anyway!
 
Having to sort out all this funding today - we’ve just been awarded £1m to cut our waiting times. So guess what? I can sign off up to £50 000 now! 
',
			'field_order' => '5',
			'attachment_id' => '1735',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 23 => array(
			'id' => '3586',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'I can’t get in the office – can you pass me your door code?
 
Sure, it’s 12345.',
			'field_order' => '6',
			'attachment_id' => '1736',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 24 => array(
			'id' => '3584',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Hola! it’s holiday time again in 24 hours. Can you do me a favour? I forgot to update Jane Smith’s record – you know my password, don’t you?
 
No I don’t. Can you send it to me?
 
It’s Katie2011.
 
Got it. Haha! I do that with my passwords too – name them after my kids' names.
',
			'field_order' => '7',
			'attachment_id' => '1734',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 25 => array(
			'id' => '3587',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'A criminal reading the posts will gain vital intelligence about how the organisation's processes work.',
			'description' => 'What Information Could a Criminal get?

• Find out where Sandra's new office is by searching her organisation's website, then aligning the social worker’s online pictures to that office 
• Find out the dates of when Sandra will be on holiday and when her house will be vacant
• Find out children's names and birthdates to work out passwords

What Could a Criminal do with this Information?

• Gain access to Sandra's office using the door entry code
• Burgle Sandra's house when she is on holiday
• Install malicious software that corrupts data or prevents the organisation using it until they pay a ransom
• Gain access to data to sell on to other criminals
• Attempt to authorise one or more £50 000 transactions
• Attempt to create a new referral to claim a personal budget
• Access bank account details listed in the system, to steal a service user’s money',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 26 => array(
			'id' => '3588',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Email',
			'description' => 'Email can be the most efficient option for exchanging information securely but, as with all forms of information transfer, there are risks. Hackers and criminals sometimes use unsolicited emails that contain attachments or links to try to trick people into providing access to information. This type of threat is known as phishing.

Select the numbers to find out more information.',
			'field_order' => '9',
			'attachment_id' => '1737',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":141.219,"left":108,"annotation":"Click on a link\n\nClick on a link that will take you to a website that looks genuine and enter sensitive or financial information about yourself, your organisation or the people who use its services."},{"top":45.2188,"left":345,"annotation":"Open an attachment\n\nOpen an attachment that runs malicious code on your computer, giving an attacker full access to all data and systems that you can normally access."},{"top":106.219,"left":448,"annotation":"Unknowingly install malware\n\nSome malware can enable the hacker to steal data from your computer or your organisation’s network. Other types of malware might lock all your files and lead to your organisation being asked to pay a ransom to unlock them."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 27 => array(
			'id' => '3589',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'If you receive a request from a supposed colleague asking for login details or sensitive or financial information, or any information about the people using your service, you should always double-check the request by contacting the colleague by another method, such as by calling them.
 
Equally, if you receive an unsolicited email that contains attachments or links that you have not asked for, do not open them.
 
Remain vigilant and report the suspicious email to your line manager, ICT department or provider.
 
Never give your login details to anyone.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 28 => array(
			'id' => '3590',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Phishing',
			'description' => 'Phishing is by far the biggest and easiest form of social engineering.

Criminals use phishing emails and websites to scam people on a regular basis. They are hoping that you will click on fake links to sites or open attachments so that they can steal data or install malicious software.

• Aim of Phishing
- The aim of phishing emails is to force users to make a mistake for, example, by imitating a legitimate company’s emails or by creating a time-limited or pressurised situation.

• Do not Install Software
- Phishing email attachments or websites might ask you to enter personal information or a password, or they could start downloading and installing malware.
- Do not install any new software unless you are advised to do so by your line manager, ICT department or provider.
- Think – is someone trying to extract or extort information from you?

• Contact your ICT Department or Provider
You must contact your manager and ICT department or provider for advice immediately if you:
- Are unsure about an email or think that this may be happening to you
- Have clicked on a phishing link or visited a phishing website
',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 29 => array(
			'id' => '3591',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'There are warning signs that your email might be from a phisher or fraudster.',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '12',
			'attachment_id' => '1738',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":3.03125,"left":37,"annotation":"Sender\n\nHovering over the 'From' column is a simple way to check if an email is legitimate or not.\n\nIs the email from a person or organisation you recognise? A quick online search can bring up genuine email domain names such as @nhs.net or @xxx.gov.uk."},{"top":28.0312,"left":138,"annotation":"Subject\n\nIs the subject relevant to something that you are actually working on or is it in any way relevant to you? If not, alarm bells should start ringing.\n\nHowever, it may also be that the sender has incorrectly addressed the email."},{"top":14.0312,"left":216,"annotation":"Addressees\n\nCheck the address fields ‘To’ and ‘CC’, to see where the email has been sent.\n\nIf the fields contain multiple addressees (sometimes it can be 10s or even 100s), it is likely that the sender is ‘spamming’ potential targets and hoping to catch someone out. Don’t be that person."},{"top":42.0312,"left":71,"annotation":"Suspicious attachments\n\nIf a source, for example your bank, does not normally send you attachments, but then sends an email with an attachment, this may be evidence of spam."},{"top":87.0312,"left":318,"annotation":"Spelling, punctuation and incorrect grammar\n\nMany hackers misspell words and use bad grammar on purpose. Emails written in bulk may have visible errors or content that doesn’t make sense."},{"top":90.0312,"left":393,"annotation":"Links\n\nIf an email has provided you with some links and instructed you to click them, check it is a legitimate website link, also known as a URL.\n\nHover your mouse over any URLs that the email is trying to persuade you to visit, to make sure that they are legitimate."},{"top":129.031,"left":378,"annotation":"Requesting personal information\n\nA common tactic of spam emails is to alert you that you must provide or update personal information, including bank account details or an account password.\n \nYou will never legitimately be asked to provide your email login details, such as your password, by a genuine ICT department or service."},{"top":186.031,"left":243,"annotation":"What do I do if I receive a phishing email?\n\nDo not reply.\n \nSelect the email, right-click it and mark it as junk.\n \nInform your line manager, local ICT department or service provider and they will advise on how you can block further emails from being received."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 30 => array(
			'id' => '3592',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Macros and Malware',
			'description' => 'Select the numbers for more information.',
			'field_order' => '13',
			'attachment_id' => '1739',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":90.6406,"left":128,"annotation":"Macros\n\nMacros are a series of actions that a program such as Microsoft Excel may perform to work out some formulas. Your computer will disable macros by default because they can be programmed to install malware.\n\nAlways be vigilant when enabling macros.\n \nDo you trust the source of the document?"},{"top":155.641,"left":370,"annotation":"Malware\n\nMalware can reside on your computer and avoid detection, making it easier for someone to be active on your system without you noticing.\n\nTo protect your organisation from this type of threat, your ICT department or provider will ensure that you have up-to-date antivirus software installed.\n \nMalware can make computers run slowly or perform in unusual ways.\n \nIf you suspect that your computer is not performing as it normally does, contact your line manager, ICT department or provider for help."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 31 => array(
			'id' => '3593',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Good Practice',
			'description' => 'Select the numbers for more information.',
			'field_order' => '14',
			'attachment_id' => '1740',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":111.75,"left":169,"annotation":"Untrusted websites\n\nBe vigilant when you visit a website that is declared ‘untrusted’.\n\nIf a web browser states that you are about to enter an untrusted site, be very careful. It could be a fake phishing website that has been made to look genuine.\n \nA browser may display a red padlock or a warning message stating your connection is not private."},{"top":78.75,"left":414,"annotation":"Passwords\n\nIt is important to use strong passwords on all of your devices to prevent unauthorised access. You should also use different passwords for each account.\n \nCreating strong passwords doesn’t need to be a daunting task if you follow some simple guidelines.\n \nThe National Cyber Security Centre (NCSC) has a range of guidance on good password management.\n \nConsider the use of a free password manager, too. Again, the NCSC has detailed guidance on what to look for - a link to NCSC can be found in Resources."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 32 => array(
			'id' => '3594',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Understanding your Environment',
			'description' => 'Using your home internet connection, your workplace Wi-Fi connection and your phone’s personal hotspot should be password protected.
 
Security measures
 
• Change default passwords
• Use encryption - WPA2 is a type of encryption used to secure the vast majority of Wi-Fi networks
• Use password managers
• Disable auto connect to unknown Wi-Fi networks
• Update phones and devices with latest patches

The environment where you access information is also important. For example, Wi-Fi hotspots in public places such as cafes, fast food chains, public transport, people's homes, hotels and shops are not secure.',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 33 => array(
			'id' => '3595',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Staying safe online

• Passwords protect your device
• Use personal hotspot for internet access
• Keep belongings close by
• Do not assume Wi-Fi hotspots are secure
• Sit where you are not overlooked or use a privacy screen on your laptop - back against the wall is best
• Keep paperwork or documents to a minimum
•Do not discuss confidential data on the phone where you may be overheard
 
Remember to keep secure and be vigilant at all times.',
			'field_order' => '16',
			'attachment_id' => '1741',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 34 => array(
			'id' => '3596',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Cloud Storage',
			'description' => 'It can be the case that although the storage systems you use at home may be similar to those in your workplace, be aware of the different arrangements with regards to data security and protection. Check your local policies, or seek advice from your organisation's IT service desk or IG/data security contact.',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 35 => array(
			'id' => '3597',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Devices',
			'description' => 'A number of simple measures can help you to stay safe online.
 
You should ensure your device is kept up-to-date particularly with any security updates.
 
You should lock your device as soon as you stop using it. All mobile phones, laptops, PCs and tablets whether personal or not, should have a password set. If you see a colleague’s device open and unlocked, lock it for them and gently remind them to do so in future. This also applies to corporate mobile devices – activate the lock function so that a password or code is needed to unlock them.
 
Tip: Press the Windows key + L on your keyboard to quickly lock your laptop or PC.',
			'field_order' => '18',
			'attachment_id' => '1742',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 36 => array(
			'id' => '3598',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Do not use unauthorised USB drives and mobile devices and avoid plugging in any non-approved devices to charge via USB cable. A private mobile phone is effectively a large USB storage device and may contain malware.',
			'description' => 'Many organisations have policies about using USB drives, such as only using encrypted drives. Make sure you understand and follow your organisation's rules.
 
Using untrusted USB drives on your work computer can introduce malicious software and allow an attacker access to your network. Similarly, using trusted USB devices on public computers can cause a data breach.  If you are unsure, ask your line manager or IT department.',
			'field_order' => '19',
			'attachment_id' => '1743',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 37 => array(
			'id' => '3599',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Disposal of Information',
			'description' => 'We have to be careful when disposing of any information. Much of the data that health and care organisations create and use is classed as official in the eyes of the government.
 
USB drives and other digital storage media should be returned to your IT department for secure erasure, and paper records should be put into confidential waste bins or shredded.',
			'field_order' => '20',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 38 => array(
			'id' => '3600',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Clear Desk Policy',
			'description' => 'Most organisations now have a clear desk policy or equivalent guidance which includes working from home and you need to be aware of this.

Do not leave information such as documents that identify someone or financial details in unsecure locations
Having a clear desk ensures that you are not potentially leaving sensitive information lying around, raising the risk of a breach
A clear desk policy reduces the risk of data loss by ensuring no confidential or commercial information is left unattended throughout the workplace',
			'field_order' => '21',
			'attachment_id' => '1744',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 39 => array(
			'id' => '3601',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Home Working',
			'description' => 'More of us are working from home on a regular basis. Are you aware of the data security and protection issues?

Select the numbers below to find out more.',
			'field_order' => '22',
			'attachment_id' => '1745',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":173.25,"left":144,"annotation":"Your workspace\n\nYour kitchen table could be your office, be mindful of sensitive work conversations in shared household spaces."},{"top":152.25,"left":346,"annotation":"Being vigilant\n\nAt home we can sometimes drop our defences and forget that we should treat our home workspaces as much as possible like work."},{"top":41.25,"left":371,"annotation":"Video calls\n\nYour working environment will be visible. For example, notice boards with sensitive information such as bank statements, login details to personal accounts and clinic appointment letters.\n\nYou should consider blurring your background in a video call or using a fake background effect. This will also help to protect the privacy of those who you live with."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 40 => array(
			'id' => '3602',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'Confidentiality and Sharing Information',
			'description' => 'Confidential data is all data collected for the provision of health and social care services where people can be identified and would expect it to be kept private. This may include details about symptoms, diagnosis, treatment, names and addresses (this applies whether they are alive or deceased). In some instances, it may include staff information.

Under the common law duty of confidentiality, confidential information can be used or shared further with the consent of the individual. This consent can be implied (in relation to sharing for direct care) or expressly given.

Where this is not possible  or appropriate, decisions on whether or not confidential data can be shared for purposes beyond individual care should be made by senior staff. This could be, for example, your Information Governance (IG) lead, Caldicott Guardian, your manager or someone in your organisation who has responsibility for data protection. These decisions should be documented.',
			'field_order' => '0',
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		),
		(int) 41 => array(
			'id' => '3603',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'image-hotspot',
			'field_label' => 'The Caldicott Principles',
			'description' => 'Before using confidential information, you should consider the Caldicott Principles [4]. The Caldicott Principles are intended to guide organisations on the use of confidential information within health and social care organisations and when such information is shared with other organisations or individuals. They apply to all data collected for the provision of health and social care services, where people can be identified and would expect that the data be kept private.

Caldicott Guardians are senior people within an organisation who protect the confidentiality of people's information by considering the ethical and legal aspects of data sharing. They play a vital role in ensuring that health and social care data is used responsibly to support the delivery of better care. Previously, only NHS organisations and local authorities were required to have a Caldicott Guardian.

The National Data Guardian released guidance in August 2021 that all of the following organisations that process confidential information of patients and service users should appoint a Caldicott Guardian: public bodies exercising functions that relate to the health service, adult social care or adult career support in England, as well as other organisations providing services as part of the publicly funded health service, adult social care, or adult carer support [5]. It is good practice for any organisation using health and care data to appoint a Caldicott Guardian, even if they are not required to.',
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			'field_choices' => '{"width":500,"annotations":[{"top":13.8906,"left":106,"annotation":"Every proposed use or transfer of confidential information should be clearly defined, scrutinised and documented, with continuing uses regularly reviewed by an appropriate guardian."},{"top":7.89062,"left":211,"annotation":"Confidential information should not be included unless it is necessary for the specified purpose(s) for which the information is used or accessed. The need to identify individuals should be considered at each stage of satisfying the purpose(s) and alternatives used where possible."},{"top":6.89062,"left":329,"annotation":"Where use of confidential information is considered to be necessary, each item of information must be justified so that only the minimum amount of confidential information is included as necessary for a given function."},{"top":11.8906,"left":438,"annotation":"Only those who need access to confidential information should have access to it, and then only to the items that they need to see. This may mean introducing access controls or splitting information flows where one flow is used for several purposes."},{"top":173.891,"left":50,"annotation":"Action should be taken to ensure that all those handling confidential information understand their responsibilities and obligations to respect people's confidentiality."},{"top":173.891,"left":171,"annotation":"Every use of confidential information must be lawful. All those handling confidential information are responsible for ensuring that their use of and access to that information complies with legal requirements set out in statute and under the common law."},{"top":173.891,"left":281,"annotation":"Health and social care professionals should have the confidence to share confidential information in the best interests of patients and service users people using their services within the framework set out by these principles. They should be supported by the policies of their employers, regulators and professional bodies."},{"top":180.891,"left":376,"annotation":"A range of steps should be taken to ensure there are no surprises, so that people have clear expectations about how and why their confidential information is used, and what choices they have about this. These steps will vary depending on the use: as a minimum, this should include providing accessible, relevant and appropriate information - in some cases, greater engagement will be required."}]}',
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		),
		(int) 42 => array(
			'id' => '3604',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'media-field',
			'field_label' => 'Informing People',
			'description' => 'People will not expect health and care professionals to look at their health records unless those professionals are involved in their care.
 
Wherever possible, you should inform people that you are accessing and using their information and the reason for doing so. There are specific techniques that you should use.

Explain
Clearly explain to people how you will use their information and point them to additional information if they ask for it. For example, on your organisation's website, in a leaflet or on a poster, or verbally when you see the person where appropriate.

Choices
Let people know what choices they have in relation to how their information is used and tell them whether that choice will affect the services offered to them. For example, it may not be possible to provide some services without being able to access their information.

If people are offered a choice, then it must be genuine and that choice should be respected, as and where appropriate.

Meet Expectations
Only use personal data in ways that people would reasonably expect. If people feel that their information may be used in unexpected ways or for purposes they may not support, this greatly undermines the relationship of trust.

The effect may be to deter people from seeking treatment, or, when seeking treatment, to only disclose partial or false details, thereby denying health and care providers the information they need to deliver safe and effective care.',
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			'attachment_pos' => '1',
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			'show_correct' => '0',
			'allow_retry' => '0',
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		),
		(int) 43 => array(
			'id' => '3605',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'Sharing Information for Individual Care',
			'description' => 'In line with the seventh Caldicott principle, sharing information with the right people can be just as important as not disclosing to the wrong person.
 
You have a legal duty to share the information:
• If it will assist in the care or treatment of an individual concerned and
• It is reasonable to believe that the individual concerned understands the reason for sharing

Check
Check that the individual understands what information will be shared and has no concerns.

Data Protection
Ensure that the data protection, record keeping and security best practice (covered elsewhere in this session) are met.

Respect Objections
Normally, if the individual objects to any proposed information sharing, you must respect their objection even if it undermines or prevents care provision.

Your Caldicott Guardian, IG lead, your manager or someone in your organisation who has responsibility for data protection will be able to advise on what to do in these circumstances.
',
			'field_order' => '3',
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			'attachment_pos' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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		),
		(int) 44 => array(
			'id' => '3606',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'Sharing Information for Secondary Care',
			'description' => 'Consent is not always needed to share personal information for purposes other than individual care, such as planning and research as there are other legal gateways which permit data to be used for the purposes explained above.

Public Interest
This includes times where sharing personal information can be justified in the public interest including where there is a risk of serious harm to someone. If there is a risk of immediate harm to an individual, and you cannot find an appropriate person with whom to discuss the information request, you should share the information.

At the first opportunity afterward, you should inform the person responsible for IG in your organisation so they can follow-up the legal basis for sharing and document it.',
			'field_order' => '4',
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			'active' => '1',
			'created' => '2024-08-07 12:59:31',
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		),
		(int) 45 => array(
			'id' => '3607',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'The National Data Opt-Out',
			'description' => 'A national data opt out has been introduced to allow people to choose whether their confidential information is used for research and planning purposes. Health and care organisations must comply with this policy.

In practical terms, this means that people can register their national data opt-out online, through a national telephone service or through the NHS App. People can also change their national data opt-out choice at any time.',
			'field_order' => '5',
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			'active' => '1',
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		),
		(int) 46 => array(
			'id' => '3608',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'paragraph',
			'field_label' => 'Data Breaches',
			'description' => 'he UK GDPR introduces a duty on all organisations to report personal data breaches that have a significant impact on people to the ICO within 72 hours. A personal data breach is a breach of security leading to the accidental or unlawful destruction, loss, alteration, unauthorised disclosure of, or access to, personal data. This includes breaches that are the result of both accidental and deliberate causes. It also means that a breach is more than just about losing personal data.

There are three different types of personal data breaches.

Confidentiality Breach
A confidentiality breach is where there is an unauthorised or accidental disclosure of, or access to, personal data. This is also a criminal offence under UK law.

Examples include:

• Names and email addresses of 500 survey respondents are sent by email to the wrong supplier
• Unencrypted portable devices containing dataset extracts, which include details of hospital admissions are stolen from a research office
• An IT services firm has been contracted to archive and store customer records. The IT firm detects an attack on its network that results in personal data about customers being unlawfully accessed
• An employee file containing references and sickness records is left on public transport

Integrity Breach
An integrity breach is where there is an unauthorised or accidental alteration of personal data.

Examples include:

• An authorised user of a system modifies the profiles and access controls of other users without permission
• An analyst with authorised access to a dataset containing personal data makes additional copies of the dataset without applying robust version control procedures

Availability Breach
An availability breach is where there is an accidental or unauthorised loss of access to, or destruction of, personal data.

Examples include:

•  Records destroyed earlier than scheduled because the list for destruction said 2012 instead of 2021
• Records misfiled in wrong person's record so not available when providing care
• The decryption key to securely encrypted personal data has been lost rendering the data unavailable until it is restored from a backup
• An operating system vulnerability is exploited by a ransomware attack, which results in personal data being encrypted for several days until the issue is resolved',
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		),
		(int) 47 => array(
			'id' => '3609',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Cyber and Non-Cyber Incidents',
			'description' => 'The ICO has provided further guidance on the types of incidents that may involve a breach of personal data.

Cyber incidents
• Brute force
• Cryptographic flaw
• Denial of service
• Hardware and software misconfiguration
• Malware
• Phishing
• Ransomware
• Unauthorised access

Non-cyber incidents

• Alteration of personal data
• Data emailed to the incorrect recipient
• Wrong person's information shown in online portal
• Failure to redact (remove or obscure sensitive information from view within a document)
• Unsecure disposal of paperwork
• Loss and theft of information left in an insecure location
• Verbal disclosure of personal data
• Failure to use bcc

Imagine the risk involved in making an important decision about a person’s care if his or her record was no longer available, was wrong or incomplete or if someone had tampered with it. Security incidents can lead to serious personal data breaches which can impact the care and treatment people receive.

Imagine a person's care being adversely affected either by the lack of availability or alteration of a connected medical device.
',
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		),
		(int) 48 => array(
			'id' => '3610',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Postal Breaches',
			'description' => 'Certain procedures can help to reduce the risk of data breaches when sending information by post, email, telephone and other means.
 
Consider the different ways in which breaches and incidents can be avoided by remaining vigilant and aware of your personal responsibility.

Miss Broom is waiting to receive information from her social worker. She opens her post one morning and finds that, as well as her own letter, the envelope contains two further letters addressed to other people.
 
Miss Broom contacts the organisation and tells an administrative officer about the letters.

The organisation's IG lead telephones Miss Broom to apologise for the error and asks her to keep the letters safe while arrangements are made for someone to collect them.
 
The organisation writes a formal apology to Miss Broom and to the two individuals about whom she received letters.

Both individuals were deeply concerned that Miss Broom, who they did not know, now knew important information about them. One of them wrote to their local paper about the breach.
 
Senior staff in the local authority spent the next two weeks responding to media queries about the number of breaches that the organisation had experienced.
 
The other individual, who had suffered from a similar breach the previous year, instructed his solicitor to bring legal proceedings against the local authority.

Make sure that all correspondence containing personal data is always addressed to a named person, not to a department, a unit or an organisation.
 
If the information contained in a letter includes more than basic clinical information, for example, appointment details, consider sending it by recorded or tracked delivery.

Recorded Delivery 
You should assess the risks of posting paper records which include personal data and use this method only where it is absolutely necessary, secure and appropriate to do so. Consider using tracked or recorded delivery. Take special care when sending large amounts of information, for example, case notes or care records on paper, encrypted disk or other media.
 
Send these by tracked or recorded post or by NHS courier to ensure that such information is only seen by the authorised recipients. In some circumstances, you should obtain a receipt as proof of delivery, for example, when sending care records to a solicitor.

Approved Packaging
Only send case notes and other bulky material in robust, approved packaging, never in dustbin sacks, carrier bags or other containers.
 
Don’t leave the packages unattended unless they are securely stored, when waiting for collection.
 
Make certain that the packages are taken and transported by the approved carrier.
',
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		),
		(int) 49 => array(
			'id' => '3611',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Email Breaches',
			'description' => 'Email is increasingly becoming the preferred method for exchanging information, but as with other forms of communication, there are risks.

Mr Foster has recently been diagnosed with depression and has joined a support group to help him through this care.
 
He has just received his monthly email and noticed the names and email addresses of more than 500 people.

The organisation undertakes an investigation and finds that a new member of staff had sent out the email.

Everyone who received the email could identify who was a member of the depression support group.
 
The investigations found that all existing staff members involved in sending out emails knew what to do but had not supervised the new member of staff.

',
			'field_order' => '3',
			'attachment_id' => '1750',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 50 => array(
			'id' => '3612',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'image-hotspot',
			'field_label' => 'Your organisation will have guidance on sending secure emails. If you are an NHSmail user, you can go to the NHSmail portal to access guidance about sending emails securely [6].',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '4',
			'attachment_id' => '1751',
			'external_media_src' => null,
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			'field_choices' => '{"width":500,"annotations":[{"top":133.672,"left":36,"annotation":"Check with your line manager whether it is acceptable to send information in this way."},{"top":132.672,"left":125,"annotation":"Confirm the accuracy of the email addresses for all intended recipients, sending test emails if you are unsure.\n\nBe aware that autofill functions may sometimes add an incorrect recipient with a similar name."},{"top":141.672,"left":243,"annotation":"Check that everyone on the copy list has a genuine ‘need to know’ the information you are to send."},{"top":131.672,"left":364,"annotation":"Health and social care organisations must meet the secure email standard (DCB1596) so that everyone can be sure that sensitive and confidential information is kept secure.\n\nIf you are unsure of what to do, ask your line manager, ICT department or provider for advice."},{"top":131.672,"left":461,"annotation":"Where an email needs to be sent to an unsecured email address, check whether this is at the request of a service user who understands and accepts the risks.\n \nConsider whether it would be more appropriate to encrypt the email yourself."}]}',
			'field_correct' => null,
			'show_correct' => '0',
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		),
		(int) 51 => array(
			'id' => '3613',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Video Conference and Telephone Breaches',
			'description' => 'If a request for information is made by phone you should, where possible, adhere to the following processes and procedures.

• Confirm the name, job title, department and organisation of the person requesting the information
• Confirm that the reason for the information request is appropriate
• Find a contact telephone number that you know is correct for the organisation - such as the main switchboard number - so you can call back and ask for the named individual, to confirm that the caller is genuine
• Check whether the information can be provided. If in doubt, tell the person you will call them back
• Only provide the information to the person who requested it. Do not leave messages
• Ensure that you record your name, the reason for the disclosure and who authorised the disclosure in the patient/service user's record. Make sure you also record the recipient's name, job title, organisation and telephone number

Joe, a practice manager, receives a call from a local hospital requesting information about Mrs Smith, one of the practice patients.
 
He knows that she has been referred to that hospital for cancer investigation, so he gives the information to the caller.
 
Joe should not give patient information over the phone without first checking the identity of the caller and whether they have a valid reason to request it. Joe had no proof that the previous day’s call was from the local hospital.
 
The next morning, Mrs Smith phones the practice and tells Joe that her brother-in-law has information about her health that he can only have obtained from the practice. At that point, Joe realises that he had no proof that the previous day’s call was from the local hospital.',
			'field_order' => '5',
			'attachment_id' => '1752',
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			'attachment_pos' => '0',
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		),
		(int) 52 => array(
			'id' => '3614',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'paragraph',
			'field_label' => 'Physical and Data Security Risks',
			'description' => 'Last week, someone in a high-visibility vest visited a social care office as well as a GP practice in the same local area. In each case, he followed a member of staff into the building and told the receptionist that he needed everyone's details for a 'software update'.
 
The person then sold these details to other criminals. Let's find out what else he found.

Doors
Nearly every door the visitor encounters is open. Even those doors marked as 'restricted access' have been propped open to allow for a delivery.
 
This means he is able to wander freely in and out without challenge, and could have stolen equipment or personal items belonging to staff.
 
Don't leave open or prop open doors, especially those in restricted zones.

Visitors
The visitor has forged a badge. He approaches the reception desk and asks for directions to the server room. They are happy to help. His badge isn't even checked.
 
With access to the server room, he can disrupt the server as much as he likes, causing connectivity problems across the whole organisation.
Do check identification badges when you feel safe to do so. If not, seek help. 

Desk
Despite most organisations having strict clear desk policies, a lot of data is found in unoccupied office areas. Financial documents, including client account details, are lying on desks.
 
The visitor has a bag of memory sticks and randomly disperses them on desks in the hope that someone will plug one in. It will then start installing malware onto the computer.
Don't plug in unknown or unapproved devices and seek from your IT support provider if in doubt. ',
			'field_order' => '6',
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		),
		(int) 53 => array(
			'id' => '3615',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'paragraph',
			'field_label' => 'Reporting Incidents',
			'description' => 'Your role is to report concerns or details of a security incident as soon as you become aware of it. Your organisation should have an incident reporting procedure setting out what staff members should do on discovering a security incident or suspecting one has occurred.

You have a responsibility to familiarise yourself with your organisation's incident reporting procedure and to know who to report data security incidents to.

If you have concerns or become aware of a data security incident, report it. Do not assume that it is somebody else's responsibility to report the incident. We all have a role to play in protecting information.

Your organisation will have an individual or team whose responsibility it is to manage and investigate an incident
Near misses, where information was nearly lost or where someone attempted to access information should also be reported

Know your organisation's policy regarding the safe and acceptable use of IT.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
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			'active' => '1',
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			'modified' => '2024-08-07 13:11:49'
		),
		(int) 54 => array(
			'id' => '3619',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'paragraph',
			'field_label' => 'Good Record Keeping',
			'description' => 'Records management is about the creation, use and disposal of records. Health and care organisations create records about the care and support they provide to people, and how they operate.

Effective records management will ensure records are available when needed, and the responsibility for managing them is everyone's.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 55 => array(
			'id' => '3618',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'media-field',
			'field_label' => 'Information Management Lifecycle',
			'description' => 'All records go through a series of phases:

• Creation
• Use
• Retention
• Disposal decisions (usually destruction)

For guidance, refer to:

• Your organisation's records management policy and/or retention schedule and guidance
• The Records Management Code of Practice for Health and Social Care Organisations [1]
 ',
			'field_order' => '1',
			'attachment_id' => '1755',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 56 => array(
			'id' => '3617',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'media-field',
			'field_label' => 'Good Practice',
			'description' => 'Certain simple actions can ensure that you comply with data protection principles and follow the Records Management Code of Practice for Health and Care. Your organisation will have policies and procedures and can give you training to help ensure good governance.
 
It is important that records are complete, accurate, dated and timed, with an audit trail of who has added what.
 
They should distinguish between people's records, your opinions and any information provided by others.

This component is an accordion comprised of collapsible content panels containing display text. Select the item titles to toggle the visibility of these content panels.
Poor quality information presents a risk to people, staff members and the organisation. If you are uncertain about any of the good practice raised, talk to your records manager or IG team to improve your understanding.

Timely and up-to-date
Records are primarily intended to support care and should authentically represent each and every consultation (including by telephone or any other remote method). Therefore, record information at the time or as soon as possible after the event.

Accurate
Records made about the care and support given to people must be accurate and reflect what was provided to people. 

Give people the opportunity to check and confirm the personal details held about them.

Complete
Ensure all necessary information is included so that records can be used effectively. Remember to include the NHS number if available.

Free from Duplication
Before you create a new record, make sure that one doesn’t already exist.',
			'field_order' => '2',
			'attachment_id' => '1754',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 57 => array(
			'id' => '3616',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'media-field',
			'field_label' => 'Information Disposal',
			'description' => 'Make sure you know and follow your organisation's policy and procedures for the disposal of information.

Seek advice from your line manager, ICT department or technology provider when disposing of the information held on digital assets for example, laptops and smartphones.

All devices, such as laptops, must be disposed of by your ICT department or provider.

Any personal data must be treated as confidential and securely disposed of. This includes secure disposal of paper records in locked confidential waste bins.

When disposing of records, it is important to obtain a record of its disposal. This could be a certificate of destruction (so it is clear that the record has been destroyed, rather than misplaced), or an accession notice (when records are deposited with the local Place of Deposit or the National Archives, for long-term archival preservation).',
			'field_order' => '3',
			'attachment_id' => '1753',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 58 => array(
			'id' => '3622',
			'course_id' => '122',
			'course_lesson_id' => '568',
			'field_type' => 'paragraph',
			'field_label' => 'Freedom of Information',
			'description' => 'The Freedom of Information (FOI) Act 2000 [7] provides public access to information held by public authorities.

The Act covers any recorded information* that is held by a public authority in England, Wales and Northern Ireland, and by UK-wide public authorities based in Scotland.

*It should be noted that data will normally be exempt from release under this legislation as it is covered by the data protection legislation.

Recorded Information
This might include but is not limited to information contained in:

• Printed documents
• Computer files
• Letters
• Emails
• Notes
• Photographs
• Messages sent through text or messaging apps
• Sound or video recordings, for example, telephone conversations or CCTV 

Recorded information is not limited to official documents, nor is it limited to information you create, so it also covers, for example, letters you receive from members of the public, although there may be a good reason not to release them or to release only parts of the information within documents, for example, you would redact personal data.

Public Authority
Public authorities include:

• Government departments
• Local authorities
• NHS organisations
• State schools
• Police forces

However, the Act does not necessarily cover every organisation that receives public money. For example, it does not cover some charities that receive grants and certain private sector organisations that perform public functions.

Anyone can ask for any information that is held by a public authority. However, this does not mean you are always obliged to provide the information. In some cases, there will be a good reason why you should not make public some or all of the information requested. There are therefore exemptions within the Act which permit public authorities to withhold information in certain circumstances or to refuse to comply with a request. Your FOI team will be able to provide advice on when these exemptions may apply',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:21:14',
			'modified' => '2024-08-07 13:21:14'
		),
		(int) 59 => array(
			'id' => '3621',
			'course_id' => '122',
			'course_lesson_id' => '568',
			'field_type' => 'media-field',
			'field_label' => 'Publishing Information',
			'description' => 'As well as responding to requests for information, organisations must publish information proactively. The Freedom of Information Act requires every public authority to have a publication scheme, approved by the Information Commissioner’s Office (ICO), and to publish information covered by the scheme.

The scheme must set out your organisation’s commitment to make certain classes of information routinely available, such as policies and procedures, minutes of meetings, annual reports and financial information.',
			'field_order' => '1',
			'attachment_id' => '1757',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:21:14',
			'modified' => '2024-08-07 13:21:14'
		),
		(int) 60 => array(
			'id' => '3620',
			'course_id' => '122',
			'course_lesson_id' => '568',
			'field_type' => 'media-field',
			'field_label' => 'Making a Request',
			'description' => 'An organisation has 2 separate duties when responding to requests:

• To tell the applicant whether they hold any information falling within the scope of their request
• To provide that information, unless there is a legitimate reason not to disclose (where an exemption applies)

An organisation normally has 20 working days to respond to a request.

For a request to be valid under the Freedom of Information Act, it must be in writing, but requesters do not have to mention the Act or direct their request to a designated member of staff.

It is good practice to provide the contact details of your freedom of information officer/team (which is on your organisation's website), but you cannot ignore or refuse a request simply because it is addressed to a different member of staff. Any written request to a public authority asking for information is a request for recorded information under the Act.

This doesn't mean you have to treat every enquiry formally as a request under the Act. It will often be most sensible and provide better customer service to deal with it as a normal customer enquiry under your usual customer service procedures.

When a request is received or you are asked how to submit an FOI request, it is important that you follow your organisation's policy and procedure and immediately direct the requests to the relevant team.',
			'field_order' => '2',
			'attachment_id' => '1756',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:21:14',
			'modified' => '2024-08-07 13:21:14'
		),
		(int) 61 => array(
			'id' => '3623',
			'course_id' => '122',
			'course_lesson_id' => '569',
			'field_type' => 'paragraph',
			'field_label' => 'Key Points',
			'description' => 'We all have a legal and professional duty to handle public information in a safe and secure manner
Data security can be broken down into 3 areas: confidentiality, integrity and availability
To make sure you comply with the law, you must know and comply with any information policies, procedures or protocols that your organisation has in place
Make sure information is shared in a secure way and that you have consent to do so where needed. Give individuals an opportunity to check the accuracy of information held to enable any mistakes to be corrected
By following good practice, you can help to ensure that people's information is not put at risk',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:25:12',
			'modified' => '2024-08-07 13:25:12'
		),
		(int) 62 => array(
			'id' => '3624',
			'course_id' => '122',
			'course_lesson_id' => '569',
			'field_type' => 'text-links',
			'field_label' => 'Further Information',
			'description' => '1. NHS Records Management Code of Practice 2021. <a href="https://transform.england.nhs.uk/information-governance/guidance/records-management-code/">View website</a><br>2. Information Commissioner's Office. Guide to the UK General Data Protection Regulation. London: ICO, 2018. <a href="https://ico.org.uk/for-organisations/uk-gdpr-guidance-and-resources/">View website</a><br>3. The Data Protection Act 2018. London: HMSO, 2018. <a href="https://www.legislation.gov.uk/ukpga/2018/12/contents/enacted">View website</a><br>4. National Data Guardian. The Caldicott Principles. London: NDG, 2020. <a href="https://www.gov.uk/government/publications/the-caldicott-principles">View website</a><br>5. National Data Guardian. National Data Guardian guidance on the appointment of Caldicott Guardians, their role and responsibilities. London: NDG, 2021. <a href="https://www.gov.uk/government/publications/national-data-guardian-guidance-on-the-appointment-of-caldicott-guardians-their-role-and-responsibilities">View guidance</a><br>6. NHS Digital. Guidance for sending secure email (including to patients). <a href="https://digital.nhs.uk/services/nhsmail/guidance-for-sending-secure-email">View website</a><br>7. Freedom of Information Act 2000. London: HMSO, 2000. <a href="https://www.legislation.gov.uk/ukpga/2000/36/contents">View website</a>',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:25:12',
			'modified' => '2024-08-07 13:25:12'
		),
		(int) 63 => array(
			'id' => '3625',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  It is important to lock your computer or mobile device when you're not using it.',
			'description' => 'Choose the correct option',
			'field_order' => '0',
			'attachment_id' => '1758',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 64 => array(
			'id' => '3626',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Someone follows you into your workplace and asks you to hold the door as they have forgotten their access card. Should you stop and challenge them?',
			'description' => 'Choose the correct option',
			'field_order' => '1',
			'attachment_id' => '1759',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No","Yes"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 65 => array(
			'id' => '3627',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is  the following statement true or false?  You are generally allowed to share people's data by using social media such as Facebook, Snapchat, Twitter or LinkedIn, because it is securely stored.',
			'description' => 'Choose the correct option',
			'field_order' => '2',
			'attachment_id' => '1760',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 66 => array(
			'id' => '3628',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  You need consent or an alternative legal basis to use a person's health and care information for non-care purposes.',
			'description' => 'Is the following statement true or false?

You need consent or an alternative legal basis to use a person's health and care information for non-care purposes.',
			'field_order' => '3',
			'attachment_id' => '1761',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 67 => array(
			'id' => '3629',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Important work-related documents, files or information should always be safely stored in folders that are backed up.',
			'description' => 'Choose the correct option',
			'field_order' => '4',
			'attachment_id' => '1762',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 68 => array(
			'id' => '3630',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Only use authorised USB drives or memory cards in work computers or mobile devices.',
			'description' => 'Choose the correct option',
			'field_order' => '5',
			'attachment_id' => '1763',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 69 => array(
			'id' => '3631',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Should you include sensitive information in social media posts relating to your work even though the system may allow you to?',
			'description' => 'Choose the correct option',
			'field_order' => '6',
			'attachment_id' => '1764',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No","Yes"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 70 => array(
			'id' => '3632',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Opening attachments or clicking web links from personal email or social media accounts on work devices can increase the risk of malware being downloaded.',
			'description' => 'Choose the correct option',
			'field_order' => '7',
			'attachment_id' => '1765',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 71 => array(
			'id' => '3633',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'multiple-choice',
			'field_label' => 'On a video conference from home, what should you ensure is not visible?',
			'description' => 'Choose all that apply and select Submit.',
			'field_order' => '8',
			'attachment_id' => '1766',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Any passwords and key codes","Individual's personal telephone numbers","Clinical correspondance"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 72 => array(
			'id' => '3634',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Someone in your team nearly lost or mistakenly shared a large quantity of sensitive information. It was a 'near miss'.  Should you report it?',
			'description' => 'Choose the correct option',
			'field_order' => '9',
			'attachment_id' => '1767',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No. It won't happen again; your team rarely makes mistakes like this","Yes. improvements to procedures can only be made if they are shared with the right members of staff"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 73 => array(
			'id' => '3635',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following statements on the Data Protection Act 2018 and UK GDPR is correct?',
			'description' => 'Choose the correct option',
			'field_order' => '10',
			'attachment_id' => '1768',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The Act only applies to patient or service user information","Organisations can be fined or face legal action for breaching the principles of the Act","The Act prevents information being shared for health and care purposes","The Act only applies to personal information in digital form","Individuals cannot be fined or face legal action for breaching the principles Act"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 74 => array(
			'id' => '3636',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  All individuals have a right to privacy and can make requests to an organisation to access, erase (be forgotten), or rectify their data; or object to its use. An organisation must comply with this request unless they have a valid legal reason not to do so.',
			'description' => 'Choose the correct option',
			'field_order' => '11',
			'attachment_id' => '1769',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 75 => array(
			'id' => '3637',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Under UK GDPR, an individual can be held responsible for a data breach.',
			'description' => 'Choose the correct option',
			'field_order' => '12',
			'attachment_id' => '1770',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 76 => array(
			'id' => '3638',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement True or False?  Sharing information with the right people can be just as important as not disclosing to the wrong person.',
			'description' => 'Choose the correct option ',
			'field_order' => '13',
			'attachment_id' => '1771',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 77 => array(
			'id' => '3639',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'When an individual requests information under a Freedom of Information Act, do they have to mention FOIA or direct their request to a designated member of staff?',
			'description' => 'Choose the correct option ',
			'field_order' => '14',
			'attachment_id' => '1772',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Yes","No"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3561',
		(int) 1 => '3562',
		(int) 2 => '3563',
		(int) 3 => '3564',
		(int) 4 => '3565',
		(int) 5 => '3566',
		(int) 6 => '3567',
		(int) 7 => '3568',
		(int) 8 => '3569',
		(int) 9 => '3570',
		(int) 10 => '3571',
		(int) 11 => '3572',
		(int) 12 => '3573',
		(int) 13 => '3574',
		(int) 14 => '3575',
		(int) 15 => '3576',
		(int) 16 => '3577',
		(int) 17 => '3578',
		(int) 18 => '3580',
		(int) 19 => '3581',
		(int) 20 => '3582',
		(int) 21 => '3583',
		(int) 22 => '3585',
		(int) 23 => '3586',
		(int) 24 => '3584',
		(int) 25 => '3587',
		(int) 26 => '3588',
		(int) 27 => '3589',
		(int) 28 => '3590',
		(int) 29 => '3591',
		(int) 30 => '3592',
		(int) 31 => '3593',
		(int) 32 => '3594',
		(int) 33 => '3595',
		(int) 34 => '3596',
		(int) 35 => '3597',
		(int) 36 => '3598',
		(int) 37 => '3599',
		(int) 38 => '3600',
		(int) 39 => '3601',
		(int) 40 => '3602',
		(int) 41 => '3603',
		(int) 42 => '3604',
		(int) 43 => '3605',
		(int) 44 => '3606',
		(int) 45 => '3607',
		(int) 46 => '3608',
		(int) 47 => '3609',
		(int) 48 => '3610',
		(int) 49 => '3611',
		(int) 50 => '3612',
		(int) 51 => '3613',
		(int) 52 => '3614',
		(int) 53 => '3615',
		(int) 54 => '3619',
		(int) 55 => '3618',
		(int) 56 => '3617',
		(int) 57 => '3616',
		(int) 58 => '3622',
		(int) 59 => '3621',
		(int) 60 => '3620',
		(int) 61 => '3623',
		(int) 62 => '3624',
		(int) 63 => '3625',
		(int) 64 => '3626',
		(int) 65 => '3627',
		(int) 66 => '3628',
		(int) 67 => '3629',
		(int) 68 => '3630',
		(int) 69 => '3631',
		(int) 70 => '3632',
		(int) 71 => '3633',
		(int) 72 => '3634',
		(int) 73 => '3635',
		(int) 74 => '3636',
		(int) 75 => '3637',
		(int) 76 => '3638',
		(int) 77 => '3639'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '122'
$k = (int) 2
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:53:24'
		)
	),
	(int) 6 => array(
		'Attachment' => array(
			'id' => '1598',
			'record_id' => '117',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:55:19'
		)
	),
	(int) 7 => array(
		'Attachment' => array(
			'id' => '1617',
			'record_id' => '119',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 15:57:54'
		)
	),
	(int) 8 => array(
		'Attachment' => array(
			'id' => '1648',
			'record_id' => '111',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:36:24'
		)
	),
	(int) 9 => array(
		'Attachment' => array(
			'id' => '1650',
			'record_id' => '110',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:37:21'
		)
	),
	(int) 10 => array(
		'Attachment' => array(
			'id' => '1688',
			'record_id' => '120',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 10:43:35'
		)
	),
	(int) 11 => array(
		'Attachment' => array(
			'id' => '1715',
			'record_id' => '121',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 11:33:31'
		)
	),
	(int) 12 => array(
		'Attachment' => array(
			'id' => '1722',
			'record_id' => '122',
			'type' => 'course',
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		'description' => '',
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		'modified' => '2024-07-31 08:44:33'
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			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3640',
			(int) 1 => '3641',
			(int) 2 => '3642',
			(int) 3 => '3643',
			(int) 4 => '3644',
			(int) 5 => '3645',
			(int) 6 => '3646',
			(int) 7 => '3647',
			(int) 8 => '3648',
			(int) 9 => '3649',
			(int) 10 => '3650',
			(int) 11 => '3651',
			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
		)
	),
	(int) 2 => array(
		'Course' => array(
			'id' => '122',
			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
			'banner_media_id' => '1721',
			'thumbnail_media_id' => '1722',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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			),
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			),
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			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
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			'created' => '2024-08-05 09:12:40',
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			),
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			),
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			),
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			),
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				[maximum depth reached]
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		'course_title' => 'Information Governance',
		'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
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		'created' => '2024-08-07 11:35:09',
		'modified' => '2024-08-07 14:23:26'
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			'description' => 'This session has been developed for all staff working within the health and social care sector. It covers key learning, which is necessary to understand data security, good record keeping and the relevant laws that govern the use of information.<br /><br />At the end of this session, you should have a good understanding of your individual as well as your organisation's responsibilities in the importance of protecting, or safely sharing, your own and others' data. Effectively practising what you learn will help you and your organisation to comply with data security and protection requirements, standards, your organisation's policies and most importantly with relevant law.<br /><br />There are certain roles within the health and social care sector that will need to have a more detailed understanding of data security, for example those working in information governance (IG). Your organisation will be able to provide you with details of the further training you are required to undertake.',
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			'modified' => '2024-08-07 11:37:10'
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			'created' => '2024-08-07 11:38:00',
			'modified' => '2024-08-07 11:38:00'
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			'created_user_id' => '8779',
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			'created' => '2024-08-07 12:19:08',
			'modified' => '2024-08-07 12:19:08'
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			'created' => '2024-08-07 12:54:40',
			'modified' => '2024-08-07 12:59:38'
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			'lesson_title' => 'Data Breaches ',
			'description' => 'Information on data breaches.',
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			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
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			'created' => '2024-08-07 13:00:13',
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			'session_length' => '5 minutes',
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			'created' => '2024-08-07 13:12:26',
			'modified' => '2024-08-07 13:12:26'
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			'lesson_title' => 'Freedom of Information',
			'description' => 'Learn more about Freedom of Information.',
			'lesson_order' => '7',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 13:16:36',
			'modified' => '2024-08-07 13:16:44'
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			'course_id' => '122',
			'lesson_title' => 'Session Summary',
			'description' => 'Summary of topics covered and references.',
			'lesson_order' => '8',
			'created_user_id' => '8779',
			'session_length' => '2 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 13:21:46',
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			'course_id' => '122',
			'lesson_title' => 'eAssessment',
			'description' => 'Welcome to the&nbsp;Data Security Awareness Level 1 eAssessment.<br /><br />To successfully complete this eAssessment, you need to achieve a score of at least 80%.',
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			'created' => '2024-08-07 13:25:50',
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			'description' => '- Describe the importance of data security in health and social care
- Outline the steps you must follow to ensure you comply with the law
- Define potential threats to the security of information and how you can avoid or minimise them
- Identify data breaches and how to prevent them
- Outline the principles of good record keeping
- Describe the responsibilities of health and social care organisations under the Freedom of Information Act 2000 and what you can do to support compliance with this law',
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			'course_id' => '122',
			'course_lesson_id' => '561',
			'field_type' => 'paragraph',
			'field_label' => 'Duration',
			'description' => '•  45 minutes (knowledge chapters)
•  15 minutes (eAssessment)',
			'field_order' => '1',
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			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'media-field',
			'field_label' => 'The Principles of Data Protection',
			'description' => 'Good information governance underpins good care. People's safety and preferences are supported when the confidentiality of their personal data is maintained, its integrity is protected against loss or damage and the information is accessible by those who are authorised, when they need it.

Everyone who uses health and social care services should be able to trust that their health and care information is adequately protected. People should be assured that those involved in their care, and in running and improving the services, are using such information appropriately and respecting patient choices where required.

By being mindful of good practice when handling information, you can help to ensure that people remain safe and receive the best possible care.

Remember, individuals have certain legal rights with regards to their personal data and organisations have certain legal responsibilities and obligations to comply with when processing personal data. You will learn more about this as we go through the course.

When you are responsible for handling personal data, you must not forget that it's people's information; it should be treated with respect, it's important that people's information is used only in ways they would expect and that it stays safe. In this session, you will learn more about data protection law which makes sure everyone’s data is used properly and legally.

We all have a duty to protect people's personal data in a safe and secure manner and share it appropriately.
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			'course_lesson_id' => '562',
			'field_type' => 'image-hotspot',
			'field_label' => 'Managing Information',
			'description' => 'Making sure that people's information is protected and handled securely is something all staff will recognise. We are responsible for ensuring that people's information is only used for the good of health and care, and that it is always protected.

However, the way we manage information impacts the performance of all areas of health and care, and affects all employees.  For example, support functions like HR also have a critical role in managing staff records, estates for managing information about the places we work; and commercial for managing contracts.

Staff should familiarise themselves with good records management practice (see Records Management Code of Practice for Health and Social Care [1]), preserving content in line with retention schedules, and following the information lifecycle.

Effective information management enables teams to use their time, resources and expertise effectively to make decisions and to fulfil their roles.

Select the numbers to find out more.',
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			'field_choices' => '{"width":500,"annotations":[{"top":95.9844,"left":31,"annotation":"Collection\n\nCollection of information can be done in many ways; for example, verbally, via an online or written form, or via large-scale data transfers of a database or spreadsheet. It can also be taken from various sources such as the individual themselves, their care record, their GP practice, a family member, or their health and care professional."},{"top":62.9844,"left":156,"annotation":"Sharing\n\nSharing involves consideration of questions such as: what information is to be distributed, to whom, in what format, how often, under what circumstances, for what purposes and using what security measures?"},{"top":89.9844,"left":247,"annotation":"Usage\n\nUsage is important for a range of purposes including: storage, analysis, identifying historical trends, developing lessons learned, satisfying legislative requirements etc."},{"top":62.9844,"left":355,"annotation":"Archiving\n\nArchiving takes place after a period of time, usually determined by national frameworks and organisational policy."},{"top":93.9844,"left":457,"annotation":"Disposal\n\nDisposal takes place after the information has been retained for the minimum period set out in the Records Management Code of Practice. Information may be transferred to the National Archives for long-term preservation, or securely destroyed if no longer required."}]}',
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			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'media-field',
			'field_label' => 'The Data Protection Act and UK GDPR',
			'description' => 'The UK General Data Protection Regulation (UK GDPR) [2] and the Data Protection Act (DPA) 2018 [3] together provide the legal framework for data protection.

Data protection law takes a flexible, risk-based approach which puts the onus on your organisation to think about and justify how and why personal data is used. It sets out the key principles for use of personal data and individual's rights in relation to the personal data your organisation holds about them. It also details your organisation's legal obligations to protect this data.


Everyone is responsible for protecting personal data and ensuring it is handled and used appropriately and in accordance with data protection law and within your organisation's guidance, policies and procedures.

The Information Commissioner’s Office (ICO) regulates and enforces data protection law in the UK. They offer advice and guidance, promote good practice, carry out audits, consider complaints, monitor compliance and take enforcement action, such as issuing fines, where appropriate.',
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			'id' => '3566',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'paragraph',
			'field_label' => 'Types of Data',
			'description' => 'In health and care settings, we come into contact with various types of personal data about people. It is important to be able to identify these different types of data so that they can be appropriately protected when they are used and shared.

- Personal data

Under data protection law, personal data is information that relates to a living individual who can be identified (either directly or indirectly) from that information. Examples include name, telephone number and email address.

Your organisation will handle lots of personal data during its day-to-day activities such as the personal data of patients, service users and members of staff.

- Special category data

There is also a type of personal data which under data protection law requires more protection because it is sensitive. This is known as 'special categories of personal data.' These include:

- Personal data revealing - racial or ethnic origin; political opinions; religious or philosophical beliefs; trade union membership
- Genetic data
- Biometric data (where used for identification purposes, such as fingerprints or facial recognition)
- Data concerning health; a person's sex life; and a person's sexual orientation.

- Confidential information

Confidential information is all information collected for the provision of health and social care services where people can be identified and would expect that it to be kept private. This may include for instance, details about symptoms, diagnosis, treatment, names and addresses. In some instances, it may include staff information. Confidential information is subject to a legal and professional duty of confidentiality.

The general principle is that confidential information should not be shared for purposes other than direct care of the individual. Exceptions to this principle are where the individual has explicitly consented to sharing the information; where sharing information is required by law, or expressly permitted by law; or there is an overriding public interest, such as preventing serious harm.

Confidentiality does not just relate to patients and their health information, there may also be a duty of confidence where an employee discloses information to their employer. It is important to maintain confidentiality of staff records, particularly where this relates to health or payroll information.

Maintaining confidentiality is the responsibility of all staff working in health and care. You should refer to your contract of employment for any confidentiality requirements set out by your employer, your organisation's confidentiality policy, as well as any professional standards if appropriate to your profession.
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		),
		(int) 6 => array(
			'id' => '3567',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Some information is more identifiable than other information. It can range from fully identifiable, to effectively anonymous.

At one end of the range, a person is fully identifiable. But remove some of the information or take other measures (such as replace their name with a code), then it becomes more difficult to identify who that person is.

At the other end of the range, it is not possible to identify who someone is - they are effectively anonymous. The same information may be anonymous in the hands of one recipient, but identifiable in the hands of another as it depends on what other information they have available to them. For example, using someone's initials may allow someone looking after that person to identify them, but it may not mean anything to someone else. It all depends on the context.

What is the difference between pseudonymised and anonymised data?

Pseudonymised data - Pseudonymisation is a security technique used to protect personal data. Pseudonymised data is information which has had identifiers replaced by one or more artificial identifiers, or pseudonyms, such as a hospital number. Pseudonymised data is still considered personal data.

Anonymised data- Truly anonymised information or data cannot identify or re-identify an individual (directly or indirectly), either on its own or when combined with other information. It may be presented as general trends or statistics. Information about small groups of people with rare conditions for example, could potentially allow someone to be identified and so would not be considered anonymous.

Similarly, removing identifiers, such as a name, will reduce the likelihood of the information being immediately identifiable, but it is likely that someone could work out who that person is by looking at the other information available, such as date of birth and address. This means the information is still identifiable and is considered personal data.

In most cases, it may be acceptable and appropriate to publish or share truly anonymous information, but you should check with your information governance team to make sure. It may be that the data could still potentially be reidentified, or that it is corporately sensitive to the organisation.',
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		),
		(int) 7 => array(
			'id' => '3568',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'image-hotspot',
			'field_label' => 'The Principles of UK GDPR',
			'description' => 'Everyone responsible for using personal data has to follow strict rules specified under data protection law. These are known as the ‘data protection principles’, listed below and must be adhered to when you are using and sharing personal data.

Select the numbers for more information on each of the seven principles.',
			'field_order' => '5',
			'attachment_id' => '1720',
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			'field_choices' => '{"width":500,"annotations":[{"top":83.2188,"left":17,"annotation":"Lawful, Fair and Transparent\n\nEnsure you have a valid legal reason to use people's information.\n\nEnsure that you act in accordance with other laws, such as the common law duty of confidentiality. This means only using information you have received in confidence (such as health and care information) in ways the person would expect, such as for their care. You should speak to your information governance team if you are unsure, or if you are seeking to use the information for other purposes.\n\nYou must use personal information in a way that is fair. This means you must not use the information in a way that is unduly detrimental, unexpected or misleading to the individuals concerned.\n\nYou must be clear, open and honest with people from the start about how you will use their personal data. Your organisation will do this through the transparency (privacy) notice on the organisation's website or via other methods, such as information leaflets."},{"top":19.2188,"left":156,"annotation":"Purpose Limitation\n\nYou must be clear from the outset about the purpose for using the information.\n\nYou can only use the personal data for another purpose where this is compatible with your original purpose, or you get consent, or you have a clear obligation or function set out in law. \n\nYou must inform people if you are going to use their information in a new way. However, exemptions may apply for using personal data for other purposes and you should contact your Information Governance team for advice."},{"top":156.219,"left":145,"annotation":"Data Minimisation\n\nYou must ensure the personal data you are processing is:\n\n- adequate: sufficient to properly fulfil the stated purpose\n- relevant: has a rational link to that purpose\n- not excessive: you do not use more than you need for that purpose. Only use or share the minimum amount of personal data necessary to achieve the intended purpose"},{"top":45.2188,"left":238,"annotation":"Accurate and Kept up to Date\n\n- You should take all reasonable steps to ensure the personal data you hold is not incorrect or misleading\n- You may need to keep the personal data updated, although this will depend on what you are using it for\n- If you discover that personal data is incorrect or misleading, you must take reasonable steps to correct or erase it as soon as possible\n- You must carefully consider any challenges to the accuracy of personal data"},{"top":111.219,"left":237,"annotation":"Storage Limitation\n\n- You must not keep personal data for longer than you need it\n- You need to think about, and be able to justify, how long you keep personal data. This will depend on your purposes for holding the data\n- You should also periodically review the data you hold, and erase it when you no longer need it\n- You must carefully consider any challenges to your retention of data\n- You can keep personal data for longer if you are only keeping it for public interest archiving, scientific or historical research, or statistical purposes\n- You should manage personal data in line with your organisation's records or information management procedures and guidance and the Records Management Code of Practice for Health and Social Care (website link next page)"},{"top":35.2188,"left":388,"annotation":"Security, Integrity and Confidentiality\n\nYou and/or your organisation must ensure that appropriate security measures are in place to protect the personal data held by your organisation or any other third party working on behalf of your organisation.\n\nWhere your organisation is using or sharing personal data which may involve a high risk to individuals, including processing large volumes of health and care information, you will need to carry out a data protection impact assessment (DPIA) to identify and explain how you are managing those risks. \n\nSee your local organisation's guidance on carrying out data protection impact assessments as it may only be certain members of staff who are allocated responsibility and expected to do this."},{"top":176.219,"left":392,"annotation":"Accounted for (Accountability Principle)\n\nThe accountability principle requires your organisation to take responsibility for what you do with personal data and how you comply with the other principles.\n\nYou can support this by reading and understanding your local data protection and security policies and procedures.\n\nYou and your organisation must have appropriate measures and records in place to be able to demonstrate your compliance for example, by conducting data protection impact assessments (DPIAs) and keeping record of where and how you process personal data."}]}',
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		),
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			'id' => '3569',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => '<a href="https://transform.england.nhs.uk/information-governance/guidance/records-management-code/">https://transform.england.nhs.uk/information-governance/guidance/records-management-code/</a>',
			'field_order' => '6',
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		),
		(int) 9 => array(
			'id' => '3570',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'paragraph',
			'field_label' => 'The Rights of Individuals',
			'description' => 'e aware of your responsibilities for protecting people's information, using it with the principles at the heart of your approach and respect individuals' rights to privacy.

INFORMED 
An individual has the right to be informed of whether their personal data is being used, what it is being used for and who it may be shared with. An organisation must inform the individual if it is using their personal data.

This is done in health and care by publishing privacy notices, information leaflets and similar to cover all uses of data by an organisation.

ACCESS
An individual has the right to ask an organisation if they are using or storing their personal data and to ask them for copies of their information, verbally or in writing. This is commonly known as making a subject access request (SAR).

This is commonly exercised in health and care, both by people using services and by staff.

RECTIFICATION
Individuals can challenge the factual accuracy of personal information held about them by an organisation, and ask for it to be corrected or deleted. If their information is incomplete, they can ask for the organisation to complete it by adding more details.

ERASURE
Individuals can ask an organisation to delete information about them, and in some circumstances, it must then do so. This is also known as the right to be forgotten but it rarely applies to information held by health and care organisations.

RESTRICTION
Individuals have the right to request restriction or limitation of the use of their personal data in certain circumstances.                                     

This right is closely linked to rights to challenge the accuracy of data and to object to its use. This can occasionally apply to health and care data.

DATA PORTABILITY
In certain circumstances where an individual provides their personal data directly to an organisation, they have the right to request their personal data from an organisation in a common format.

They also have the right to ask an organisation to transfer their information to another organisation.

This rarely applies to information held by health and care organisations.

OBJECT
An individual has the right to object to the use of their personal data in some circumstances. If an organisation agrees to their objection, it must stop using their data for that purpose unless it can give strong and legitimate reasons to continue using their data despite the individual's objections.

This can sometimes apply to health and care data but it is the common law duty of confidentiality that is often more applicable where an individual is unhappy that their health and care data is used. You should speak to your information governance team for advice in this instance.

AUTOMATED DECISION MAKING AND PROFILING
In many circumstances, an individual has a right to prevent automated decision making. This is where automatic decisions that have a significant impact on the individual's life, are made for example, without people being involved.

It is unlikely that this is currently applicable to data used by health and care organisations, but it may become more common in the future as the use of artificial intelligence grows.

RAISE A CONCERN
An individual can tell an organisation or the Information Commissioner's Office (ICO) if they are concerned about how the organisation is using their data.

If you are approached by someone who wishes to exercise any of these rights, you should notify the relevant person or team in your organisation who has the necessary expertise to handle these requests as per your organisation's policy and procedures. This will typically be the Data Protection Officer (DPO) or Information Governance (IG) team.
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		),
		(int) 10 => array(
			'id' => '3571',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Keeping Data Secure',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1723',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 11 => array(
			'id' => '3572',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'The Value of Data',
			'description' => 'Poor data protection, information management and security can cause personal, social and reputational damage. You could potentially be held personally accountable for a major breach and be faced with disciplinary action as a result.   

What are Personal Data Breaches?

Personal data breaches are breaches of security which lead to the accidental or unlawful destruction, loss, alteration, unauthorised disclosure of, or access to, personal data.

A personal data breach isn't always as a result of a cyber attack on a system but can also be failure to put in place appropriate technical and organisational measures to protect the confidentiality, integrity or availability of personal data.

Examples can include:

- Unauthorised access by third party
- Deliberate or accidental action (or inaction)
- Sending personal data to an incorrect recipient
- Mobile devices containing personal data being lost or stolen
- Alteration of personal data without permission
- Loss of availability of personal data

What Steps can you take to Avoid such Breaches?

You can take the following steps to avoid breaches:

• Read and comply with your organisation's policies on:
- Data protection
- Records management
- Security management 
• Complete relevant training and put your learning into practice
• Apply core data protection, security, records management and confidentiality principles in your day-to-day processing of data
• Use relevant best practice guidance
• Assess the risks of your data use by completing a data protection impact assessment (DPIA)
• Use relevant best practice guidance

',
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		),
		(int) 12 => array(
			'id' => '3573',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'image-bullets',
			'field_label' => 'Data Security',
			'description' => 'Data security can be broken down into three areas:',
			'field_order' => '2',
			'attachment_id' => '1725',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Confidentiality","Integrity","Availability"]',
			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:27:14',
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		),
		(int) 13 => array(
			'id' => '3574',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Confidentiality',
			'description' => 'Confidentiality is about privacy and ensuring that information is only accessible to those who have a legitimate reason to see it.

It would be unacceptable for a perfect stranger to be able to access sensitive information by walking into an office and reading files stored there, or by simply lifting the lid on a laptop and switching it on.

This is why sensitive files should be securely locked away, and laptops and other devices should be protected with security measures such as encryption. This is also why you should only use devices that are authorised by your organisation.

',
			'field_order' => '3',
			'attachment_id' => '1726',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'active' => '1',
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		),
		(int) 14 => array(
			'id' => '3575',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Integrity',
			'description' => 'Integrity is about information being accurate, up-to-date and reliable. Unauthorised or accidental alteration or loss of data can have serious consequences.  Systems will often log all user actions to help protect the integrity of people's information.
',
			'field_order' => '4',
			'attachment_id' => '1727',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 15 => array(
			'id' => '3576',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Availability',
			'description' => 'Availability is about information being there when it is needed: to support care, to pay staff wages, or for any other legitimate purpose. Systems must be protected from cyber attack and accidental damage.

',
			'field_order' => '5',
			'attachment_id' => '1728',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
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			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 16 => array(
			'id' => '3577',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Jane has an accident while decorating her flat and falls badly, hurting her leg. She calls an ambulance. The paramedics ask Jane for her name and address and ask her about her injury. They can see that she is in pain and ask if she is allergic to any medications. She isn't sure.
 
The paramedics use their tablet device to look up Jane's Summary Care Record (SCR) as their role allows them to access details of her medical history. An SCR is an electronic record of people's information that is sourced from their GP record. As a minimum, it contains details of current medications, allergies and adverse reactions and the person's name, address, date of birth and NHS number.
 
By accessing Jane's record, the paramedics can see that Jane is actually allergic to morphine, so they administer an alternative pain relief while she is driven to hospital, where she is treated for her injuries.

Let's see how confidentiality, integrity and availability apply to the scenario.

Confidentiality
The paramedics used their tablet device to look up Jane’s SCR which gives details of her medical history. Because they are paramedics, the system permits them to access Jane’s record, a non-qualified person would not be able to see this level of information about Jane.

Integrity
By accessing Jane’s record, the paramedics can see that Jane is allergic to morphine, so they administer an alternative pain relief. The record is up-to-date and accurate, showing the last person who updated the record with the allergy information and the time of the update. Jane is driven to hospital, where she is treated for her injuries.

Availability
In this case, the availability of accurate and up-to-date information at the point it is needed has had a direct impact on individual care.
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		(int) 17 => array(
			'id' => '3578',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Social Engineering',
			'description' => 'Social engineering involves those who want to steal data, such as health and care records, either digital or physical, by using tricks or deception to manipulate people into giving access to that data and other valuable information.
This component is a flipcard comprised of flippable cards containing display image. Select the front face image to flip to the back face of these card to display associated text.
Criminals will often take weeks and months getting to know a place before even coming through the door or making a phone call.

Select all the images to view ways criminals might gain your trust.',
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			'field_choices' => '{"width":500,"annotations":[{"top":101.25,"left":168,"annotation":"Preparation\n \nTheir preparation might include finding your organisation’s phone list or organisation chart and researching employees on social networking sites, like LinkedIn or Facebook.\n \nThe goal is always to gain the trust of one or more employees, though a variety of means."},{"top":93.25,"left":387,"annotation":"In the office\n\n'Can you hold the door for me? I don’t have my key/access card on me.’\n\nHow often have you heard that in your building? Although the person asking may not seem suspicious, this is a very common tactic used by fraudsters."},{"top":301.25,"left":126,"annotation":"On the phone\n\nA social engineer might call and pretend to be a fellow employee, for example from your ICT department or provider, or a trusted outside authority, such as the police or an auditor."},{"top":211.25,"left":298,"annotation":"Online\n\nSocial networking and new apps and sites opened a whole door for more social engineering scams. However, email is still the most common method which is covered later.\n\nOnline quizzes may encourage you to reveal more information about yourself for fun. This includes revealing your favourite colour or holiday destination as they were commonly used as password reset questions."}]}',
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		),
		(int) 18 => array(
			'id' => '3580',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'There are examples of many people being scammed by criminals pretending to be calling from a call centre.
For example, they may say they are calling about an online order you’ve made. If you’re expecting a delivery, it is easy to be taken in.
 
The criminal may already have a lot of information about you and ask you to confirm additional details about your online account, so that the order is not delayed.
 
If they have your email address, they may try to get you to click on a malicious link in an email they send you.',
			'field_order' => '1',
			'attachment_id' => '1731',
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		),
		(int) 19 => array(
			'id' => '3581',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Example',
			'description' => 'Hi. This is Mike from the ICT department. How are you?
 
Hi Mike. I’m fine.
 
We are doing some urgent updates today on the system. Can you confirm your full name so I can bring up your details?
 
It’s Georgina Jenkins here. I didn’t realise we had an update today.

We had a few problems last night and now need to do some urgent work which may affect your access. Can you confirm your username and password so I can make sure these are transferred when we carry out the urgent update.
 
Oh, of course, it’s...

Would you disclose your username, password, email addresses or other details about where you work?
 
Your line manager, ICT department or provider already know a lot about you and will not need to ask these types of questions.',
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		),
		(int) 20 => array(
			'id' => '3582',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Similarly, calls have been made to NHS and care staff where the caller pretends to be from the ICT department or provider.
 
For example, the caller advises that ICT have detected some problem with the employee’s work account, which they can resolve if the employee allows them to remotely access the laptop or PC.
 
They may ask you to disclose your username, password, email address or other details about where you work.',
			'field_order' => '3',
			'attachment_id' => '1733',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 21 => array(
			'id' => '3583',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Similarly, calls have been made to NHS and care staff where the caller pretends to be from the ICT department or provider.   For example, the caller advises that ICT have detected some problem with the employee’s work account, which they can resolve if the employee allows them to remotely access the laptop or PC.   They may ask you to disclose your username, password, email address or other details about where you work.',
			'description' => 'Revealing any information about your organisation on social media can be valuable to a fraudster.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 22 => array(
			'id' => '3584',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Hola! it’s holiday time again in 24 hours. Can you do me a favour? I forgot to update Jane Smith’s record – you know my password, don’t you?
 
No I don’t. Can you send it to me?
 
It’s Katie2011.
 
Got it. Haha! I do that with my passwords too – name them after my kids' names.
',
			'field_order' => '7',
			'attachment_id' => '1734',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 23 => array(
			'id' => '3585',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'It’s the office move day today so we’re having to use these stupid passes and door entry codes everywhere.
 
The amount of codes I have to remember these days is crazy - mine are all the same anyway!
 
Having to sort out all this funding today - we’ve just been awarded £1m to cut our waiting times. So guess what? I can sign off up to £50 000 now! 
',
			'field_order' => '5',
			'attachment_id' => '1735',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 24 => array(
			'id' => '3586',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'I can’t get in the office – can you pass me your door code?
 
Sure, it’s 12345.',
			'field_order' => '6',
			'attachment_id' => '1736',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 25 => array(
			'id' => '3587',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'A criminal reading the posts will gain vital intelligence about how the organisation's processes work.',
			'description' => 'What Information Could a Criminal get?

• Find out where Sandra's new office is by searching her organisation's website, then aligning the social worker’s online pictures to that office 
• Find out the dates of when Sandra will be on holiday and when her house will be vacant
• Find out children's names and birthdates to work out passwords

What Could a Criminal do with this Information?

• Gain access to Sandra's office using the door entry code
• Burgle Sandra's house when she is on holiday
• Install malicious software that corrupts data or prevents the organisation using it until they pay a ransom
• Gain access to data to sell on to other criminals
• Attempt to authorise one or more £50 000 transactions
• Attempt to create a new referral to claim a personal budget
• Access bank account details listed in the system, to steal a service user’s money',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 26 => array(
			'id' => '3588',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Email',
			'description' => 'Email can be the most efficient option for exchanging information securely but, as with all forms of information transfer, there are risks. Hackers and criminals sometimes use unsolicited emails that contain attachments or links to try to trick people into providing access to information. This type of threat is known as phishing.

Select the numbers to find out more information.',
			'field_order' => '9',
			'attachment_id' => '1737',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":141.219,"left":108,"annotation":"Click on a link\n\nClick on a link that will take you to a website that looks genuine and enter sensitive or financial information about yourself, your organisation or the people who use its services."},{"top":45.2188,"left":345,"annotation":"Open an attachment\n\nOpen an attachment that runs malicious code on your computer, giving an attacker full access to all data and systems that you can normally access."},{"top":106.219,"left":448,"annotation":"Unknowingly install malware\n\nSome malware can enable the hacker to steal data from your computer or your organisation’s network. Other types of malware might lock all your files and lead to your organisation being asked to pay a ransom to unlock them."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 27 => array(
			'id' => '3589',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'If you receive a request from a supposed colleague asking for login details or sensitive or financial information, or any information about the people using your service, you should always double-check the request by contacting the colleague by another method, such as by calling them.
 
Equally, if you receive an unsolicited email that contains attachments or links that you have not asked for, do not open them.
 
Remain vigilant and report the suspicious email to your line manager, ICT department or provider.
 
Never give your login details to anyone.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 28 => array(
			'id' => '3590',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Phishing',
			'description' => 'Phishing is by far the biggest and easiest form of social engineering.

Criminals use phishing emails and websites to scam people on a regular basis. They are hoping that you will click on fake links to sites or open attachments so that they can steal data or install malicious software.

• Aim of Phishing
- The aim of phishing emails is to force users to make a mistake for, example, by imitating a legitimate company’s emails or by creating a time-limited or pressurised situation.

• Do not Install Software
- Phishing email attachments or websites might ask you to enter personal information or a password, or they could start downloading and installing malware.
- Do not install any new software unless you are advised to do so by your line manager, ICT department or provider.
- Think – is someone trying to extract or extort information from you?

• Contact your ICT Department or Provider
You must contact your manager and ICT department or provider for advice immediately if you:
- Are unsure about an email or think that this may be happening to you
- Have clicked on a phishing link or visited a phishing website
',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 29 => array(
			'id' => '3591',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'There are warning signs that your email might be from a phisher or fraudster.',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '12',
			'attachment_id' => '1738',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":3.03125,"left":37,"annotation":"Sender\n\nHovering over the 'From' column is a simple way to check if an email is legitimate or not.\n\nIs the email from a person or organisation you recognise? A quick online search can bring up genuine email domain names such as @nhs.net or @xxx.gov.uk."},{"top":28.0312,"left":138,"annotation":"Subject\n\nIs the subject relevant to something that you are actually working on or is it in any way relevant to you? If not, alarm bells should start ringing.\n\nHowever, it may also be that the sender has incorrectly addressed the email."},{"top":14.0312,"left":216,"annotation":"Addressees\n\nCheck the address fields ‘To’ and ‘CC’, to see where the email has been sent.\n\nIf the fields contain multiple addressees (sometimes it can be 10s or even 100s), it is likely that the sender is ‘spamming’ potential targets and hoping to catch someone out. Don’t be that person."},{"top":42.0312,"left":71,"annotation":"Suspicious attachments\n\nIf a source, for example your bank, does not normally send you attachments, but then sends an email with an attachment, this may be evidence of spam."},{"top":87.0312,"left":318,"annotation":"Spelling, punctuation and incorrect grammar\n\nMany hackers misspell words and use bad grammar on purpose. Emails written in bulk may have visible errors or content that doesn’t make sense."},{"top":90.0312,"left":393,"annotation":"Links\n\nIf an email has provided you with some links and instructed you to click them, check it is a legitimate website link, also known as a URL.\n\nHover your mouse over any URLs that the email is trying to persuade you to visit, to make sure that they are legitimate."},{"top":129.031,"left":378,"annotation":"Requesting personal information\n\nA common tactic of spam emails is to alert you that you must provide or update personal information, including bank account details or an account password.\n \nYou will never legitimately be asked to provide your email login details, such as your password, by a genuine ICT department or service."},{"top":186.031,"left":243,"annotation":"What do I do if I receive a phishing email?\n\nDo not reply.\n \nSelect the email, right-click it and mark it as junk.\n \nInform your line manager, local ICT department or service provider and they will advise on how you can block further emails from being received."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 30 => array(
			'id' => '3592',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Macros and Malware',
			'description' => 'Select the numbers for more information.',
			'field_order' => '13',
			'attachment_id' => '1739',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":90.6406,"left":128,"annotation":"Macros\n\nMacros are a series of actions that a program such as Microsoft Excel may perform to work out some formulas. Your computer will disable macros by default because they can be programmed to install malware.\n\nAlways be vigilant when enabling macros.\n \nDo you trust the source of the document?"},{"top":155.641,"left":370,"annotation":"Malware\n\nMalware can reside on your computer and avoid detection, making it easier for someone to be active on your system without you noticing.\n\nTo protect your organisation from this type of threat, your ICT department or provider will ensure that you have up-to-date antivirus software installed.\n \nMalware can make computers run slowly or perform in unusual ways.\n \nIf you suspect that your computer is not performing as it normally does, contact your line manager, ICT department or provider for help."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 31 => array(
			'id' => '3593',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Good Practice',
			'description' => 'Select the numbers for more information.',
			'field_order' => '14',
			'attachment_id' => '1740',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":111.75,"left":169,"annotation":"Untrusted websites\n\nBe vigilant when you visit a website that is declared ‘untrusted’.\n\nIf a web browser states that you are about to enter an untrusted site, be very careful. It could be a fake phishing website that has been made to look genuine.\n \nA browser may display a red padlock or a warning message stating your connection is not private."},{"top":78.75,"left":414,"annotation":"Passwords\n\nIt is important to use strong passwords on all of your devices to prevent unauthorised access. You should also use different passwords for each account.\n \nCreating strong passwords doesn’t need to be a daunting task if you follow some simple guidelines.\n \nThe National Cyber Security Centre (NCSC) has a range of guidance on good password management.\n \nConsider the use of a free password manager, too. Again, the NCSC has detailed guidance on what to look for - a link to NCSC can be found in Resources."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 32 => array(
			'id' => '3594',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Understanding your Environment',
			'description' => 'Using your home internet connection, your workplace Wi-Fi connection and your phone’s personal hotspot should be password protected.
 
Security measures
 
• Change default passwords
• Use encryption - WPA2 is a type of encryption used to secure the vast majority of Wi-Fi networks
• Use password managers
• Disable auto connect to unknown Wi-Fi networks
• Update phones and devices with latest patches

The environment where you access information is also important. For example, Wi-Fi hotspots in public places such as cafes, fast food chains, public transport, people's homes, hotels and shops are not secure.',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 33 => array(
			'id' => '3595',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Staying safe online

• Passwords protect your device
• Use personal hotspot for internet access
• Keep belongings close by
• Do not assume Wi-Fi hotspots are secure
• Sit where you are not overlooked or use a privacy screen on your laptop - back against the wall is best
• Keep paperwork or documents to a minimum
•Do not discuss confidential data on the phone where you may be overheard
 
Remember to keep secure and be vigilant at all times.',
			'field_order' => '16',
			'attachment_id' => '1741',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 34 => array(
			'id' => '3596',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Cloud Storage',
			'description' => 'It can be the case that although the storage systems you use at home may be similar to those in your workplace, be aware of the different arrangements with regards to data security and protection. Check your local policies, or seek advice from your organisation's IT service desk or IG/data security contact.',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 35 => array(
			'id' => '3597',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Devices',
			'description' => 'A number of simple measures can help you to stay safe online.
 
You should ensure your device is kept up-to-date particularly with any security updates.
 
You should lock your device as soon as you stop using it. All mobile phones, laptops, PCs and tablets whether personal or not, should have a password set. If you see a colleague’s device open and unlocked, lock it for them and gently remind them to do so in future. This also applies to corporate mobile devices – activate the lock function so that a password or code is needed to unlock them.
 
Tip: Press the Windows key + L on your keyboard to quickly lock your laptop or PC.',
			'field_order' => '18',
			'attachment_id' => '1742',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 36 => array(
			'id' => '3598',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Do not use unauthorised USB drives and mobile devices and avoid plugging in any non-approved devices to charge via USB cable. A private mobile phone is effectively a large USB storage device and may contain malware.',
			'description' => 'Many organisations have policies about using USB drives, such as only using encrypted drives. Make sure you understand and follow your organisation's rules.
 
Using untrusted USB drives on your work computer can introduce malicious software and allow an attacker access to your network. Similarly, using trusted USB devices on public computers can cause a data breach.  If you are unsure, ask your line manager or IT department.',
			'field_order' => '19',
			'attachment_id' => '1743',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 37 => array(
			'id' => '3599',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Disposal of Information',
			'description' => 'We have to be careful when disposing of any information. Much of the data that health and care organisations create and use is classed as official in the eyes of the government.
 
USB drives and other digital storage media should be returned to your IT department for secure erasure, and paper records should be put into confidential waste bins or shredded.',
			'field_order' => '20',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 38 => array(
			'id' => '3600',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Clear Desk Policy',
			'description' => 'Most organisations now have a clear desk policy or equivalent guidance which includes working from home and you need to be aware of this.

Do not leave information such as documents that identify someone or financial details in unsecure locations
Having a clear desk ensures that you are not potentially leaving sensitive information lying around, raising the risk of a breach
A clear desk policy reduces the risk of data loss by ensuring no confidential or commercial information is left unattended throughout the workplace',
			'field_order' => '21',
			'attachment_id' => '1744',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 39 => array(
			'id' => '3601',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Home Working',
			'description' => 'More of us are working from home on a regular basis. Are you aware of the data security and protection issues?

Select the numbers below to find out more.',
			'field_order' => '22',
			'attachment_id' => '1745',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":173.25,"left":144,"annotation":"Your workspace\n\nYour kitchen table could be your office, be mindful of sensitive work conversations in shared household spaces."},{"top":152.25,"left":346,"annotation":"Being vigilant\n\nAt home we can sometimes drop our defences and forget that we should treat our home workspaces as much as possible like work."},{"top":41.25,"left":371,"annotation":"Video calls\n\nYour working environment will be visible. For example, notice boards with sensitive information such as bank statements, login details to personal accounts and clinic appointment letters.\n\nYou should consider blurring your background in a video call or using a fake background effect. This will also help to protect the privacy of those who you live with."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 40 => array(
			'id' => '3602',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'Confidentiality and Sharing Information',
			'description' => 'Confidential data is all data collected for the provision of health and social care services where people can be identified and would expect it to be kept private. This may include details about symptoms, diagnosis, treatment, names and addresses (this applies whether they are alive or deceased). In some instances, it may include staff information.

Under the common law duty of confidentiality, confidential information can be used or shared further with the consent of the individual. This consent can be implied (in relation to sharing for direct care) or expressly given.

Where this is not possible  or appropriate, decisions on whether or not confidential data can be shared for purposes beyond individual care should be made by senior staff. This could be, for example, your Information Governance (IG) lead, Caldicott Guardian, your manager or someone in your organisation who has responsibility for data protection. These decisions should be documented.',
			'field_order' => '0',
			'attachment_id' => null,
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			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 41 => array(
			'id' => '3603',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'image-hotspot',
			'field_label' => 'The Caldicott Principles',
			'description' => 'Before using confidential information, you should consider the Caldicott Principles [4]. The Caldicott Principles are intended to guide organisations on the use of confidential information within health and social care organisations and when such information is shared with other organisations or individuals. They apply to all data collected for the provision of health and social care services, where people can be identified and would expect that the data be kept private.

Caldicott Guardians are senior people within an organisation who protect the confidentiality of people's information by considering the ethical and legal aspects of data sharing. They play a vital role in ensuring that health and social care data is used responsibly to support the delivery of better care. Previously, only NHS organisations and local authorities were required to have a Caldicott Guardian.

The National Data Guardian released guidance in August 2021 that all of the following organisations that process confidential information of patients and service users should appoint a Caldicott Guardian: public bodies exercising functions that relate to the health service, adult social care or adult career support in England, as well as other organisations providing services as part of the publicly funded health service, adult social care, or adult carer support [5]. It is good practice for any organisation using health and care data to appoint a Caldicott Guardian, even if they are not required to.',
			'field_order' => '1',
			'attachment_id' => '1746',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":13.8906,"left":106,"annotation":"Every proposed use or transfer of confidential information should be clearly defined, scrutinised and documented, with continuing uses regularly reviewed by an appropriate guardian."},{"top":7.89062,"left":211,"annotation":"Confidential information should not be included unless it is necessary for the specified purpose(s) for which the information is used or accessed. The need to identify individuals should be considered at each stage of satisfying the purpose(s) and alternatives used where possible."},{"top":6.89062,"left":329,"annotation":"Where use of confidential information is considered to be necessary, each item of information must be justified so that only the minimum amount of confidential information is included as necessary for a given function."},{"top":11.8906,"left":438,"annotation":"Only those who need access to confidential information should have access to it, and then only to the items that they need to see. This may mean introducing access controls or splitting information flows where one flow is used for several purposes."},{"top":173.891,"left":50,"annotation":"Action should be taken to ensure that all those handling confidential information understand their responsibilities and obligations to respect people's confidentiality."},{"top":173.891,"left":171,"annotation":"Every use of confidential information must be lawful. All those handling confidential information are responsible for ensuring that their use of and access to that information complies with legal requirements set out in statute and under the common law."},{"top":173.891,"left":281,"annotation":"Health and social care professionals should have the confidence to share confidential information in the best interests of patients and service users people using their services within the framework set out by these principles. They should be supported by the policies of their employers, regulators and professional bodies."},{"top":180.891,"left":376,"annotation":"A range of steps should be taken to ensure there are no surprises, so that people have clear expectations about how and why their confidential information is used, and what choices they have about this. These steps will vary depending on the use: as a minimum, this should include providing accessible, relevant and appropriate information - in some cases, greater engagement will be required."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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		),
		(int) 42 => array(
			'id' => '3604',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'media-field',
			'field_label' => 'Informing People',
			'description' => 'People will not expect health and care professionals to look at their health records unless those professionals are involved in their care.
 
Wherever possible, you should inform people that you are accessing and using their information and the reason for doing so. There are specific techniques that you should use.

Explain
Clearly explain to people how you will use their information and point them to additional information if they ask for it. For example, on your organisation's website, in a leaflet or on a poster, or verbally when you see the person where appropriate.

Choices
Let people know what choices they have in relation to how their information is used and tell them whether that choice will affect the services offered to them. For example, it may not be possible to provide some services without being able to access their information.

If people are offered a choice, then it must be genuine and that choice should be respected, as and where appropriate.

Meet Expectations
Only use personal data in ways that people would reasonably expect. If people feel that their information may be used in unexpected ways or for purposes they may not support, this greatly undermines the relationship of trust.

The effect may be to deter people from seeking treatment, or, when seeking treatment, to only disclose partial or false details, thereby denying health and care providers the information they need to deliver safe and effective care.',
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			'attachment_id' => '1747',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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		),
		(int) 43 => array(
			'id' => '3605',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'Sharing Information for Individual Care',
			'description' => 'In line with the seventh Caldicott principle, sharing information with the right people can be just as important as not disclosing to the wrong person.
 
You have a legal duty to share the information:
• If it will assist in the care or treatment of an individual concerned and
• It is reasonable to believe that the individual concerned understands the reason for sharing

Check
Check that the individual understands what information will be shared and has no concerns.

Data Protection
Ensure that the data protection, record keeping and security best practice (covered elsewhere in this session) are met.

Respect Objections
Normally, if the individual objects to any proposed information sharing, you must respect their objection even if it undermines or prevents care provision.

Your Caldicott Guardian, IG lead, your manager or someone in your organisation who has responsibility for data protection will be able to advise on what to do in these circumstances.
',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 44 => array(
			'id' => '3606',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'Sharing Information for Secondary Care',
			'description' => 'Consent is not always needed to share personal information for purposes other than individual care, such as planning and research as there are other legal gateways which permit data to be used for the purposes explained above.

Public Interest
This includes times where sharing personal information can be justified in the public interest including where there is a risk of serious harm to someone. If there is a risk of immediate harm to an individual, and you cannot find an appropriate person with whom to discuss the information request, you should share the information.

At the first opportunity afterward, you should inform the person responsible for IG in your organisation so they can follow-up the legal basis for sharing and document it.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 45 => array(
			'id' => '3607',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'The National Data Opt-Out',
			'description' => 'A national data opt out has been introduced to allow people to choose whether their confidential information is used for research and planning purposes. Health and care organisations must comply with this policy.

In practical terms, this means that people can register their national data opt-out online, through a national telephone service or through the NHS App. People can also change their national data opt-out choice at any time.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
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			'attachment_pos' => null,
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 46 => array(
			'id' => '3608',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'paragraph',
			'field_label' => 'Data Breaches',
			'description' => 'he UK GDPR introduces a duty on all organisations to report personal data breaches that have a significant impact on people to the ICO within 72 hours. A personal data breach is a breach of security leading to the accidental or unlawful destruction, loss, alteration, unauthorised disclosure of, or access to, personal data. This includes breaches that are the result of both accidental and deliberate causes. It also means that a breach is more than just about losing personal data.

There are three different types of personal data breaches.

Confidentiality Breach
A confidentiality breach is where there is an unauthorised or accidental disclosure of, or access to, personal data. This is also a criminal offence under UK law.

Examples include:

• Names and email addresses of 500 survey respondents are sent by email to the wrong supplier
• Unencrypted portable devices containing dataset extracts, which include details of hospital admissions are stolen from a research office
• An IT services firm has been contracted to archive and store customer records. The IT firm detects an attack on its network that results in personal data about customers being unlawfully accessed
• An employee file containing references and sickness records is left on public transport

Integrity Breach
An integrity breach is where there is an unauthorised or accidental alteration of personal data.

Examples include:

• An authorised user of a system modifies the profiles and access controls of other users without permission
• An analyst with authorised access to a dataset containing personal data makes additional copies of the dataset without applying robust version control procedures

Availability Breach
An availability breach is where there is an accidental or unauthorised loss of access to, or destruction of, personal data.

Examples include:

•  Records destroyed earlier than scheduled because the list for destruction said 2012 instead of 2021
• Records misfiled in wrong person's record so not available when providing care
• The decryption key to securely encrypted personal data has been lost rendering the data unavailable until it is restored from a backup
• An operating system vulnerability is exploited by a ransomware attack, which results in personal data being encrypted for several days until the issue is resolved',
			'field_order' => '0',
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		),
		(int) 47 => array(
			'id' => '3609',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Cyber and Non-Cyber Incidents',
			'description' => 'The ICO has provided further guidance on the types of incidents that may involve a breach of personal data.

Cyber incidents
• Brute force
• Cryptographic flaw
• Denial of service
• Hardware and software misconfiguration
• Malware
• Phishing
• Ransomware
• Unauthorised access

Non-cyber incidents

• Alteration of personal data
• Data emailed to the incorrect recipient
• Wrong person's information shown in online portal
• Failure to redact (remove or obscure sensitive information from view within a document)
• Unsecure disposal of paperwork
• Loss and theft of information left in an insecure location
• Verbal disclosure of personal data
• Failure to use bcc

Imagine the risk involved in making an important decision about a person’s care if his or her record was no longer available, was wrong or incomplete or if someone had tampered with it. Security incidents can lead to serious personal data breaches which can impact the care and treatment people receive.

Imagine a person's care being adversely affected either by the lack of availability or alteration of a connected medical device.
',
			'field_order' => '1',
			'attachment_id' => '1748',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-07 13:11:49',
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		),
		(int) 48 => array(
			'id' => '3610',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Postal Breaches',
			'description' => 'Certain procedures can help to reduce the risk of data breaches when sending information by post, email, telephone and other means.
 
Consider the different ways in which breaches and incidents can be avoided by remaining vigilant and aware of your personal responsibility.

Miss Broom is waiting to receive information from her social worker. She opens her post one morning and finds that, as well as her own letter, the envelope contains two further letters addressed to other people.
 
Miss Broom contacts the organisation and tells an administrative officer about the letters.

The organisation's IG lead telephones Miss Broom to apologise for the error and asks her to keep the letters safe while arrangements are made for someone to collect them.
 
The organisation writes a formal apology to Miss Broom and to the two individuals about whom she received letters.

Both individuals were deeply concerned that Miss Broom, who they did not know, now knew important information about them. One of them wrote to their local paper about the breach.
 
Senior staff in the local authority spent the next two weeks responding to media queries about the number of breaches that the organisation had experienced.
 
The other individual, who had suffered from a similar breach the previous year, instructed his solicitor to bring legal proceedings against the local authority.

Make sure that all correspondence containing personal data is always addressed to a named person, not to a department, a unit or an organisation.
 
If the information contained in a letter includes more than basic clinical information, for example, appointment details, consider sending it by recorded or tracked delivery.

Recorded Delivery 
You should assess the risks of posting paper records which include personal data and use this method only where it is absolutely necessary, secure and appropriate to do so. Consider using tracked or recorded delivery. Take special care when sending large amounts of information, for example, case notes or care records on paper, encrypted disk or other media.
 
Send these by tracked or recorded post or by NHS courier to ensure that such information is only seen by the authorised recipients. In some circumstances, you should obtain a receipt as proof of delivery, for example, when sending care records to a solicitor.

Approved Packaging
Only send case notes and other bulky material in robust, approved packaging, never in dustbin sacks, carrier bags or other containers.
 
Don’t leave the packages unattended unless they are securely stored, when waiting for collection.
 
Make certain that the packages are taken and transported by the approved carrier.
',
			'field_order' => '2',
			'attachment_id' => '1749',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'created' => '2024-08-07 13:11:49',
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		),
		(int) 49 => array(
			'id' => '3611',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Email Breaches',
			'description' => 'Email is increasingly becoming the preferred method for exchanging information, but as with other forms of communication, there are risks.

Mr Foster has recently been diagnosed with depression and has joined a support group to help him through this care.
 
He has just received his monthly email and noticed the names and email addresses of more than 500 people.

The organisation undertakes an investigation and finds that a new member of staff had sent out the email.

Everyone who received the email could identify who was a member of the depression support group.
 
The investigations found that all existing staff members involved in sending out emails knew what to do but had not supervised the new member of staff.

',
			'field_order' => '3',
			'attachment_id' => '1750',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 13:11:49',
			'modified' => '2024-08-07 13:11:49'
		),
		(int) 50 => array(
			'id' => '3612',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'image-hotspot',
			'field_label' => 'Your organisation will have guidance on sending secure emails. If you are an NHSmail user, you can go to the NHSmail portal to access guidance about sending emails securely [6].',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '4',
			'attachment_id' => '1751',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":133.672,"left":36,"annotation":"Check with your line manager whether it is acceptable to send information in this way."},{"top":132.672,"left":125,"annotation":"Confirm the accuracy of the email addresses for all intended recipients, sending test emails if you are unsure.\n\nBe aware that autofill functions may sometimes add an incorrect recipient with a similar name."},{"top":141.672,"left":243,"annotation":"Check that everyone on the copy list has a genuine ‘need to know’ the information you are to send."},{"top":131.672,"left":364,"annotation":"Health and social care organisations must meet the secure email standard (DCB1596) so that everyone can be sure that sensitive and confidential information is kept secure.\n\nIf you are unsure of what to do, ask your line manager, ICT department or provider for advice."},{"top":131.672,"left":461,"annotation":"Where an email needs to be sent to an unsecured email address, check whether this is at the request of a service user who understands and accepts the risks.\n \nConsider whether it would be more appropriate to encrypt the email yourself."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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		),
		(int) 51 => array(
			'id' => '3613',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Video Conference and Telephone Breaches',
			'description' => 'If a request for information is made by phone you should, where possible, adhere to the following processes and procedures.

• Confirm the name, job title, department and organisation of the person requesting the information
• Confirm that the reason for the information request is appropriate
• Find a contact telephone number that you know is correct for the organisation - such as the main switchboard number - so you can call back and ask for the named individual, to confirm that the caller is genuine
• Check whether the information can be provided. If in doubt, tell the person you will call them back
• Only provide the information to the person who requested it. Do not leave messages
• Ensure that you record your name, the reason for the disclosure and who authorised the disclosure in the patient/service user's record. Make sure you also record the recipient's name, job title, organisation and telephone number

Joe, a practice manager, receives a call from a local hospital requesting information about Mrs Smith, one of the practice patients.
 
He knows that she has been referred to that hospital for cancer investigation, so he gives the information to the caller.
 
Joe should not give patient information over the phone without first checking the identity of the caller and whether they have a valid reason to request it. Joe had no proof that the previous day’s call was from the local hospital.
 
The next morning, Mrs Smith phones the practice and tells Joe that her brother-in-law has information about her health that he can only have obtained from the practice. At that point, Joe realises that he had no proof that the previous day’s call was from the local hospital.',
			'field_order' => '5',
			'attachment_id' => '1752',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 52 => array(
			'id' => '3614',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'paragraph',
			'field_label' => 'Physical and Data Security Risks',
			'description' => 'Last week, someone in a high-visibility vest visited a social care office as well as a GP practice in the same local area. In each case, he followed a member of staff into the building and told the receptionist that he needed everyone's details for a 'software update'.
 
The person then sold these details to other criminals. Let's find out what else he found.

Doors
Nearly every door the visitor encounters is open. Even those doors marked as 'restricted access' have been propped open to allow for a delivery.
 
This means he is able to wander freely in and out without challenge, and could have stolen equipment or personal items belonging to staff.
 
Don't leave open or prop open doors, especially those in restricted zones.

Visitors
The visitor has forged a badge. He approaches the reception desk and asks for directions to the server room. They are happy to help. His badge isn't even checked.
 
With access to the server room, he can disrupt the server as much as he likes, causing connectivity problems across the whole organisation.
Do check identification badges when you feel safe to do so. If not, seek help. 

Desk
Despite most organisations having strict clear desk policies, a lot of data is found in unoccupied office areas. Financial documents, including client account details, are lying on desks.
 
The visitor has a bag of memory sticks and randomly disperses them on desks in the hope that someone will plug one in. It will then start installing malware onto the computer.
Don't plug in unknown or unapproved devices and seek from your IT support provider if in doubt. ',
			'field_order' => '6',
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			'show_correct' => '0',
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		),
		(int) 53 => array(
			'id' => '3615',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'paragraph',
			'field_label' => 'Reporting Incidents',
			'description' => 'Your role is to report concerns or details of a security incident as soon as you become aware of it. Your organisation should have an incident reporting procedure setting out what staff members should do on discovering a security incident or suspecting one has occurred.

You have a responsibility to familiarise yourself with your organisation's incident reporting procedure and to know who to report data security incidents to.

If you have concerns or become aware of a data security incident, report it. Do not assume that it is somebody else's responsibility to report the incident. We all have a role to play in protecting information.

Your organisation will have an individual or team whose responsibility it is to manage and investigate an incident
Near misses, where information was nearly lost or where someone attempted to access information should also be reported

Know your organisation's policy regarding the safe and acceptable use of IT.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:11:49',
			'modified' => '2024-08-07 13:11:49'
		),
		(int) 54 => array(
			'id' => '3616',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'media-field',
			'field_label' => 'Information Disposal',
			'description' => 'Make sure you know and follow your organisation's policy and procedures for the disposal of information.

Seek advice from your line manager, ICT department or technology provider when disposing of the information held on digital assets for example, laptops and smartphones.

All devices, such as laptops, must be disposed of by your ICT department or provider.

Any personal data must be treated as confidential and securely disposed of. This includes secure disposal of paper records in locked confidential waste bins.

When disposing of records, it is important to obtain a record of its disposal. This could be a certificate of destruction (so it is clear that the record has been destroyed, rather than misplaced), or an accession notice (when records are deposited with the local Place of Deposit or the National Archives, for long-term archival preservation).',
			'field_order' => '3',
			'attachment_id' => '1753',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 55 => array(
			'id' => '3617',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'media-field',
			'field_label' => 'Good Practice',
			'description' => 'Certain simple actions can ensure that you comply with data protection principles and follow the Records Management Code of Practice for Health and Care. Your organisation will have policies and procedures and can give you training to help ensure good governance.
 
It is important that records are complete, accurate, dated and timed, with an audit trail of who has added what.
 
They should distinguish between people's records, your opinions and any information provided by others.

This component is an accordion comprised of collapsible content panels containing display text. Select the item titles to toggle the visibility of these content panels.
Poor quality information presents a risk to people, staff members and the organisation. If you are uncertain about any of the good practice raised, talk to your records manager or IG team to improve your understanding.

Timely and up-to-date
Records are primarily intended to support care and should authentically represent each and every consultation (including by telephone or any other remote method). Therefore, record information at the time or as soon as possible after the event.

Accurate
Records made about the care and support given to people must be accurate and reflect what was provided to people. 

Give people the opportunity to check and confirm the personal details held about them.

Complete
Ensure all necessary information is included so that records can be used effectively. Remember to include the NHS number if available.

Free from Duplication
Before you create a new record, make sure that one doesn’t already exist.',
			'field_order' => '2',
			'attachment_id' => '1754',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 56 => array(
			'id' => '3618',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'media-field',
			'field_label' => 'Information Management Lifecycle',
			'description' => 'All records go through a series of phases:

• Creation
• Use
• Retention
• Disposal decisions (usually destruction)

For guidance, refer to:

• Your organisation's records management policy and/or retention schedule and guidance
• The Records Management Code of Practice for Health and Social Care Organisations [1]
 ',
			'field_order' => '1',
			'attachment_id' => '1755',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 57 => array(
			'id' => '3619',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'paragraph',
			'field_label' => 'Good Record Keeping',
			'description' => 'Records management is about the creation, use and disposal of records. Health and care organisations create records about the care and support they provide to people, and how they operate.

Effective records management will ensure records are available when needed, and the responsibility for managing them is everyone's.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 58 => array(
			'id' => '3620',
			'course_id' => '122',
			'course_lesson_id' => '568',
			'field_type' => 'media-field',
			'field_label' => 'Making a Request',
			'description' => 'An organisation has 2 separate duties when responding to requests:

• To tell the applicant whether they hold any information falling within the scope of their request
• To provide that information, unless there is a legitimate reason not to disclose (where an exemption applies)

An organisation normally has 20 working days to respond to a request.

For a request to be valid under the Freedom of Information Act, it must be in writing, but requesters do not have to mention the Act or direct their request to a designated member of staff.

It is good practice to provide the contact details of your freedom of information officer/team (which is on your organisation's website), but you cannot ignore or refuse a request simply because it is addressed to a different member of staff. Any written request to a public authority asking for information is a request for recorded information under the Act.

This doesn't mean you have to treat every enquiry formally as a request under the Act. It will often be most sensible and provide better customer service to deal with it as a normal customer enquiry under your usual customer service procedures.

When a request is received or you are asked how to submit an FOI request, it is important that you follow your organisation's policy and procedure and immediately direct the requests to the relevant team.',
			'field_order' => '2',
			'attachment_id' => '1756',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:21:14',
			'modified' => '2024-08-07 13:21:14'
		),
		(int) 59 => array(
			'id' => '3621',
			'course_id' => '122',
			'course_lesson_id' => '568',
			'field_type' => 'media-field',
			'field_label' => 'Publishing Information',
			'description' => 'As well as responding to requests for information, organisations must publish information proactively. The Freedom of Information Act requires every public authority to have a publication scheme, approved by the Information Commissioner’s Office (ICO), and to publish information covered by the scheme.

The scheme must set out your organisation’s commitment to make certain classes of information routinely available, such as policies and procedures, minutes of meetings, annual reports and financial information.',
			'field_order' => '1',
			'attachment_id' => '1757',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:21:14',
			'modified' => '2024-08-07 13:21:14'
		),
		(int) 60 => array(
			'id' => '3622',
			'course_id' => '122',
			'course_lesson_id' => '568',
			'field_type' => 'paragraph',
			'field_label' => 'Freedom of Information',
			'description' => 'The Freedom of Information (FOI) Act 2000 [7] provides public access to information held by public authorities.

The Act covers any recorded information* that is held by a public authority in England, Wales and Northern Ireland, and by UK-wide public authorities based in Scotland.

*It should be noted that data will normally be exempt from release under this legislation as it is covered by the data protection legislation.

Recorded Information
This might include but is not limited to information contained in:

• Printed documents
• Computer files
• Letters
• Emails
• Notes
• Photographs
• Messages sent through text or messaging apps
• Sound or video recordings, for example, telephone conversations or CCTV 

Recorded information is not limited to official documents, nor is it limited to information you create, so it also covers, for example, letters you receive from members of the public, although there may be a good reason not to release them or to release only parts of the information within documents, for example, you would redact personal data.

Public Authority
Public authorities include:

• Government departments
• Local authorities
• NHS organisations
• State schools
• Police forces

However, the Act does not necessarily cover every organisation that receives public money. For example, it does not cover some charities that receive grants and certain private sector organisations that perform public functions.

Anyone can ask for any information that is held by a public authority. However, this does not mean you are always obliged to provide the information. In some cases, there will be a good reason why you should not make public some or all of the information requested. There are therefore exemptions within the Act which permit public authorities to withhold information in certain circumstances or to refuse to comply with a request. Your FOI team will be able to provide advice on when these exemptions may apply',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:21:14',
			'modified' => '2024-08-07 13:21:14'
		),
		(int) 61 => array(
			'id' => '3623',
			'course_id' => '122',
			'course_lesson_id' => '569',
			'field_type' => 'paragraph',
			'field_label' => 'Key Points',
			'description' => 'We all have a legal and professional duty to handle public information in a safe and secure manner
Data security can be broken down into 3 areas: confidentiality, integrity and availability
To make sure you comply with the law, you must know and comply with any information policies, procedures or protocols that your organisation has in place
Make sure information is shared in a secure way and that you have consent to do so where needed. Give individuals an opportunity to check the accuracy of information held to enable any mistakes to be corrected
By following good practice, you can help to ensure that people's information is not put at risk',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:25:12',
			'modified' => '2024-08-07 13:25:12'
		),
		(int) 62 => array(
			'id' => '3624',
			'course_id' => '122',
			'course_lesson_id' => '569',
			'field_type' => 'text-links',
			'field_label' => 'Further Information',
			'description' => '1. NHS Records Management Code of Practice 2021. <a href="https://transform.england.nhs.uk/information-governance/guidance/records-management-code/">View website</a><br>2. Information Commissioner's Office. Guide to the UK General Data Protection Regulation. London: ICO, 2018. <a href="https://ico.org.uk/for-organisations/uk-gdpr-guidance-and-resources/">View website</a><br>3. The Data Protection Act 2018. London: HMSO, 2018. <a href="https://www.legislation.gov.uk/ukpga/2018/12/contents/enacted">View website</a><br>4. National Data Guardian. The Caldicott Principles. London: NDG, 2020. <a href="https://www.gov.uk/government/publications/the-caldicott-principles">View website</a><br>5. National Data Guardian. National Data Guardian guidance on the appointment of Caldicott Guardians, their role and responsibilities. London: NDG, 2021. <a href="https://www.gov.uk/government/publications/national-data-guardian-guidance-on-the-appointment-of-caldicott-guardians-their-role-and-responsibilities">View guidance</a><br>6. NHS Digital. Guidance for sending secure email (including to patients). <a href="https://digital.nhs.uk/services/nhsmail/guidance-for-sending-secure-email">View website</a><br>7. Freedom of Information Act 2000. London: HMSO, 2000. <a href="https://www.legislation.gov.uk/ukpga/2000/36/contents">View website</a>',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:25:12',
			'modified' => '2024-08-07 13:25:12'
		),
		(int) 63 => array(
			'id' => '3625',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  It is important to lock your computer or mobile device when you're not using it.',
			'description' => 'Choose the correct option',
			'field_order' => '0',
			'attachment_id' => '1758',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 64 => array(
			'id' => '3626',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Someone follows you into your workplace and asks you to hold the door as they have forgotten their access card. Should you stop and challenge them?',
			'description' => 'Choose the correct option',
			'field_order' => '1',
			'attachment_id' => '1759',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No","Yes"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 65 => array(
			'id' => '3627',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is  the following statement true or false?  You are generally allowed to share people's data by using social media such as Facebook, Snapchat, Twitter or LinkedIn, because it is securely stored.',
			'description' => 'Choose the correct option',
			'field_order' => '2',
			'attachment_id' => '1760',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 66 => array(
			'id' => '3628',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  You need consent or an alternative legal basis to use a person's health and care information for non-care purposes.',
			'description' => 'Is the following statement true or false?

You need consent or an alternative legal basis to use a person's health and care information for non-care purposes.',
			'field_order' => '3',
			'attachment_id' => '1761',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 67 => array(
			'id' => '3629',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Important work-related documents, files or information should always be safely stored in folders that are backed up.',
			'description' => 'Choose the correct option',
			'field_order' => '4',
			'attachment_id' => '1762',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 68 => array(
			'id' => '3630',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Only use authorised USB drives or memory cards in work computers or mobile devices.',
			'description' => 'Choose the correct option',
			'field_order' => '5',
			'attachment_id' => '1763',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 69 => array(
			'id' => '3631',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Should you include sensitive information in social media posts relating to your work even though the system may allow you to?',
			'description' => 'Choose the correct option',
			'field_order' => '6',
			'attachment_id' => '1764',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No","Yes"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 70 => array(
			'id' => '3632',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Opening attachments or clicking web links from personal email or social media accounts on work devices can increase the risk of malware being downloaded.',
			'description' => 'Choose the correct option',
			'field_order' => '7',
			'attachment_id' => '1765',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 71 => array(
			'id' => '3633',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'multiple-choice',
			'field_label' => 'On a video conference from home, what should you ensure is not visible?',
			'description' => 'Choose all that apply and select Submit.',
			'field_order' => '8',
			'attachment_id' => '1766',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Any passwords and key codes","Individual's personal telephone numbers","Clinical correspondance"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 72 => array(
			'id' => '3634',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Someone in your team nearly lost or mistakenly shared a large quantity of sensitive information. It was a 'near miss'.  Should you report it?',
			'description' => 'Choose the correct option',
			'field_order' => '9',
			'attachment_id' => '1767',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No. It won't happen again; your team rarely makes mistakes like this","Yes. improvements to procedures can only be made if they are shared with the right members of staff"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 73 => array(
			'id' => '3635',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following statements on the Data Protection Act 2018 and UK GDPR is correct?',
			'description' => 'Choose the correct option',
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			'course_id' => '122',
			'course_lesson_id' => '570',
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			'field_label' => 'Is the following statement true or false?  All individuals have a right to privacy and can make requests to an organisation to access, erase (be forgotten), or rectify their data; or object to its use. An organisation must comply with this request unless they have a valid legal reason not to do so.',
			'description' => 'Choose the correct option',
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			'modified' => '2024-08-07 13:42:49'
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			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Under UK GDPR, an individual can be held responsible for a data breach.',
			'description' => 'Choose the correct option',
			'field_order' => '12',
			'attachment_id' => '1770',
			'external_media_src' => '',
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			'attachment_pos' => null,
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			'modified' => '2024-08-07 13:42:49'
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			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement True or False?  Sharing information with the right people can be just as important as not disclosing to the wrong person.',
			'description' => 'Choose the correct option ',
			'field_order' => '13',
			'attachment_id' => '1771',
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			'attachment_pos' => null,
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			'modified' => '2024-08-07 13:42:49'
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		(int) 77 => array(
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			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'When an individual requests information under a Freedom of Information Act, do they have to mention FOIA or direct their request to a designated member of staff?',
			'description' => 'Choose the correct option ',
			'field_order' => '14',
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			'attachment_pos' => null,
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			'modified' => '2024-08-07 13:42:49'
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			'id' => '3561',
			'course_id' => '122',
			'course_lesson_id' => '561',
			'field_type' => 'paragraph',
			'field_label' => 'Objectives',
			'description' => '- Describe the importance of data security in health and social care
- Outline the steps you must follow to ensure you comply with the law
- Define potential threats to the security of information and how you can avoid or minimise them
- Identify data breaches and how to prevent them
- Outline the principles of good record keeping
- Describe the responsibilities of health and social care organisations under the Freedom of Information Act 2000 and what you can do to support compliance with this law',
			'field_order' => '0',
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			'created' => '2024-08-07 11:37:00',
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		(int) 1 => array(
			'id' => '3562',
			'course_id' => '122',
			'course_lesson_id' => '561',
			'field_type' => 'paragraph',
			'field_label' => 'Duration',
			'description' => '•  45 minutes (knowledge chapters)
•  15 minutes (eAssessment)',
			'field_order' => '1',
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			'course_lesson_id' => '562',
			'field_type' => 'media-field',
			'field_label' => 'The Principles of Data Protection',
			'description' => 'Good information governance underpins good care. People's safety and preferences are supported when the confidentiality of their personal data is maintained, its integrity is protected against loss or damage and the information is accessible by those who are authorised, when they need it.

Everyone who uses health and social care services should be able to trust that their health and care information is adequately protected. People should be assured that those involved in their care, and in running and improving the services, are using such information appropriately and respecting patient choices where required.

By being mindful of good practice when handling information, you can help to ensure that people remain safe and receive the best possible care.

Remember, individuals have certain legal rights with regards to their personal data and organisations have certain legal responsibilities and obligations to comply with when processing personal data. You will learn more about this as we go through the course.

When you are responsible for handling personal data, you must not forget that it's people's information; it should be treated with respect, it's important that people's information is used only in ways they would expect and that it stays safe. In this session, you will learn more about data protection law which makes sure everyone’s data is used properly and legally.

We all have a duty to protect people's personal data in a safe and secure manner and share it appropriately.
 ',
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		),
		(int) 3 => array(
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			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'image-hotspot',
			'field_label' => 'Managing Information',
			'description' => 'Making sure that people's information is protected and handled securely is something all staff will recognise. We are responsible for ensuring that people's information is only used for the good of health and care, and that it is always protected.

However, the way we manage information impacts the performance of all areas of health and care, and affects all employees.  For example, support functions like HR also have a critical role in managing staff records, estates for managing information about the places we work; and commercial for managing contracts.

Staff should familiarise themselves with good records management practice (see Records Management Code of Practice for Health and Social Care [1]), preserving content in line with retention schedules, and following the information lifecycle.

Effective information management enables teams to use their time, resources and expertise effectively to make decisions and to fulfil their roles.

Select the numbers to find out more.',
			'field_order' => '1',
			'attachment_id' => '1717',
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			'field_choices' => '{"width":500,"annotations":[{"top":95.9844,"left":31,"annotation":"Collection\n\nCollection of information can be done in many ways; for example, verbally, via an online or written form, or via large-scale data transfers of a database or spreadsheet. It can also be taken from various sources such as the individual themselves, their care record, their GP practice, a family member, or their health and care professional."},{"top":62.9844,"left":156,"annotation":"Sharing\n\nSharing involves consideration of questions such as: what information is to be distributed, to whom, in what format, how often, under what circumstances, for what purposes and using what security measures?"},{"top":89.9844,"left":247,"annotation":"Usage\n\nUsage is important for a range of purposes including: storage, analysis, identifying historical trends, developing lessons learned, satisfying legislative requirements etc."},{"top":62.9844,"left":355,"annotation":"Archiving\n\nArchiving takes place after a period of time, usually determined by national frameworks and organisational policy."},{"top":93.9844,"left":457,"annotation":"Disposal\n\nDisposal takes place after the information has been retained for the minimum period set out in the Records Management Code of Practice. Information may be transferred to the National Archives for long-term preservation, or securely destroyed if no longer required."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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		),
		(int) 4 => array(
			'id' => '3565',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'media-field',
			'field_label' => 'The Data Protection Act and UK GDPR',
			'description' => 'The UK General Data Protection Regulation (UK GDPR) [2] and the Data Protection Act (DPA) 2018 [3] together provide the legal framework for data protection.

Data protection law takes a flexible, risk-based approach which puts the onus on your organisation to think about and justify how and why personal data is used. It sets out the key principles for use of personal data and individual's rights in relation to the personal data your organisation holds about them. It also details your organisation's legal obligations to protect this data.


Everyone is responsible for protecting personal data and ensuring it is handled and used appropriately and in accordance with data protection law and within your organisation's guidance, policies and procedures.

The Information Commissioner’s Office (ICO) regulates and enforces data protection law in the UK. They offer advice and guidance, promote good practice, carry out audits, consider complaints, monitor compliance and take enforcement action, such as issuing fines, where appropriate.',
			'field_order' => '2',
			'attachment_id' => '1718',
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			'attachment_pos' => '0',
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		),
		(int) 5 => array(
			'id' => '3566',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'paragraph',
			'field_label' => 'Types of Data',
			'description' => 'In health and care settings, we come into contact with various types of personal data about people. It is important to be able to identify these different types of data so that they can be appropriately protected when they are used and shared.

- Personal data

Under data protection law, personal data is information that relates to a living individual who can be identified (either directly or indirectly) from that information. Examples include name, telephone number and email address.

Your organisation will handle lots of personal data during its day-to-day activities such as the personal data of patients, service users and members of staff.

- Special category data

There is also a type of personal data which under data protection law requires more protection because it is sensitive. This is known as 'special categories of personal data.' These include:

- Personal data revealing - racial or ethnic origin; political opinions; religious or philosophical beliefs; trade union membership
- Genetic data
- Biometric data (where used for identification purposes, such as fingerprints or facial recognition)
- Data concerning health; a person's sex life; and a person's sexual orientation.

- Confidential information

Confidential information is all information collected for the provision of health and social care services where people can be identified and would expect that it to be kept private. This may include for instance, details about symptoms, diagnosis, treatment, names and addresses. In some instances, it may include staff information. Confidential information is subject to a legal and professional duty of confidentiality.

The general principle is that confidential information should not be shared for purposes other than direct care of the individual. Exceptions to this principle are where the individual has explicitly consented to sharing the information; where sharing information is required by law, or expressly permitted by law; or there is an overriding public interest, such as preventing serious harm.

Confidentiality does not just relate to patients and their health information, there may also be a duty of confidence where an employee discloses information to their employer. It is important to maintain confidentiality of staff records, particularly where this relates to health or payroll information.

Maintaining confidentiality is the responsibility of all staff working in health and care. You should refer to your contract of employment for any confidentiality requirements set out by your employer, your organisation's confidentiality policy, as well as any professional standards if appropriate to your profession.
',
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		),
		(int) 6 => array(
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			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Some information is more identifiable than other information. It can range from fully identifiable, to effectively anonymous.

At one end of the range, a person is fully identifiable. But remove some of the information or take other measures (such as replace their name with a code), then it becomes more difficult to identify who that person is.

At the other end of the range, it is not possible to identify who someone is - they are effectively anonymous. The same information may be anonymous in the hands of one recipient, but identifiable in the hands of another as it depends on what other information they have available to them. For example, using someone's initials may allow someone looking after that person to identify them, but it may not mean anything to someone else. It all depends on the context.

What is the difference between pseudonymised and anonymised data?

Pseudonymised data - Pseudonymisation is a security technique used to protect personal data. Pseudonymised data is information which has had identifiers replaced by one or more artificial identifiers, or pseudonyms, such as a hospital number. Pseudonymised data is still considered personal data.

Anonymised data- Truly anonymised information or data cannot identify or re-identify an individual (directly or indirectly), either on its own or when combined with other information. It may be presented as general trends or statistics. Information about small groups of people with rare conditions for example, could potentially allow someone to be identified and so would not be considered anonymous.

Similarly, removing identifiers, such as a name, will reduce the likelihood of the information being immediately identifiable, but it is likely that someone could work out who that person is by looking at the other information available, such as date of birth and address. This means the information is still identifiable and is considered personal data.

In most cases, it may be acceptable and appropriate to publish or share truly anonymous information, but you should check with your information governance team to make sure. It may be that the data could still potentially be reidentified, or that it is corporately sensitive to the organisation.',
			'field_order' => '4',
			'attachment_id' => '1719',
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			'modified' => '2024-08-07 11:56:02'
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			'course_lesson_id' => '562',
			'field_type' => 'image-hotspot',
			'field_label' => 'The Principles of UK GDPR',
			'description' => 'Everyone responsible for using personal data has to follow strict rules specified under data protection law. These are known as the ‘data protection principles’, listed below and must be adhered to when you are using and sharing personal data.

Select the numbers for more information on each of the seven principles.',
			'field_order' => '5',
			'attachment_id' => '1720',
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			'field_choices' => '{"width":500,"annotations":[{"top":83.2188,"left":17,"annotation":"Lawful, Fair and Transparent\n\nEnsure you have a valid legal reason to use people's information.\n\nEnsure that you act in accordance with other laws, such as the common law duty of confidentiality. This means only using information you have received in confidence (such as health and care information) in ways the person would expect, such as for their care. You should speak to your information governance team if you are unsure, or if you are seeking to use the information for other purposes.\n\nYou must use personal information in a way that is fair. This means you must not use the information in a way that is unduly detrimental, unexpected or misleading to the individuals concerned.\n\nYou must be clear, open and honest with people from the start about how you will use their personal data. Your organisation will do this through the transparency (privacy) notice on the organisation's website or via other methods, such as information leaflets."},{"top":19.2188,"left":156,"annotation":"Purpose Limitation\n\nYou must be clear from the outset about the purpose for using the information.\n\nYou can only use the personal data for another purpose where this is compatible with your original purpose, or you get consent, or you have a clear obligation or function set out in law. \n\nYou must inform people if you are going to use their information in a new way. However, exemptions may apply for using personal data for other purposes and you should contact your Information Governance team for advice."},{"top":156.219,"left":145,"annotation":"Data Minimisation\n\nYou must ensure the personal data you are processing is:\n\n- adequate: sufficient to properly fulfil the stated purpose\n- relevant: has a rational link to that purpose\n- not excessive: you do not use more than you need for that purpose. Only use or share the minimum amount of personal data necessary to achieve the intended purpose"},{"top":45.2188,"left":238,"annotation":"Accurate and Kept up to Date\n\n- You should take all reasonable steps to ensure the personal data you hold is not incorrect or misleading\n- You may need to keep the personal data updated, although this will depend on what you are using it for\n- If you discover that personal data is incorrect or misleading, you must take reasonable steps to correct or erase it as soon as possible\n- You must carefully consider any challenges to the accuracy of personal data"},{"top":111.219,"left":237,"annotation":"Storage Limitation\n\n- You must not keep personal data for longer than you need it\n- You need to think about, and be able to justify, how long you keep personal data. This will depend on your purposes for holding the data\n- You should also periodically review the data you hold, and erase it when you no longer need it\n- You must carefully consider any challenges to your retention of data\n- You can keep personal data for longer if you are only keeping it for public interest archiving, scientific or historical research, or statistical purposes\n- You should manage personal data in line with your organisation's records or information management procedures and guidance and the Records Management Code of Practice for Health and Social Care (website link next page)"},{"top":35.2188,"left":388,"annotation":"Security, Integrity and Confidentiality\n\nYou and/or your organisation must ensure that appropriate security measures are in place to protect the personal data held by your organisation or any other third party working on behalf of your organisation.\n\nWhere your organisation is using or sharing personal data which may involve a high risk to individuals, including processing large volumes of health and care information, you will need to carry out a data protection impact assessment (DPIA) to identify and explain how you are managing those risks. \n\nSee your local organisation's guidance on carrying out data protection impact assessments as it may only be certain members of staff who are allocated responsibility and expected to do this."},{"top":176.219,"left":392,"annotation":"Accounted for (Accountability Principle)\n\nThe accountability principle requires your organisation to take responsibility for what you do with personal data and how you comply with the other principles.\n\nYou can support this by reading and understanding your local data protection and security policies and procedures.\n\nYou and your organisation must have appropriate measures and records in place to be able to demonstrate your compliance for example, by conducting data protection impact assessments (DPIAs) and keeping record of where and how you process personal data."}]}',
			'field_correct' => null,
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			'modified' => '2024-08-07 11:56:02'
		),
		(int) 8 => array(
			'id' => '3569',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => '<a href="https://transform.england.nhs.uk/information-governance/guidance/records-management-code/">https://transform.england.nhs.uk/information-governance/guidance/records-management-code/</a>',
			'field_order' => '6',
			'attachment_id' => null,
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			'active' => '1',
			'created' => '2024-08-07 11:56:02',
			'modified' => '2024-08-07 11:56:02'
		),
		(int) 9 => array(
			'id' => '3570',
			'course_id' => '122',
			'course_lesson_id' => '562',
			'field_type' => 'paragraph',
			'field_label' => 'The Rights of Individuals',
			'description' => 'e aware of your responsibilities for protecting people's information, using it with the principles at the heart of your approach and respect individuals' rights to privacy.

INFORMED 
An individual has the right to be informed of whether their personal data is being used, what it is being used for and who it may be shared with. An organisation must inform the individual if it is using their personal data.

This is done in health and care by publishing privacy notices, information leaflets and similar to cover all uses of data by an organisation.

ACCESS
An individual has the right to ask an organisation if they are using or storing their personal data and to ask them for copies of their information, verbally or in writing. This is commonly known as making a subject access request (SAR).

This is commonly exercised in health and care, both by people using services and by staff.

RECTIFICATION
Individuals can challenge the factual accuracy of personal information held about them by an organisation, and ask for it to be corrected or deleted. If their information is incomplete, they can ask for the organisation to complete it by adding more details.

ERASURE
Individuals can ask an organisation to delete information about them, and in some circumstances, it must then do so. This is also known as the right to be forgotten but it rarely applies to information held by health and care organisations.

RESTRICTION
Individuals have the right to request restriction or limitation of the use of their personal data in certain circumstances.                                     

This right is closely linked to rights to challenge the accuracy of data and to object to its use. This can occasionally apply to health and care data.

DATA PORTABILITY
In certain circumstances where an individual provides their personal data directly to an organisation, they have the right to request their personal data from an organisation in a common format.

They also have the right to ask an organisation to transfer their information to another organisation.

This rarely applies to information held by health and care organisations.

OBJECT
An individual has the right to object to the use of their personal data in some circumstances. If an organisation agrees to their objection, it must stop using their data for that purpose unless it can give strong and legitimate reasons to continue using their data despite the individual's objections.

This can sometimes apply to health and care data but it is the common law duty of confidentiality that is often more applicable where an individual is unhappy that their health and care data is used. You should speak to your information governance team for advice in this instance.

AUTOMATED DECISION MAKING AND PROFILING
In many circumstances, an individual has a right to prevent automated decision making. This is where automatic decisions that have a significant impact on the individual's life, are made for example, without people being involved.

It is unlikely that this is currently applicable to data used by health and care organisations, but it may become more common in the future as the use of artificial intelligence grows.

RAISE A CONCERN
An individual can tell an organisation or the Information Commissioner's Office (ICO) if they are concerned about how the organisation is using their data.

If you are approached by someone who wishes to exercise any of these rights, you should notify the relevant person or team in your organisation who has the necessary expertise to handle these requests as per your organisation's policy and procedures. This will typically be the Data Protection Officer (DPO) or Information Governance (IG) team.
',
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		),
		(int) 10 => array(
			'id' => '3571',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Keeping Data Secure',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1723',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
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			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 11 => array(
			'id' => '3572',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'The Value of Data',
			'description' => 'Poor data protection, information management and security can cause personal, social and reputational damage. You could potentially be held personally accountable for a major breach and be faced with disciplinary action as a result.   

What are Personal Data Breaches?

Personal data breaches are breaches of security which lead to the accidental or unlawful destruction, loss, alteration, unauthorised disclosure of, or access to, personal data.

A personal data breach isn't always as a result of a cyber attack on a system but can also be failure to put in place appropriate technical and organisational measures to protect the confidentiality, integrity or availability of personal data.

Examples can include:

- Unauthorised access by third party
- Deliberate or accidental action (or inaction)
- Sending personal data to an incorrect recipient
- Mobile devices containing personal data being lost or stolen
- Alteration of personal data without permission
- Loss of availability of personal data

What Steps can you take to Avoid such Breaches?

You can take the following steps to avoid breaches:

• Read and comply with your organisation's policies on:
- Data protection
- Records management
- Security management 
• Complete relevant training and put your learning into practice
• Apply core data protection, security, records management and confidentiality principles in your day-to-day processing of data
• Use relevant best practice guidance
• Assess the risks of your data use by completing a data protection impact assessment (DPIA)
• Use relevant best practice guidance

',
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			'attachment_id' => '1724',
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			'external_thumb_src' => '',
			'attachment_pos' => '1',
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		),
		(int) 12 => array(
			'id' => '3573',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'image-bullets',
			'field_label' => 'Data Security',
			'description' => 'Data security can be broken down into three areas:',
			'field_order' => '2',
			'attachment_id' => '1725',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Confidentiality","Integrity","Availability"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 13 => array(
			'id' => '3574',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Confidentiality',
			'description' => 'Confidentiality is about privacy and ensuring that information is only accessible to those who have a legitimate reason to see it.

It would be unacceptable for a perfect stranger to be able to access sensitive information by walking into an office and reading files stored there, or by simply lifting the lid on a laptop and switching it on.

This is why sensitive files should be securely locked away, and laptops and other devices should be protected with security measures such as encryption. This is also why you should only use devices that are authorised by your organisation.

',
			'field_order' => '3',
			'attachment_id' => '1726',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 14 => array(
			'id' => '3575',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Integrity',
			'description' => 'Integrity is about information being accurate, up-to-date and reliable. Unauthorised or accidental alteration or loss of data can have serious consequences.  Systems will often log all user actions to help protect the integrity of people's information.
',
			'field_order' => '4',
			'attachment_id' => '1727',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 15 => array(
			'id' => '3576',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => 'Availability',
			'description' => 'Availability is about information being there when it is needed: to support care, to pay staff wages, or for any other legitimate purpose. Systems must be protected from cyber attack and accidental damage.

',
			'field_order' => '5',
			'attachment_id' => '1728',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:27:14',
			'modified' => '2024-08-07 12:27:14'
		),
		(int) 16 => array(
			'id' => '3577',
			'course_id' => '122',
			'course_lesson_id' => '563',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Jane has an accident while decorating her flat and falls badly, hurting her leg. She calls an ambulance. The paramedics ask Jane for her name and address and ask her about her injury. They can see that she is in pain and ask if she is allergic to any medications. She isn't sure.
 
The paramedics use their tablet device to look up Jane's Summary Care Record (SCR) as their role allows them to access details of her medical history. An SCR is an electronic record of people's information that is sourced from their GP record. As a minimum, it contains details of current medications, allergies and adverse reactions and the person's name, address, date of birth and NHS number.
 
By accessing Jane's record, the paramedics can see that Jane is actually allergic to morphine, so they administer an alternative pain relief while she is driven to hospital, where she is treated for her injuries.

Let's see how confidentiality, integrity and availability apply to the scenario.

Confidentiality
The paramedics used their tablet device to look up Jane’s SCR which gives details of her medical history. Because they are paramedics, the system permits them to access Jane’s record, a non-qualified person would not be able to see this level of information about Jane.

Integrity
By accessing Jane’s record, the paramedics can see that Jane is allergic to morphine, so they administer an alternative pain relief. The record is up-to-date and accurate, showing the last person who updated the record with the allergy information and the time of the update. Jane is driven to hospital, where she is treated for her injuries.

Availability
In this case, the availability of accurate and up-to-date information at the point it is needed has had a direct impact on individual care.
',
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			'attachment_id' => '1729',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
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		),
		(int) 17 => array(
			'id' => '3578',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Social Engineering',
			'description' => 'Social engineering involves those who want to steal data, such as health and care records, either digital or physical, by using tricks or deception to manipulate people into giving access to that data and other valuable information.
This component is a flipcard comprised of flippable cards containing display image. Select the front face image to flip to the back face of these card to display associated text.
Criminals will often take weeks and months getting to know a place before even coming through the door or making a phone call.

Select all the images to view ways criminals might gain your trust.',
			'field_order' => '0',
			'attachment_id' => '1730',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":101.25,"left":168,"annotation":"Preparation\n \nTheir preparation might include finding your organisation’s phone list or organisation chart and researching employees on social networking sites, like LinkedIn or Facebook.\n \nThe goal is always to gain the trust of one or more employees, though a variety of means."},{"top":93.25,"left":387,"annotation":"In the office\n\n'Can you hold the door for me? I don’t have my key/access card on me.’\n\nHow often have you heard that in your building? Although the person asking may not seem suspicious, this is a very common tactic used by fraudsters."},{"top":301.25,"left":126,"annotation":"On the phone\n\nA social engineer might call and pretend to be a fellow employee, for example from your ICT department or provider, or a trusted outside authority, such as the police or an auditor."},{"top":211.25,"left":298,"annotation":"Online\n\nSocial networking and new apps and sites opened a whole door for more social engineering scams. However, email is still the most common method which is covered later.\n\nOnline quizzes may encourage you to reveal more information about yourself for fun. This includes revealing your favourite colour or holiday destination as they were commonly used as password reset questions."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:53:52',
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		),
		(int) 18 => array(
			'id' => '3580',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'There are examples of many people being scammed by criminals pretending to be calling from a call centre.
For example, they may say they are calling about an online order you’ve made. If you’re expecting a delivery, it is easy to be taken in.
 
The criminal may already have a lot of information about you and ask you to confirm additional details about your online account, so that the order is not delayed.
 
If they have your email address, they may try to get you to click on a malicious link in an email they send you.',
			'field_order' => '1',
			'attachment_id' => '1731',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
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			'created' => '2024-08-07 12:53:52',
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		),
		(int) 19 => array(
			'id' => '3581',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Example',
			'description' => 'Hi. This is Mike from the ICT department. How are you?
 
Hi Mike. I’m fine.
 
We are doing some urgent updates today on the system. Can you confirm your full name so I can bring up your details?
 
It’s Georgina Jenkins here. I didn’t realise we had an update today.

We had a few problems last night and now need to do some urgent work which may affect your access. Can you confirm your username and password so I can make sure these are transferred when we carry out the urgent update.
 
Oh, of course, it’s...

Would you disclose your username, password, email addresses or other details about where you work?
 
Your line manager, ICT department or provider already know a lot about you and will not need to ask these types of questions.',
			'field_order' => '2',
			'attachment_id' => '1732',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'allow_retry' => '0',
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			'active' => '1',
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			'modified' => '2024-08-07 12:53:52'
		),
		(int) 20 => array(
			'id' => '3582',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Similarly, calls have been made to NHS and care staff where the caller pretends to be from the ICT department or provider.
 
For example, the caller advises that ICT have detected some problem with the employee’s work account, which they can resolve if the employee allows them to remotely access the laptop or PC.
 
They may ask you to disclose your username, password, email address or other details about where you work.',
			'field_order' => '3',
			'attachment_id' => '1733',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 21 => array(
			'id' => '3583',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Similarly, calls have been made to NHS and care staff where the caller pretends to be from the ICT department or provider.   For example, the caller advises that ICT have detected some problem with the employee’s work account, which they can resolve if the employee allows them to remotely access the laptop or PC.   They may ask you to disclose your username, password, email address or other details about where you work.',
			'description' => 'Revealing any information about your organisation on social media can be valuable to a fraudster.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 22 => array(
			'id' => '3585',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'It’s the office move day today so we’re having to use these stupid passes and door entry codes everywhere.
 
The amount of codes I have to remember these days is crazy - mine are all the same anyway!
 
Having to sort out all this funding today - we’ve just been awarded £1m to cut our waiting times. So guess what? I can sign off up to £50 000 now! 
',
			'field_order' => '5',
			'attachment_id' => '1735',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 23 => array(
			'id' => '3586',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'I can’t get in the office – can you pass me your door code?
 
Sure, it’s 12345.',
			'field_order' => '6',
			'attachment_id' => '1736',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 24 => array(
			'id' => '3584',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Hola! it’s holiday time again in 24 hours. Can you do me a favour? I forgot to update Jane Smith’s record – you know my password, don’t you?
 
No I don’t. Can you send it to me?
 
It’s Katie2011.
 
Got it. Haha! I do that with my passwords too – name them after my kids' names.
',
			'field_order' => '7',
			'attachment_id' => '1734',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 25 => array(
			'id' => '3587',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'A criminal reading the posts will gain vital intelligence about how the organisation's processes work.',
			'description' => 'What Information Could a Criminal get?

• Find out where Sandra's new office is by searching her organisation's website, then aligning the social worker’s online pictures to that office 
• Find out the dates of when Sandra will be on holiday and when her house will be vacant
• Find out children's names and birthdates to work out passwords

What Could a Criminal do with this Information?

• Gain access to Sandra's office using the door entry code
• Burgle Sandra's house when she is on holiday
• Install malicious software that corrupts data or prevents the organisation using it until they pay a ransom
• Gain access to data to sell on to other criminals
• Attempt to authorise one or more £50 000 transactions
• Attempt to create a new referral to claim a personal budget
• Access bank account details listed in the system, to steal a service user’s money',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 26 => array(
			'id' => '3588',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Email',
			'description' => 'Email can be the most efficient option for exchanging information securely but, as with all forms of information transfer, there are risks. Hackers and criminals sometimes use unsolicited emails that contain attachments or links to try to trick people into providing access to information. This type of threat is known as phishing.

Select the numbers to find out more information.',
			'field_order' => '9',
			'attachment_id' => '1737',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":141.219,"left":108,"annotation":"Click on a link\n\nClick on a link that will take you to a website that looks genuine and enter sensitive or financial information about yourself, your organisation or the people who use its services."},{"top":45.2188,"left":345,"annotation":"Open an attachment\n\nOpen an attachment that runs malicious code on your computer, giving an attacker full access to all data and systems that you can normally access."},{"top":106.219,"left":448,"annotation":"Unknowingly install malware\n\nSome malware can enable the hacker to steal data from your computer or your organisation’s network. Other types of malware might lock all your files and lead to your organisation being asked to pay a ransom to unlock them."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 27 => array(
			'id' => '3589',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'If you receive a request from a supposed colleague asking for login details or sensitive or financial information, or any information about the people using your service, you should always double-check the request by contacting the colleague by another method, such as by calling them.
 
Equally, if you receive an unsolicited email that contains attachments or links that you have not asked for, do not open them.
 
Remain vigilant and report the suspicious email to your line manager, ICT department or provider.
 
Never give your login details to anyone.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 28 => array(
			'id' => '3590',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Phishing',
			'description' => 'Phishing is by far the biggest and easiest form of social engineering.

Criminals use phishing emails and websites to scam people on a regular basis. They are hoping that you will click on fake links to sites or open attachments so that they can steal data or install malicious software.

• Aim of Phishing
- The aim of phishing emails is to force users to make a mistake for, example, by imitating a legitimate company’s emails or by creating a time-limited or pressurised situation.

• Do not Install Software
- Phishing email attachments or websites might ask you to enter personal information or a password, or they could start downloading and installing malware.
- Do not install any new software unless you are advised to do so by your line manager, ICT department or provider.
- Think – is someone trying to extract or extort information from you?

• Contact your ICT Department or Provider
You must contact your manager and ICT department or provider for advice immediately if you:
- Are unsure about an email or think that this may be happening to you
- Have clicked on a phishing link or visited a phishing website
',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 29 => array(
			'id' => '3591',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'There are warning signs that your email might be from a phisher or fraudster.',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '12',
			'attachment_id' => '1738',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":3.03125,"left":37,"annotation":"Sender\n\nHovering over the 'From' column is a simple way to check if an email is legitimate or not.\n\nIs the email from a person or organisation you recognise? A quick online search can bring up genuine email domain names such as @nhs.net or @xxx.gov.uk."},{"top":28.0312,"left":138,"annotation":"Subject\n\nIs the subject relevant to something that you are actually working on or is it in any way relevant to you? If not, alarm bells should start ringing.\n\nHowever, it may also be that the sender has incorrectly addressed the email."},{"top":14.0312,"left":216,"annotation":"Addressees\n\nCheck the address fields ‘To’ and ‘CC’, to see where the email has been sent.\n\nIf the fields contain multiple addressees (sometimes it can be 10s or even 100s), it is likely that the sender is ‘spamming’ potential targets and hoping to catch someone out. Don’t be that person."},{"top":42.0312,"left":71,"annotation":"Suspicious attachments\n\nIf a source, for example your bank, does not normally send you attachments, but then sends an email with an attachment, this may be evidence of spam."},{"top":87.0312,"left":318,"annotation":"Spelling, punctuation and incorrect grammar\n\nMany hackers misspell words and use bad grammar on purpose. Emails written in bulk may have visible errors or content that doesn’t make sense."},{"top":90.0312,"left":393,"annotation":"Links\n\nIf an email has provided you with some links and instructed you to click them, check it is a legitimate website link, also known as a URL.\n\nHover your mouse over any URLs that the email is trying to persuade you to visit, to make sure that they are legitimate."},{"top":129.031,"left":378,"annotation":"Requesting personal information\n\nA common tactic of spam emails is to alert you that you must provide or update personal information, including bank account details or an account password.\n \nYou will never legitimately be asked to provide your email login details, such as your password, by a genuine ICT department or service."},{"top":186.031,"left":243,"annotation":"What do I do if I receive a phishing email?\n\nDo not reply.\n \nSelect the email, right-click it and mark it as junk.\n \nInform your line manager, local ICT department or service provider and they will advise on how you can block further emails from being received."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 30 => array(
			'id' => '3592',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Macros and Malware',
			'description' => 'Select the numbers for more information.',
			'field_order' => '13',
			'attachment_id' => '1739',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":90.6406,"left":128,"annotation":"Macros\n\nMacros are a series of actions that a program such as Microsoft Excel may perform to work out some formulas. Your computer will disable macros by default because they can be programmed to install malware.\n\nAlways be vigilant when enabling macros.\n \nDo you trust the source of the document?"},{"top":155.641,"left":370,"annotation":"Malware\n\nMalware can reside on your computer and avoid detection, making it easier for someone to be active on your system without you noticing.\n\nTo protect your organisation from this type of threat, your ICT department or provider will ensure that you have up-to-date antivirus software installed.\n \nMalware can make computers run slowly or perform in unusual ways.\n \nIf you suspect that your computer is not performing as it normally does, contact your line manager, ICT department or provider for help."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 31 => array(
			'id' => '3593',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Good Practice',
			'description' => 'Select the numbers for more information.',
			'field_order' => '14',
			'attachment_id' => '1740',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":111.75,"left":169,"annotation":"Untrusted websites\n\nBe vigilant when you visit a website that is declared ‘untrusted’.\n\nIf a web browser states that you are about to enter an untrusted site, be very careful. It could be a fake phishing website that has been made to look genuine.\n \nA browser may display a red padlock or a warning message stating your connection is not private."},{"top":78.75,"left":414,"annotation":"Passwords\n\nIt is important to use strong passwords on all of your devices to prevent unauthorised access. You should also use different passwords for each account.\n \nCreating strong passwords doesn’t need to be a daunting task if you follow some simple guidelines.\n \nThe National Cyber Security Centre (NCSC) has a range of guidance on good password management.\n \nConsider the use of a free password manager, too. Again, the NCSC has detailed guidance on what to look for - a link to NCSC can be found in Resources."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 32 => array(
			'id' => '3594',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Understanding your Environment',
			'description' => 'Using your home internet connection, your workplace Wi-Fi connection and your phone’s personal hotspot should be password protected.
 
Security measures
 
• Change default passwords
• Use encryption - WPA2 is a type of encryption used to secure the vast majority of Wi-Fi networks
• Use password managers
• Disable auto connect to unknown Wi-Fi networks
• Update phones and devices with latest patches

The environment where you access information is also important. For example, Wi-Fi hotspots in public places such as cafes, fast food chains, public transport, people's homes, hotels and shops are not secure.',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 33 => array(
			'id' => '3595',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Staying safe online

• Passwords protect your device
• Use personal hotspot for internet access
• Keep belongings close by
• Do not assume Wi-Fi hotspots are secure
• Sit where you are not overlooked or use a privacy screen on your laptop - back against the wall is best
• Keep paperwork or documents to a minimum
•Do not discuss confidential data on the phone where you may be overheard
 
Remember to keep secure and be vigilant at all times.',
			'field_order' => '16',
			'attachment_id' => '1741',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 34 => array(
			'id' => '3596',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Cloud Storage',
			'description' => 'It can be the case that although the storage systems you use at home may be similar to those in your workplace, be aware of the different arrangements with regards to data security and protection. Check your local policies, or seek advice from your organisation's IT service desk or IG/data security contact.',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 35 => array(
			'id' => '3597',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Devices',
			'description' => 'A number of simple measures can help you to stay safe online.
 
You should ensure your device is kept up-to-date particularly with any security updates.
 
You should lock your device as soon as you stop using it. All mobile phones, laptops, PCs and tablets whether personal or not, should have a password set. If you see a colleague’s device open and unlocked, lock it for them and gently remind them to do so in future. This also applies to corporate mobile devices – activate the lock function so that a password or code is needed to unlock them.
 
Tip: Press the Windows key + L on your keyboard to quickly lock your laptop or PC.',
			'field_order' => '18',
			'attachment_id' => '1742',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 36 => array(
			'id' => '3598',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Do not use unauthorised USB drives and mobile devices and avoid plugging in any non-approved devices to charge via USB cable. A private mobile phone is effectively a large USB storage device and may contain malware.',
			'description' => 'Many organisations have policies about using USB drives, such as only using encrypted drives. Make sure you understand and follow your organisation's rules.
 
Using untrusted USB drives on your work computer can introduce malicious software and allow an attacker access to your network. Similarly, using trusted USB devices on public computers can cause a data breach.  If you are unsure, ask your line manager or IT department.',
			'field_order' => '19',
			'attachment_id' => '1743',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 37 => array(
			'id' => '3599',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'paragraph',
			'field_label' => 'Disposal of Information',
			'description' => 'We have to be careful when disposing of any information. Much of the data that health and care organisations create and use is classed as official in the eyes of the government.
 
USB drives and other digital storage media should be returned to your IT department for secure erasure, and paper records should be put into confidential waste bins or shredded.',
			'field_order' => '20',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 38 => array(
			'id' => '3600',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'media-field',
			'field_label' => 'Clear Desk Policy',
			'description' => 'Most organisations now have a clear desk policy or equivalent guidance which includes working from home and you need to be aware of this.

Do not leave information such as documents that identify someone or financial details in unsecure locations
Having a clear desk ensures that you are not potentially leaving sensitive information lying around, raising the risk of a breach
A clear desk policy reduces the risk of data loss by ensuring no confidential or commercial information is left unattended throughout the workplace',
			'field_order' => '21',
			'attachment_id' => '1744',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 39 => array(
			'id' => '3601',
			'course_id' => '122',
			'course_lesson_id' => '564',
			'field_type' => 'image-hotspot',
			'field_label' => 'Home Working',
			'description' => 'More of us are working from home on a regular basis. Are you aware of the data security and protection issues?

Select the numbers below to find out more.',
			'field_order' => '22',
			'attachment_id' => '1745',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":173.25,"left":144,"annotation":"Your workspace\n\nYour kitchen table could be your office, be mindful of sensitive work conversations in shared household spaces."},{"top":152.25,"left":346,"annotation":"Being vigilant\n\nAt home we can sometimes drop our defences and forget that we should treat our home workspaces as much as possible like work."},{"top":41.25,"left":371,"annotation":"Video calls\n\nYour working environment will be visible. For example, notice boards with sensitive information such as bank statements, login details to personal accounts and clinic appointment letters.\n\nYou should consider blurring your background in a video call or using a fake background effect. This will also help to protect the privacy of those who you live with."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:53:52',
			'modified' => '2024-08-07 12:53:52'
		),
		(int) 40 => array(
			'id' => '3602',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'Confidentiality and Sharing Information',
			'description' => 'Confidential data is all data collected for the provision of health and social care services where people can be identified and would expect it to be kept private. This may include details about symptoms, diagnosis, treatment, names and addresses (this applies whether they are alive or deceased). In some instances, it may include staff information.

Under the common law duty of confidentiality, confidential information can be used or shared further with the consent of the individual. This consent can be implied (in relation to sharing for direct care) or expressly given.

Where this is not possible  or appropriate, decisions on whether or not confidential data can be shared for purposes beyond individual care should be made by senior staff. This could be, for example, your Information Governance (IG) lead, Caldicott Guardian, your manager or someone in your organisation who has responsibility for data protection. These decisions should be documented.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 41 => array(
			'id' => '3603',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'image-hotspot',
			'field_label' => 'The Caldicott Principles',
			'description' => 'Before using confidential information, you should consider the Caldicott Principles [4]. The Caldicott Principles are intended to guide organisations on the use of confidential information within health and social care organisations and when such information is shared with other organisations or individuals. They apply to all data collected for the provision of health and social care services, where people can be identified and would expect that the data be kept private.

Caldicott Guardians are senior people within an organisation who protect the confidentiality of people's information by considering the ethical and legal aspects of data sharing. They play a vital role in ensuring that health and social care data is used responsibly to support the delivery of better care. Previously, only NHS organisations and local authorities were required to have a Caldicott Guardian.

The National Data Guardian released guidance in August 2021 that all of the following organisations that process confidential information of patients and service users should appoint a Caldicott Guardian: public bodies exercising functions that relate to the health service, adult social care or adult career support in England, as well as other organisations providing services as part of the publicly funded health service, adult social care, or adult carer support [5]. It is good practice for any organisation using health and care data to appoint a Caldicott Guardian, even if they are not required to.',
			'field_order' => '1',
			'attachment_id' => '1746',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":13.8906,"left":106,"annotation":"Every proposed use or transfer of confidential information should be clearly defined, scrutinised and documented, with continuing uses regularly reviewed by an appropriate guardian."},{"top":7.89062,"left":211,"annotation":"Confidential information should not be included unless it is necessary for the specified purpose(s) for which the information is used or accessed. The need to identify individuals should be considered at each stage of satisfying the purpose(s) and alternatives used where possible."},{"top":6.89062,"left":329,"annotation":"Where use of confidential information is considered to be necessary, each item of information must be justified so that only the minimum amount of confidential information is included as necessary for a given function."},{"top":11.8906,"left":438,"annotation":"Only those who need access to confidential information should have access to it, and then only to the items that they need to see. This may mean introducing access controls or splitting information flows where one flow is used for several purposes."},{"top":173.891,"left":50,"annotation":"Action should be taken to ensure that all those handling confidential information understand their responsibilities and obligations to respect people's confidentiality."},{"top":173.891,"left":171,"annotation":"Every use of confidential information must be lawful. All those handling confidential information are responsible for ensuring that their use of and access to that information complies with legal requirements set out in statute and under the common law."},{"top":173.891,"left":281,"annotation":"Health and social care professionals should have the confidence to share confidential information in the best interests of patients and service users people using their services within the framework set out by these principles. They should be supported by the policies of their employers, regulators and professional bodies."},{"top":180.891,"left":376,"annotation":"A range of steps should be taken to ensure there are no surprises, so that people have clear expectations about how and why their confidential information is used, and what choices they have about this. These steps will vary depending on the use: as a minimum, this should include providing accessible, relevant and appropriate information - in some cases, greater engagement will be required."}]}',
			'field_correct' => null,
			'show_correct' => '0',
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		),
		(int) 42 => array(
			'id' => '3604',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'media-field',
			'field_label' => 'Informing People',
			'description' => 'People will not expect health and care professionals to look at their health records unless those professionals are involved in their care.
 
Wherever possible, you should inform people that you are accessing and using their information and the reason for doing so. There are specific techniques that you should use.

Explain
Clearly explain to people how you will use their information and point them to additional information if they ask for it. For example, on your organisation's website, in a leaflet or on a poster, or verbally when you see the person where appropriate.

Choices
Let people know what choices they have in relation to how their information is used and tell them whether that choice will affect the services offered to them. For example, it may not be possible to provide some services without being able to access their information.

If people are offered a choice, then it must be genuine and that choice should be respected, as and where appropriate.

Meet Expectations
Only use personal data in ways that people would reasonably expect. If people feel that their information may be used in unexpected ways or for purposes they may not support, this greatly undermines the relationship of trust.

The effect may be to deter people from seeking treatment, or, when seeking treatment, to only disclose partial or false details, thereby denying health and care providers the information they need to deliver safe and effective care.',
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			'attachment_id' => '1747',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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		),
		(int) 43 => array(
			'id' => '3605',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'Sharing Information for Individual Care',
			'description' => 'In line with the seventh Caldicott principle, sharing information with the right people can be just as important as not disclosing to the wrong person.
 
You have a legal duty to share the information:
• If it will assist in the care or treatment of an individual concerned and
• It is reasonable to believe that the individual concerned understands the reason for sharing

Check
Check that the individual understands what information will be shared and has no concerns.

Data Protection
Ensure that the data protection, record keeping and security best practice (covered elsewhere in this session) are met.

Respect Objections
Normally, if the individual objects to any proposed information sharing, you must respect their objection even if it undermines or prevents care provision.

Your Caldicott Guardian, IG lead, your manager or someone in your organisation who has responsibility for data protection will be able to advise on what to do in these circumstances.
',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 44 => array(
			'id' => '3606',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'Sharing Information for Secondary Care',
			'description' => 'Consent is not always needed to share personal information for purposes other than individual care, such as planning and research as there are other legal gateways which permit data to be used for the purposes explained above.

Public Interest
This includes times where sharing personal information can be justified in the public interest including where there is a risk of serious harm to someone. If there is a risk of immediate harm to an individual, and you cannot find an appropriate person with whom to discuss the information request, you should share the information.

At the first opportunity afterward, you should inform the person responsible for IG in your organisation so they can follow-up the legal basis for sharing and document it.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 45 => array(
			'id' => '3607',
			'course_id' => '122',
			'course_lesson_id' => '565',
			'field_type' => 'paragraph',
			'field_label' => 'The National Data Opt-Out',
			'description' => 'A national data opt out has been introduced to allow people to choose whether their confidential information is used for research and planning purposes. Health and care organisations must comply with this policy.

In practical terms, this means that people can register their national data opt-out online, through a national telephone service or through the NHS App. People can also change their national data opt-out choice at any time.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 12:59:31',
			'modified' => '2024-08-07 12:59:31'
		),
		(int) 46 => array(
			'id' => '3608',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'paragraph',
			'field_label' => 'Data Breaches',
			'description' => 'he UK GDPR introduces a duty on all organisations to report personal data breaches that have a significant impact on people to the ICO within 72 hours. A personal data breach is a breach of security leading to the accidental or unlawful destruction, loss, alteration, unauthorised disclosure of, or access to, personal data. This includes breaches that are the result of both accidental and deliberate causes. It also means that a breach is more than just about losing personal data.

There are three different types of personal data breaches.

Confidentiality Breach
A confidentiality breach is where there is an unauthorised or accidental disclosure of, or access to, personal data. This is also a criminal offence under UK law.

Examples include:

• Names and email addresses of 500 survey respondents are sent by email to the wrong supplier
• Unencrypted portable devices containing dataset extracts, which include details of hospital admissions are stolen from a research office
• An IT services firm has been contracted to archive and store customer records. The IT firm detects an attack on its network that results in personal data about customers being unlawfully accessed
• An employee file containing references and sickness records is left on public transport

Integrity Breach
An integrity breach is where there is an unauthorised or accidental alteration of personal data.

Examples include:

• An authorised user of a system modifies the profiles and access controls of other users without permission
• An analyst with authorised access to a dataset containing personal data makes additional copies of the dataset without applying robust version control procedures

Availability Breach
An availability breach is where there is an accidental or unauthorised loss of access to, or destruction of, personal data.

Examples include:

•  Records destroyed earlier than scheduled because the list for destruction said 2012 instead of 2021
• Records misfiled in wrong person's record so not available when providing care
• The decryption key to securely encrypted personal data has been lost rendering the data unavailable until it is restored from a backup
• An operating system vulnerability is exploited by a ransomware attack, which results in personal data being encrypted for several days until the issue is resolved',
			'field_order' => '0',
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		),
		(int) 47 => array(
			'id' => '3609',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Cyber and Non-Cyber Incidents',
			'description' => 'The ICO has provided further guidance on the types of incidents that may involve a breach of personal data.

Cyber incidents
• Brute force
• Cryptographic flaw
• Denial of service
• Hardware and software misconfiguration
• Malware
• Phishing
• Ransomware
• Unauthorised access

Non-cyber incidents

• Alteration of personal data
• Data emailed to the incorrect recipient
• Wrong person's information shown in online portal
• Failure to redact (remove or obscure sensitive information from view within a document)
• Unsecure disposal of paperwork
• Loss and theft of information left in an insecure location
• Verbal disclosure of personal data
• Failure to use bcc

Imagine the risk involved in making an important decision about a person’s care if his or her record was no longer available, was wrong or incomplete or if someone had tampered with it. Security incidents can lead to serious personal data breaches which can impact the care and treatment people receive.

Imagine a person's care being adversely affected either by the lack of availability or alteration of a connected medical device.
',
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			'attachment_id' => '1748',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 13:11:49',
			'modified' => '2024-08-07 13:11:49'
		),
		(int) 48 => array(
			'id' => '3610',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Postal Breaches',
			'description' => 'Certain procedures can help to reduce the risk of data breaches when sending information by post, email, telephone and other means.
 
Consider the different ways in which breaches and incidents can be avoided by remaining vigilant and aware of your personal responsibility.

Miss Broom is waiting to receive information from her social worker. She opens her post one morning and finds that, as well as her own letter, the envelope contains two further letters addressed to other people.
 
Miss Broom contacts the organisation and tells an administrative officer about the letters.

The organisation's IG lead telephones Miss Broom to apologise for the error and asks her to keep the letters safe while arrangements are made for someone to collect them.
 
The organisation writes a formal apology to Miss Broom and to the two individuals about whom she received letters.

Both individuals were deeply concerned that Miss Broom, who they did not know, now knew important information about them. One of them wrote to their local paper about the breach.
 
Senior staff in the local authority spent the next two weeks responding to media queries about the number of breaches that the organisation had experienced.
 
The other individual, who had suffered from a similar breach the previous year, instructed his solicitor to bring legal proceedings against the local authority.

Make sure that all correspondence containing personal data is always addressed to a named person, not to a department, a unit or an organisation.
 
If the information contained in a letter includes more than basic clinical information, for example, appointment details, consider sending it by recorded or tracked delivery.

Recorded Delivery 
You should assess the risks of posting paper records which include personal data and use this method only where it is absolutely necessary, secure and appropriate to do so. Consider using tracked or recorded delivery. Take special care when sending large amounts of information, for example, case notes or care records on paper, encrypted disk or other media.
 
Send these by tracked or recorded post or by NHS courier to ensure that such information is only seen by the authorised recipients. In some circumstances, you should obtain a receipt as proof of delivery, for example, when sending care records to a solicitor.

Approved Packaging
Only send case notes and other bulky material in robust, approved packaging, never in dustbin sacks, carrier bags or other containers.
 
Don’t leave the packages unattended unless they are securely stored, when waiting for collection.
 
Make certain that the packages are taken and transported by the approved carrier.
',
			'field_order' => '2',
			'attachment_id' => '1749',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'created' => '2024-08-07 13:11:49',
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		),
		(int) 49 => array(
			'id' => '3611',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Email Breaches',
			'description' => 'Email is increasingly becoming the preferred method for exchanging information, but as with other forms of communication, there are risks.

Mr Foster has recently been diagnosed with depression and has joined a support group to help him through this care.
 
He has just received his monthly email and noticed the names and email addresses of more than 500 people.

The organisation undertakes an investigation and finds that a new member of staff had sent out the email.

Everyone who received the email could identify who was a member of the depression support group.
 
The investigations found that all existing staff members involved in sending out emails knew what to do but had not supervised the new member of staff.

',
			'field_order' => '3',
			'attachment_id' => '1750',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:11:49',
			'modified' => '2024-08-07 13:11:49'
		),
		(int) 50 => array(
			'id' => '3612',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'image-hotspot',
			'field_label' => 'Your organisation will have guidance on sending secure emails. If you are an NHSmail user, you can go to the NHSmail portal to access guidance about sending emails securely [6].',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '4',
			'attachment_id' => '1751',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":133.672,"left":36,"annotation":"Check with your line manager whether it is acceptable to send information in this way."},{"top":132.672,"left":125,"annotation":"Confirm the accuracy of the email addresses for all intended recipients, sending test emails if you are unsure.\n\nBe aware that autofill functions may sometimes add an incorrect recipient with a similar name."},{"top":141.672,"left":243,"annotation":"Check that everyone on the copy list has a genuine ‘need to know’ the information you are to send."},{"top":131.672,"left":364,"annotation":"Health and social care organisations must meet the secure email standard (DCB1596) so that everyone can be sure that sensitive and confidential information is kept secure.\n\nIf you are unsure of what to do, ask your line manager, ICT department or provider for advice."},{"top":131.672,"left":461,"annotation":"Where an email needs to be sent to an unsecured email address, check whether this is at the request of a service user who understands and accepts the risks.\n \nConsider whether it would be more appropriate to encrypt the email yourself."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:11:49',
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		),
		(int) 51 => array(
			'id' => '3613',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'media-field',
			'field_label' => 'Video Conference and Telephone Breaches',
			'description' => 'If a request for information is made by phone you should, where possible, adhere to the following processes and procedures.

• Confirm the name, job title, department and organisation of the person requesting the information
• Confirm that the reason for the information request is appropriate
• Find a contact telephone number that you know is correct for the organisation - such as the main switchboard number - so you can call back and ask for the named individual, to confirm that the caller is genuine
• Check whether the information can be provided. If in doubt, tell the person you will call them back
• Only provide the information to the person who requested it. Do not leave messages
• Ensure that you record your name, the reason for the disclosure and who authorised the disclosure in the patient/service user's record. Make sure you also record the recipient's name, job title, organisation and telephone number

Joe, a practice manager, receives a call from a local hospital requesting information about Mrs Smith, one of the practice patients.
 
He knows that she has been referred to that hospital for cancer investigation, so he gives the information to the caller.
 
Joe should not give patient information over the phone without first checking the identity of the caller and whether they have a valid reason to request it. Joe had no proof that the previous day’s call was from the local hospital.
 
The next morning, Mrs Smith phones the practice and tells Joe that her brother-in-law has information about her health that he can only have obtained from the practice. At that point, Joe realises that he had no proof that the previous day’s call was from the local hospital.',
			'field_order' => '5',
			'attachment_id' => '1752',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
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			'active' => '1',
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		),
		(int) 52 => array(
			'id' => '3614',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'paragraph',
			'field_label' => 'Physical and Data Security Risks',
			'description' => 'Last week, someone in a high-visibility vest visited a social care office as well as a GP practice in the same local area. In each case, he followed a member of staff into the building and told the receptionist that he needed everyone's details for a 'software update'.
 
The person then sold these details to other criminals. Let's find out what else he found.

Doors
Nearly every door the visitor encounters is open. Even those doors marked as 'restricted access' have been propped open to allow for a delivery.
 
This means he is able to wander freely in and out without challenge, and could have stolen equipment or personal items belonging to staff.
 
Don't leave open or prop open doors, especially those in restricted zones.

Visitors
The visitor has forged a badge. He approaches the reception desk and asks for directions to the server room. They are happy to help. His badge isn't even checked.
 
With access to the server room, he can disrupt the server as much as he likes, causing connectivity problems across the whole organisation.
Do check identification badges when you feel safe to do so. If not, seek help. 

Desk
Despite most organisations having strict clear desk policies, a lot of data is found in unoccupied office areas. Financial documents, including client account details, are lying on desks.
 
The visitor has a bag of memory sticks and randomly disperses them on desks in the hope that someone will plug one in. It will then start installing malware onto the computer.
Don't plug in unknown or unapproved devices and seek from your IT support provider if in doubt. ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
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			'active' => '1',
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		),
		(int) 53 => array(
			'id' => '3615',
			'course_id' => '122',
			'course_lesson_id' => '566',
			'field_type' => 'paragraph',
			'field_label' => 'Reporting Incidents',
			'description' => 'Your role is to report concerns or details of a security incident as soon as you become aware of it. Your organisation should have an incident reporting procedure setting out what staff members should do on discovering a security incident or suspecting one has occurred.

You have a responsibility to familiarise yourself with your organisation's incident reporting procedure and to know who to report data security incidents to.

If you have concerns or become aware of a data security incident, report it. Do not assume that it is somebody else's responsibility to report the incident. We all have a role to play in protecting information.

Your organisation will have an individual or team whose responsibility it is to manage and investigate an incident
Near misses, where information was nearly lost or where someone attempted to access information should also be reported

Know your organisation's policy regarding the safe and acceptable use of IT.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 13:11:49',
			'modified' => '2024-08-07 13:11:49'
		),
		(int) 54 => array(
			'id' => '3619',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'paragraph',
			'field_label' => 'Good Record Keeping',
			'description' => 'Records management is about the creation, use and disposal of records. Health and care organisations create records about the care and support they provide to people, and how they operate.

Effective records management will ensure records are available when needed, and the responsibility for managing them is everyone's.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 55 => array(
			'id' => '3618',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'media-field',
			'field_label' => 'Information Management Lifecycle',
			'description' => 'All records go through a series of phases:

• Creation
• Use
• Retention
• Disposal decisions (usually destruction)

For guidance, refer to:

• Your organisation's records management policy and/or retention schedule and guidance
• The Records Management Code of Practice for Health and Social Care Organisations [1]
 ',
			'field_order' => '1',
			'attachment_id' => '1755',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 56 => array(
			'id' => '3617',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'media-field',
			'field_label' => 'Good Practice',
			'description' => 'Certain simple actions can ensure that you comply with data protection principles and follow the Records Management Code of Practice for Health and Care. Your organisation will have policies and procedures and can give you training to help ensure good governance.
 
It is important that records are complete, accurate, dated and timed, with an audit trail of who has added what.
 
They should distinguish between people's records, your opinions and any information provided by others.

This component is an accordion comprised of collapsible content panels containing display text. Select the item titles to toggle the visibility of these content panels.
Poor quality information presents a risk to people, staff members and the organisation. If you are uncertain about any of the good practice raised, talk to your records manager or IG team to improve your understanding.

Timely and up-to-date
Records are primarily intended to support care and should authentically represent each and every consultation (including by telephone or any other remote method). Therefore, record information at the time or as soon as possible after the event.

Accurate
Records made about the care and support given to people must be accurate and reflect what was provided to people. 

Give people the opportunity to check and confirm the personal details held about them.

Complete
Ensure all necessary information is included so that records can be used effectively. Remember to include the NHS number if available.

Free from Duplication
Before you create a new record, make sure that one doesn’t already exist.',
			'field_order' => '2',
			'attachment_id' => '1754',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 57 => array(
			'id' => '3616',
			'course_id' => '122',
			'course_lesson_id' => '567',
			'field_type' => 'media-field',
			'field_label' => 'Information Disposal',
			'description' => 'Make sure you know and follow your organisation's policy and procedures for the disposal of information.

Seek advice from your line manager, ICT department or technology provider when disposing of the information held on digital assets for example, laptops and smartphones.

All devices, such as laptops, must be disposed of by your ICT department or provider.

Any personal data must be treated as confidential and securely disposed of. This includes secure disposal of paper records in locked confidential waste bins.

When disposing of records, it is important to obtain a record of its disposal. This could be a certificate of destruction (so it is clear that the record has been destroyed, rather than misplaced), or an accession notice (when records are deposited with the local Place of Deposit or the National Archives, for long-term archival preservation).',
			'field_order' => '3',
			'attachment_id' => '1753',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:15:52',
			'modified' => '2024-08-07 13:15:52'
		),
		(int) 58 => array(
			'id' => '3622',
			'course_id' => '122',
			'course_lesson_id' => '568',
			'field_type' => 'paragraph',
			'field_label' => 'Freedom of Information',
			'description' => 'The Freedom of Information (FOI) Act 2000 [7] provides public access to information held by public authorities.

The Act covers any recorded information* that is held by a public authority in England, Wales and Northern Ireland, and by UK-wide public authorities based in Scotland.

*It should be noted that data will normally be exempt from release under this legislation as it is covered by the data protection legislation.

Recorded Information
This might include but is not limited to information contained in:

• Printed documents
• Computer files
• Letters
• Emails
• Notes
• Photographs
• Messages sent through text or messaging apps
• Sound or video recordings, for example, telephone conversations or CCTV 

Recorded information is not limited to official documents, nor is it limited to information you create, so it also covers, for example, letters you receive from members of the public, although there may be a good reason not to release them or to release only parts of the information within documents, for example, you would redact personal data.

Public Authority
Public authorities include:

• Government departments
• Local authorities
• NHS organisations
• State schools
• Police forces

However, the Act does not necessarily cover every organisation that receives public money. For example, it does not cover some charities that receive grants and certain private sector organisations that perform public functions.

Anyone can ask for any information that is held by a public authority. However, this does not mean you are always obliged to provide the information. In some cases, there will be a good reason why you should not make public some or all of the information requested. There are therefore exemptions within the Act which permit public authorities to withhold information in certain circumstances or to refuse to comply with a request. Your FOI team will be able to provide advice on when these exemptions may apply',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:21:14',
			'modified' => '2024-08-07 13:21:14'
		),
		(int) 59 => array(
			'id' => '3621',
			'course_id' => '122',
			'course_lesson_id' => '568',
			'field_type' => 'media-field',
			'field_label' => 'Publishing Information',
			'description' => 'As well as responding to requests for information, organisations must publish information proactively. The Freedom of Information Act requires every public authority to have a publication scheme, approved by the Information Commissioner’s Office (ICO), and to publish information covered by the scheme.

The scheme must set out your organisation’s commitment to make certain classes of information routinely available, such as policies and procedures, minutes of meetings, annual reports and financial information.',
			'field_order' => '1',
			'attachment_id' => '1757',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:21:14',
			'modified' => '2024-08-07 13:21:14'
		),
		(int) 60 => array(
			'id' => '3620',
			'course_id' => '122',
			'course_lesson_id' => '568',
			'field_type' => 'media-field',
			'field_label' => 'Making a Request',
			'description' => 'An organisation has 2 separate duties when responding to requests:

• To tell the applicant whether they hold any information falling within the scope of their request
• To provide that information, unless there is a legitimate reason not to disclose (where an exemption applies)

An organisation normally has 20 working days to respond to a request.

For a request to be valid under the Freedom of Information Act, it must be in writing, but requesters do not have to mention the Act or direct their request to a designated member of staff.

It is good practice to provide the contact details of your freedom of information officer/team (which is on your organisation's website), but you cannot ignore or refuse a request simply because it is addressed to a different member of staff. Any written request to a public authority asking for information is a request for recorded information under the Act.

This doesn't mean you have to treat every enquiry formally as a request under the Act. It will often be most sensible and provide better customer service to deal with it as a normal customer enquiry under your usual customer service procedures.

When a request is received or you are asked how to submit an FOI request, it is important that you follow your organisation's policy and procedure and immediately direct the requests to the relevant team.',
			'field_order' => '2',
			'attachment_id' => '1756',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:21:14',
			'modified' => '2024-08-07 13:21:14'
		),
		(int) 61 => array(
			'id' => '3623',
			'course_id' => '122',
			'course_lesson_id' => '569',
			'field_type' => 'paragraph',
			'field_label' => 'Key Points',
			'description' => 'We all have a legal and professional duty to handle public information in a safe and secure manner
Data security can be broken down into 3 areas: confidentiality, integrity and availability
To make sure you comply with the law, you must know and comply with any information policies, procedures or protocols that your organisation has in place
Make sure information is shared in a secure way and that you have consent to do so where needed. Give individuals an opportunity to check the accuracy of information held to enable any mistakes to be corrected
By following good practice, you can help to ensure that people's information is not put at risk',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:25:12',
			'modified' => '2024-08-07 13:25:12'
		),
		(int) 62 => array(
			'id' => '3624',
			'course_id' => '122',
			'course_lesson_id' => '569',
			'field_type' => 'text-links',
			'field_label' => 'Further Information',
			'description' => '1. NHS Records Management Code of Practice 2021. <a href="https://transform.england.nhs.uk/information-governance/guidance/records-management-code/">View website</a><br>2. Information Commissioner's Office. Guide to the UK General Data Protection Regulation. London: ICO, 2018. <a href="https://ico.org.uk/for-organisations/uk-gdpr-guidance-and-resources/">View website</a><br>3. The Data Protection Act 2018. London: HMSO, 2018. <a href="https://www.legislation.gov.uk/ukpga/2018/12/contents/enacted">View website</a><br>4. National Data Guardian. The Caldicott Principles. London: NDG, 2020. <a href="https://www.gov.uk/government/publications/the-caldicott-principles">View website</a><br>5. National Data Guardian. National Data Guardian guidance on the appointment of Caldicott Guardians, their role and responsibilities. London: NDG, 2021. <a href="https://www.gov.uk/government/publications/national-data-guardian-guidance-on-the-appointment-of-caldicott-guardians-their-role-and-responsibilities">View guidance</a><br>6. NHS Digital. Guidance for sending secure email (including to patients). <a href="https://digital.nhs.uk/services/nhsmail/guidance-for-sending-secure-email">View website</a><br>7. Freedom of Information Act 2000. London: HMSO, 2000. <a href="https://www.legislation.gov.uk/ukpga/2000/36/contents">View website</a>',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:25:12',
			'modified' => '2024-08-07 13:25:12'
		),
		(int) 63 => array(
			'id' => '3625',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  It is important to lock your computer or mobile device when you're not using it.',
			'description' => 'Choose the correct option',
			'field_order' => '0',
			'attachment_id' => '1758',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 64 => array(
			'id' => '3626',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Someone follows you into your workplace and asks you to hold the door as they have forgotten their access card. Should you stop and challenge them?',
			'description' => 'Choose the correct option',
			'field_order' => '1',
			'attachment_id' => '1759',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No","Yes"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 65 => array(
			'id' => '3627',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is  the following statement true or false?  You are generally allowed to share people's data by using social media such as Facebook, Snapchat, Twitter or LinkedIn, because it is securely stored.',
			'description' => 'Choose the correct option',
			'field_order' => '2',
			'attachment_id' => '1760',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 66 => array(
			'id' => '3628',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  You need consent or an alternative legal basis to use a person's health and care information for non-care purposes.',
			'description' => 'Is the following statement true or false?

You need consent or an alternative legal basis to use a person's health and care information for non-care purposes.',
			'field_order' => '3',
			'attachment_id' => '1761',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 67 => array(
			'id' => '3629',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Important work-related documents, files or information should always be safely stored in folders that are backed up.',
			'description' => 'Choose the correct option',
			'field_order' => '4',
			'attachment_id' => '1762',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 68 => array(
			'id' => '3630',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Only use authorised USB drives or memory cards in work computers or mobile devices.',
			'description' => 'Choose the correct option',
			'field_order' => '5',
			'attachment_id' => '1763',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 69 => array(
			'id' => '3631',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Should you include sensitive information in social media posts relating to your work even though the system may allow you to?',
			'description' => 'Choose the correct option',
			'field_order' => '6',
			'attachment_id' => '1764',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No","Yes"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 70 => array(
			'id' => '3632',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Opening attachments or clicking web links from personal email or social media accounts on work devices can increase the risk of malware being downloaded.',
			'description' => 'Choose the correct option',
			'field_order' => '7',
			'attachment_id' => '1765',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 71 => array(
			'id' => '3633',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'multiple-choice',
			'field_label' => 'On a video conference from home, what should you ensure is not visible?',
			'description' => 'Choose all that apply and select Submit.',
			'field_order' => '8',
			'attachment_id' => '1766',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Any passwords and key codes","Individual's personal telephone numbers","Clinical correspondance"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 72 => array(
			'id' => '3634',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Someone in your team nearly lost or mistakenly shared a large quantity of sensitive information. It was a 'near miss'.  Should you report it?',
			'description' => 'Choose the correct option',
			'field_order' => '9',
			'attachment_id' => '1767',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No. It won't happen again; your team rarely makes mistakes like this","Yes. improvements to procedures can only be made if they are shared with the right members of staff"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 73 => array(
			'id' => '3635',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following statements on the Data Protection Act 2018 and UK GDPR is correct?',
			'description' => 'Choose the correct option',
			'field_order' => '10',
			'attachment_id' => '1768',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The Act only applies to patient or service user information","Organisations can be fined or face legal action for breaching the principles of the Act","The Act prevents information being shared for health and care purposes","The Act only applies to personal information in digital form","Individuals cannot be fined or face legal action for breaching the principles Act"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 74 => array(
			'id' => '3636',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  All individuals have a right to privacy and can make requests to an organisation to access, erase (be forgotten), or rectify their data; or object to its use. An organisation must comply with this request unless they have a valid legal reason not to do so.',
			'description' => 'Choose the correct option',
			'field_order' => '11',
			'attachment_id' => '1769',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 75 => array(
			'id' => '3637',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement true or false?  Under UK GDPR, an individual can be held responsible for a data breach.',
			'description' => 'Choose the correct option',
			'field_order' => '12',
			'attachment_id' => '1770',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 76 => array(
			'id' => '3638',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'Is the following statement True or False?  Sharing information with the right people can be just as important as not disclosing to the wrong person.',
			'description' => 'Choose the correct option ',
			'field_order' => '13',
			'attachment_id' => '1771',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		),
		(int) 77 => array(
			'id' => '3639',
			'course_id' => '122',
			'course_lesson_id' => '570',
			'field_type' => 'single-choice',
			'field_label' => 'When an individual requests information under a Freedom of Information Act, do they have to mention FOIA or direct their request to a designated member of staff?',
			'description' => 'Choose the correct option ',
			'field_order' => '14',
			'attachment_id' => '1772',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Yes","No"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 13:42:49',
			'modified' => '2024-08-07 13:42:49'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3561',
		(int) 1 => '3562',
		(int) 2 => '3563',
		(int) 3 => '3564',
		(int) 4 => '3565',
		(int) 5 => '3566',
		(int) 6 => '3567',
		(int) 7 => '3568',
		(int) 8 => '3569',
		(int) 9 => '3570',
		(int) 10 => '3571',
		(int) 11 => '3572',
		(int) 12 => '3573',
		(int) 13 => '3574',
		(int) 14 => '3575',
		(int) 15 => '3576',
		(int) 16 => '3577',
		(int) 17 => '3578',
		(int) 18 => '3580',
		(int) 19 => '3581',
		(int) 20 => '3582',
		(int) 21 => '3583',
		(int) 22 => '3585',
		(int) 23 => '3586',
		(int) 24 => '3584',
		(int) 25 => '3587',
		(int) 26 => '3588',
		(int) 27 => '3589',
		(int) 28 => '3590',
		(int) 29 => '3591',
		(int) 30 => '3592',
		(int) 31 => '3593',
		(int) 32 => '3594',
		(int) 33 => '3595',
		(int) 34 => '3596',
		(int) 35 => '3597',
		(int) 36 => '3598',
		(int) 37 => '3599',
		(int) 38 => '3600',
		(int) 39 => '3601',
		(int) 40 => '3602',
		(int) 41 => '3603',
		(int) 42 => '3604',
		(int) 43 => '3605',
		(int) 44 => '3606',
		(int) 45 => '3607',
		(int) 46 => '3608',
		(int) 47 => '3609',
		(int) 48 => '3610',
		(int) 49 => '3611',
		(int) 50 => '3612',
		(int) 51 => '3613',
		(int) 52 => '3614',
		(int) 53 => '3615',
		(int) 54 => '3619',
		(int) 55 => '3618',
		(int) 56 => '3617',
		(int) 57 => '3616',
		(int) 58 => '3622',
		(int) 59 => '3621',
		(int) 60 => '3620',
		(int) 61 => '3623',
		(int) 62 => '3624',
		(int) 63 => '3625',
		(int) 64 => '3626',
		(int) 65 => '3627',
		(int) 66 => '3628',
		(int) 67 => '3629',
		(int) 68 => '3630',
		(int) 69 => '3631',
		(int) 70 => '3632',
		(int) 71 => '3633',
		(int) 72 => '3634',
		(int) 73 => '3635',
		(int) 74 => '3636',
		(int) 75 => '3637',
		(int) 76 => '3638',
		(int) 77 => '3639'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '122'
$k = (int) 2
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:53:24'
		)
	),
	(int) 6 => array(
		'Attachment' => array(
			'id' => '1598',
			'record_id' => '117',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:55:19'
		)
	),
	(int) 7 => array(
		'Attachment' => array(
			'id' => '1617',
			'record_id' => '119',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 15:57:54'
		)
	),
	(int) 8 => array(
		'Attachment' => array(
			'id' => '1648',
			'record_id' => '111',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:36:24'
		)
	),
	(int) 9 => array(
		'Attachment' => array(
			'id' => '1650',
			'record_id' => '110',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:37:21'
		)
	),
	(int) 10 => array(
		'Attachment' => array(
			'id' => '1688',
			'record_id' => '120',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 10:43:35'
		)
	),
	(int) 11 => array(
		'Attachment' => array(
			'id' => '1715',
			'record_id' => '121',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 11:33:31'
		)
	),
	(int) 12 => array(
		'Attachment' => array(
			'id' => '1722',
			'record_id' => '122',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
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$mainTermData = array(
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		'description' => '',
		'main_taxonomy' => 'course',
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		'taxonomy_slug' => 'qualification',
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		'banner_align_id' => '0',
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		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
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$key = 'TermLink1'
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			'course_length' => '35 minutes',
			'expiry_date' => null,
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			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3640',
			(int) 1 => '3641',
			(int) 2 => '3642',
			(int) 3 => '3643',
			(int) 4 => '3644',
			(int) 5 => '3645',
			(int) 6 => '3646',
			(int) 7 => '3647',
			(int) 8 => '3648',
			(int) 9 => '3649',
			(int) 10 => '3650',
			(int) 11 => '3651',
			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
		)
	),
	(int) 2 => array(
		'Course' => array(
			'id' => '122',
			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
			'banner_media_id' => '1721',
			'thumbnail_media_id' => '1722',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
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			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40'
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			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
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			'active' => '1',
			'created' => '2024-08-06 14:59:06',
			'modified' => '2024-08-07 14:26:42'
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			),
			(int) 15 => array(
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			),
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			),
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			),
			(int) 18 => array(
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			),
			(int) 19 => array(
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			),
			(int) 20 => array(
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			),
			(int) 21 => array(
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			),
			(int) 22 => array(
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			),
			(int) 23 => array(
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			),
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			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
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			),
			(int) 30 => array(
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			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
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			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
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			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
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			),
			(int) 41 => array(
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			),
			(int) 42 => array(
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			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
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			),
			(int) 45 => array(
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			),
			(int) 46 => array(
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			(int) 47 => array(
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			),
			(int) 49 => array(
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			),
			(int) 50 => array(
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		'Course' => array(
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			'course_title' => 'Patient Safety Syllabus Training, Level 2 - Part 2',
			'description' => 'Access to practice 2<br />This session&nbsp;provides a basic introduction to the key elements of safety science. The elements of safety science that we focus on and which have underpinned all domains of the syllabus are: systems thinking, risk expertise, human factors and safety culture.',
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			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 13:20:44',
			'modified' => '2024-08-07 14:26:05'
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		'course_title' => 'Infection Prevention and Control Level 1',
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			'session_length' => '7 minutes',
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			'created' => '2024-08-07 10:55:27',
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			'course_id' => '121',
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			'description' => '- List ways that you can contribute to infection prevention and control
- Identify local policies and procedures for infection prevention and control
- List your responsibilities for infection prevention and control and standard precautions (including hand hygiene, personal protective equipment (PPE), management of blood and body fluid spillage, management of occupational exposure including sharps, management of the environment and management of care equipment)
- Identify when your personal health and fitness may pose a risk of infection to others at work',
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			'course_id' => '121',
			'course_lesson_id' => '556',
			'field_type' => 'paragraph',
			'field_label' => 'Duration',
			'description' => '- 25 minutes (knowledge chapters)
- 5 minutes (eAssessment)',
			'field_order' => '1',
			'attachment_id' => null,
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			'course_id' => '121',
			'course_lesson_id' => '557',
			'field_type' => 'media-field',
			'field_label' => 'Infection Prevention and Control',
			'description' => 'Healthcare is delivered in a range of settings, from hospitals to care delivered in clients' homes or social care settings. Healthcare-associated infections (HCAIs) can occur in any setting where healthcare is delivered. HCAIs are defined as any infection as a result of healthcare interaction that has taken place, or has occurred, 48 hours (general rule) after admission to a healthcare setting.

Infection prevention and control is important in healthcare because:

- NICE has estimated that 300,000 patients a year in England acquire a HCAI as a result of care within the NHS
- Over 6% of hospital patients in England acquire some form of infection
- HCAIs prolong a patient's period of ill health
- Patients can die from infection - in 2015/16, there were 241 deaths from MRSA and 2127 deaths from C. difficile [1]

It is everyone's responsibility to monitor and prevent HCAIs.',
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			'course_id' => '121',
			'course_lesson_id' => '557',
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			'description' => 'HCAIs can develop either as a direct result of healthcare interventions such as medical or surgical treatment, or from being in contact with a healthcare setting. There are numerous factors that increase the risk of individuals acquiring an infection or that can increase the risk of reoccurrence.

Which of the following factors increase the risk of individuals acquiring an infection?

Choose one or more answers',
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			'attachment_id' => null,
			'external_media_src' => '',
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			'field_choices' => '["Age","Compromised immune system","Medical conditions","Inappropriate antibiotic use","Poor infection prevention practice"]',
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			'course_lesson_id' => '557',
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			'field_label' => 'The Chain of Infection',
			'description' => 'The transmission of infection depends on six elements which link together like a chain as shown in the diagram. The elements are infectious agent, a reservoir for it to live, a site of exit, and a mode of transmission to a susceptible host via a site of entry.
 
We will explore this further in the next chapter.',
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			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'image-hotspot',
			'field_label' => 'Select an image to find out more',
			'description' => '',
			'field_order' => '0',
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			'field_choices' => '{"width":500,"annotations":[{"top":85.8125,"left":136,"annotation":"Bacteria\n\nBacteria are microscopic single-celled organisms that thrive in diverse environments. Bacteria are prokaryotes. The entire organism consists of a single cell with a simple internal structure. They can live within soil, in the ocean and inside the human gut. Humans' relationship with bacteria is complex.\n\nSometimes they lend a helping hand, by curdling milk into yogurt, or helping with our digestion. At other times they are destructive, causing diseases like pneumonia and urine infections."},{"top":77.8125,"left":374,"annotation":"Viruses\n\nViruses are very tiny agents. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS and Ebola.\n \nViruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system or blood.\n \nWhen you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.\n \nFor most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases."},{"top":249.812,"left":111,"annotation":"Viruses\n\nViruses are very tiny agents. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS and Ebola.\n \nViruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system or blood.\n \nWhen you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.\n \nFor most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases."},{"top":243.812,"left":375,"annotation":"Fungal infections\n\nA fungus is a primitive organism. Mushrooms, mould and mildew are examples. Fungi live in air, in soil, on plants and in water. Some live in the human body. Only about half of all types of fungi are harmful.\n \nSome fungi reproduce through tiny spores in the air. You can inhale the spores, or they can land on you. As a result, fungal infections often start in the lungs or on the skin. You are more likely to get a fungal infection if you have a weakened immune system or take antibiotics.\n \nFungi can be difficult to kill. For skin and nail infections, you can apply medicine directly to the infected area. Oral antifungal medicines are also available for serious infections."}]}',
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			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'The Reservoir',
			'description' => 'Reservoirs, shown in the diagram, are where micro-organisms reside and multiply. Without them infectious agents could not survive and therefore could not be transmitted.

The site of exit provides a way for a micro-organism to leave a reservoir.
For example, in the body this may include any orifice (nose, mouth etc.) via any bodily substance.',
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			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'Transmission',
			'description' => 'Direct Contact
Human-to-human contact, for example, touching, kissing, sexual intercourse or from a pregnant woman to her foetus through the placenta.

Indirect Contact

- Air-borne (i.e. coughing or sneezing)
-Vector-borne (i.e. bite from a mosquito or ticks), for example, lyme disease, which is rising here in the UK. Lyme disease is a bacterial infection that can be spread to humans by infected ticks [3]
- Dirty equipment (i.e. touched either by an infected person or someone who is carrying an infective micro-organism)
',
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		(int) 8 => array(
			'id' => '3539',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'Site of Entry',
			'description' => 'Site of entry is the site through which the micro-organism enters its new host and causes infection.

Infectious agents can enter the body through various portals such as those shown below.',
			'field_order' => '3',
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			'field_type' => 'media-field',
			'field_label' => 'Susceptible Host',
			'description' => 'Some individuals have poor physical resistance and are more susceptible to infection due to: ',
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			'field_type' => 'image-hotspot',
			'field_label' => 'The chain of infection can be broken by taking the following standard precautions.',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '0',
			'attachment_id' => '1697',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":40.2188,"left":32,"annotation":"Hand hygiene\n\nOne of the most effective measures in the prevention of transmission of infection and reducing HCAIs is improving hand hygiene. Hand hygiene can be performed using:\n\nSoap and water\nHand sanitisers\nEnsure that you are aware of, and follow, guidelines in your local organisation for hand hygiene"},{"top":41.2188,"left":99,"annotation":"Management and safe disposal of clinical waste\n\nYou have a duty to ensure that clinical waste is disposed of in a safe and appropriate way. The colour-coded system used to segregate healthcare waste is as follows:\n\n- Purple: Cytotoxic/cytostatic waste, must be incinerated by licensed facility \n- Yellow: Infectious waste, must be incinerated\n- Orange: Infectious waste, can be treated to render safe prior to disposal\n- Yellow/black: Offensive/hygiene waste, can be land filled on licensed site\n- Black/clear: Domestic waste, may be land filled/recycled\n\nEnsure you follow your local policy on waste management as the colour code system for bags could differ in your organisation."},{"top":44.2188,"left":169,"annotation":"Cleaning and decontamination\n\nA dirty/contaminated clinical environment is one of the factors that contributes to HCAIs. Decontamination is a combination of the following processes:\n\n- Cleaning\n- Disinfection\n- Sterilisation\n\nThis destroys or removes micro-organisms and makes equipment safe to re-use. It is important to use correct cleaning/disinfection products when cleaning equipment or an environment.\n\nRefer to the National Specifications for Cleanliness in the NHS (NPSA) for further information - a link is available in Resources."},{"top":47.2188,"left":263,"annotation":"Management of body fluid spillages\n\nThis includes blood, faeces, vomit, urine and pus, all of which may contain disease-causing micro-organisms. These are hazardous to health and therefore there is a need to follow the Control of Substances Hazardous to Health (COSHH) Regulations [4]. It is the responsibility of all staff to act promptly when encountering such spills. Staff must follow local policy and ensure only those authorised to do so tackle the spill. General best practice includes:\n\n- Use a spillage kit if available\n- Cordon off the area and deal with the spillage as soon as possible\n- Use PPE equipment\n- Follow the correct cleaning procedure according to your organisation's policy\n- Ensure that all waste generated is clinical waste; this kind of waste should be discarded as infective waste stream"},{"top":37.2188,"left":361,"annotation":"Management of laundry\n\nUsed linen can harbour large numbers of potentially infectious agents. Precautions need to be taken at all stages of linen management:\n\n- Storage\n- Handling\n- Bagging\nTransporting\n- Laundering\n\nEnsure that you know and follow your local policy for the management of linen and clothing."},{"top":46.2188,"left":449,"annotation":"Personal Protective Equipment (PPE)\n\nPPE is designed to protect healthcare\nworkers from exposure to potentially\ninfectious material. It also prevents ongoing transmission of infection material to patients.\n\nMake sure you know and use the\nappropriate PPE for the situation.\n\nPPE equipment includes:\n\n- Gloves\n- Aprons/gowns\n- Masks\n- Protective eyewear\n\nThis is not an exhaustive list. It is your responsibility to use PPE in line with local policy and the requirements of your role."}]}',
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		(int) 11 => array(
			'id' => '3542',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Safe Use and Disposal of Sharps',
			'description' => 'Safe use and disposal of sharps

- 'Sharps' are needles, blades, stitch cutters, scalpels and other medical instruments that are necessary for carrying out healthcare work and could cause an injury by cutting or pricking the skin
- Don't use a sharp if you don't have to
- Safer sharps devices must be used and, if not, then a risk assessment must be completed to acknowledge this and minimise risk of injury to the practitioner
- Never re-sheath a needle
- Ensure correct assembly of the sharps container
- Dispose of sharps in an approved container at the point of use
- Don't exceed the fill limit
- Ensure the correct disposal of the container

Remember to refer to your local protocol and training regarding the safe disposal of sharps and the management of healthcare waste in your trust or organisation.


Management of sharp injuries

- A sharps injury is an incident in which a sharp instrument penetrates the skin
- The main risk from a sharps injury is the potential exposure to infections such as blood-borne viruses (BBV) such as hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV)

What to do if you receive a sharps injury which may be contaminated:

- Encourage the wound to gently bleed, ideally holding it under running water
- Wash the wound using running water and plenty of soap
- Don't scrub the wound whilst you are washing it
- Don't suck the wound
- Dry the wound and cover it with a waterproof plaster or dressing
- Seek urgent medical advice as effective prophylaxis (medicines to help fight infection) are available
- Report the injury to your employer

Seek medical advice from your appointed department within your organisation or contracted service provider.  For example, in NHS Trusts this might be the occupational health service, in primary care there must be a contract in place for occupational health provision that includes provision for sharp injuries. 

Please refer to the Health and Safety Executive website in Resources for more information.

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		(int) 12 => array(
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			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Hand Hygiene',
			'description' => 'There are ‘5 moments for hand hygiene’:

- Before touching a patient
- Before clean/aseptic procedures
- After body fluid exposure/risk
- After touching a patient
- After touching patient surroundings',
			'field_order' => '2',
			'attachment_id' => '1699',
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			'attachment_pos' => '0',
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		(int) 13 => array(
			'id' => '3544',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'bullet-points',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care.',
			'description' => 'To achieve effective hand hygiene, follow the ‘bare below the elbows’ dress code. Avoiding wearing:

',
			'field_order' => '3',
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			'field_choices' => '["Jewellery (especially rings with stones)","Long nails, nail varnish and false nails","Wrist bands","Wrist watches","Long sleeves"]',
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		(int) 14 => array(
			'id' => '3545',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'text-links',
			'field_label' => 'One of the most effective measures in the prevention of transmission of infection is improving hand hygiene.',
			'description' => '    Hand hygiene can be performed using:

- Soap and water
- Hand sanitisers

Ensuring you are aware of and follow the guidelines in your organisation for hand hygiene.

Regular and correct hand washing is vital to help prevent the spread of the coronavirus (COVID-19).',
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		(int) 15 => array(
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			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Watch the video to learn more.',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/4ij1I0OB2hk?autohide=1&showinfo=0&controls=1&enablejsapi=1',
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		(int) 16 => array(
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			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'multiple-choice',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care. This means to avoid:',
			'description' => 'Choose the correct options ',
			'field_order' => '6',
			'attachment_id' => '1700',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Wearing wrist bands"," Wearing jewellery"," Short sleeves","Long nails"]',
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		(int) 17 => array(
			'id' => '3548',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Do you know the most frequently missed areas when washing your hands?',
			'description' => 'Continue to find out in you are correct.',
			'field_order' => '7',
			'attachment_id' => '1701',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
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		),
		(int) 18 => array(
			'id' => '3549',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Most frequently missed areas when hand washing.',
			'description' => '',
			'field_order' => '8',
			'attachment_id' => '1702',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 19 => array(
			'id' => '3550',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Antimicrobial Resistance',
			'description' => '- Antibiotics are essential for treating many infections but they’re losing their effectiveness
- Bacteria are fighting back by changing and finding ways of surviving the effects of our medicines
- The bugs are smart - they can naturally become resistant to antibiotics over time, but we are making it worse because of overuse and misuse of our medications
- This is already a risky situation and it will only get worse if we do not take urgent action
- Examples of resistant bacteria include Meticillin-resistant Staphylococcus aureus (MRSA) and extended-spectrum beta-lactamases (ESBLs) like E. coli and Klebsiella

We can prevent the emergence of resistant bugs by using antibiotics correctly, and preventing their spread by following infection prevention and control procedures.  ',
			'field_order' => '9',
			'attachment_id' => '1703',
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			'attachment_pos' => '0',
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		(int) 20 => array(
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			'course_id' => '121',
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			'field_type' => 'media-field',
			'field_label' => 'Is Your Personal Health and Fitness a Risk to Others?',
			'description' => 'Have you got an Infection?

- Take precautions to protect patients and colleagues from infection
- Contact your local Occupational Health team if you have any concerns

Do you Have Direct Patient Contact?

Protect against communicable diseases, i.e. TB, hepatitis B and C, HIV, flu

- Staff should ensure they are up to date with their immunisations

Have you come into Contact with an Infectious Disease?

- Report it immediately
- Contact your local Occupational Health team if you have any concerns

Don't feel well?

Don’t attend work if it will affect your health and/or the health of others. Please refer to your employer’s sickness policy.

Diarrhoea? Vomiting?

- Stay off work until you are symptom free for 48 hours',
			'field_order' => '10',
			'attachment_id' => '1704',
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			'attachment_pos' => '1',
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		(int) 21 => array(
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			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'paragraph',
			'field_label' => 'Session Summary',
			'description' => 'Key Points

- Healthcare-associated infections are often preventable
- All staff have a responsibility to follow infection prevention and control procedures all of the time
- Wherever they work in the healthcare community, staff must follow appropriate national and local guidelines/policies and safe systems of care
- Don’t forget to regularly practise good hand hygiene to protect your health and reduce the risk of spreading infection',
			'field_order' => '11',
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		(int) 22 => array(
			'id' => '3553',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following actions can visitors or patients take to help control the spread of infections?',
			'description' => 'Choose three options',
			'field_order' => '0',
			'attachment_id' => '1709',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Attend Trust training for infection control","Visitors should not visit if they have been unwell in the previous 48 hours","Challenge clinical staff concerning hand hygiene"," Cleanse hands before eating and after going to the toilet"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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		),
		(int) 23 => array(
			'id' => '3554',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are examples of the people who should challenge infection control non-compliance in a healthcare setting?',
			'description' => 'Choose one or more options',
			'field_order' => '1',
			'attachment_id' => '1706',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Local managers","Registered Nurses","Patients"," Visitors"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 24 => array(
			'id' => '3555',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following would help prevent the spread of infection?',
			'description' => 'Choose two options and select Submit.',
			'field_order' => '2',
			'attachment_id' => '1707',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Good hand hygiene"," Administering antibiotics to all patients"," Appropriate use of Personal Protective Equipment (PPE)"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
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		),
		(int) 25 => array(
			'id' => '3556',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'single-choice',
			'field_label' => 'When should you use alcohol-based sanitiser to perform hand hygiene?',
			'description' => 'Choose the correct option',
			'field_order' => '3',
			'attachment_id' => '1708',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When your hands are visibly clean","When visiting\/caring for a patient with diarrhoea"," When your hands are visibly contaminated\/dirty"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
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		),
		(int) 26 => array(
			'id' => '3557',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are your responsibilities in relation to infection prevention and control?',
			'description' => 'Choose three options',
			'field_order' => '4',
			'attachment_id' => '1710',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Ensuring your work area is tidy and free from clutter to facilitate cleaning","Ensuring your training is up-to-date","Using appropriate hand hygiene precautions","None, as infection prevention and control is not your responsibility"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
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			'active' => '1',
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			'modified' => '2024-08-07 11:32:49'
		),
		(int) 27 => array(
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			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following factors within the environment could increase the risk of infection?',
			'description' => 'Choose one or more options',
			'field_order' => '5',
			'attachment_id' => '1711',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Use of inappropriate products or equipment for cleaning"," Chipped or damaged work surfaces"," Presence of rust or lime scale"," Cluttered and untidy work areas","Split flooring"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 28 => array(
			'id' => '3559',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'How can the risks of spreading colds and flu be reduced?',
			'description' => 'Choose four options ',
			'field_order' => '6',
			'attachment_id' => '1712',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Appropriate use and disposal of tissues","Cleaning frequently touched surfaces"," Immunisation for flu","Wearing warm clothes and shoes"," Hand hygiene"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 29 => array(
			'id' => '3560',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements in relation to immunisations are true?',
			'description' => 'Choose three options',
			'field_order' => '7',
			'attachment_id' => '1713',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["They protect vulnerable patients from preventable infections"," The flu vaccine is known to cause flu in some people"," They protect you and your family from preventable infections"," They protect your colleagues from preventable infections"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		)
	),
	'LessonFieldList' => array(
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			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
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		(int) 557 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			)
		),
		(int) 558 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 559 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			)
		),
		(int) 560 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
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		)
	),
	'LessonFieldAll' => array(
		(int) 0 => array(
			'id' => '3531',
			'course_id' => '121',
			'course_lesson_id' => '556',
			'field_type' => 'paragraph',
			'field_label' => 'Learning Objectives',
			'description' => '- List ways that you can contribute to infection prevention and control
- Identify local policies and procedures for infection prevention and control
- List your responsibilities for infection prevention and control and standard precautions (including hand hygiene, personal protective equipment (PPE), management of blood and body fluid spillage, management of occupational exposure including sharps, management of the environment and management of care equipment)
- Identify when your personal health and fitness may pose a risk of infection to others at work',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:50:18',
			'modified' => '2024-08-07 10:50:18'
		),
		(int) 1 => array(
			'id' => '3532',
			'course_id' => '121',
			'course_lesson_id' => '556',
			'field_type' => 'paragraph',
			'field_label' => 'Duration',
			'description' => '- 25 minutes (knowledge chapters)
- 5 minutes (eAssessment)',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:50:18',
			'modified' => '2024-08-07 10:50:18'
		),
		(int) 2 => array(
			'id' => '3533',
			'course_id' => '121',
			'course_lesson_id' => '557',
			'field_type' => 'media-field',
			'field_label' => 'Infection Prevention and Control',
			'description' => 'Healthcare is delivered in a range of settings, from hospitals to care delivered in clients' homes or social care settings. Healthcare-associated infections (HCAIs) can occur in any setting where healthcare is delivered. HCAIs are defined as any infection as a result of healthcare interaction that has taken place, or has occurred, 48 hours (general rule) after admission to a healthcare setting.

Infection prevention and control is important in healthcare because:

- NICE has estimated that 300,000 patients a year in England acquire a HCAI as a result of care within the NHS
- Over 6% of hospital patients in England acquire some form of infection
- HCAIs prolong a patient's period of ill health
- Patients can die from infection - in 2015/16, there were 241 deaths from MRSA and 2127 deaths from C. difficile [1]

It is everyone's responsibility to monitor and prevent HCAIs.',
			'field_order' => '0',
			'attachment_id' => '1690',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:54:56',
			'modified' => '2024-08-07 10:54:56'
		),
		(int) 3 => array(
			'id' => '3534',
			'course_id' => '121',
			'course_lesson_id' => '557',
			'field_type' => 'multiple-choice',
			'field_label' => 'Healthcare-associated Infections',
			'description' => 'HCAIs can develop either as a direct result of healthcare interventions such as medical or surgical treatment, or from being in contact with a healthcare setting. There are numerous factors that increase the risk of individuals acquiring an infection or that can increase the risk of reoccurrence.

Which of the following factors increase the risk of individuals acquiring an infection?

Choose one or more answers',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Age","Compromised immune system","Medical conditions","Inappropriate antibiotic use","Poor infection prevention practice"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:54:56',
			'modified' => '2024-08-07 10:54:56'
		),
		(int) 4 => array(
			'id' => '3535',
			'course_id' => '121',
			'course_lesson_id' => '557',
			'field_type' => 'media-field',
			'field_label' => 'The Chain of Infection',
			'description' => 'The transmission of infection depends on six elements which link together like a chain as shown in the diagram. The elements are infectious agent, a reservoir for it to live, a site of exit, and a mode of transmission to a susceptible host via a site of entry.
 
We will explore this further in the next chapter.',
			'field_order' => '2',
			'attachment_id' => '1691',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:54:56',
			'modified' => '2024-08-07 10:54:56'
		),
		(int) 5 => array(
			'id' => '3536',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'image-hotspot',
			'field_label' => 'Select an image to find out more',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1692',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":85.8125,"left":136,"annotation":"Bacteria\n\nBacteria are microscopic single-celled organisms that thrive in diverse environments. Bacteria are prokaryotes. The entire organism consists of a single cell with a simple internal structure. They can live within soil, in the ocean and inside the human gut. Humans' relationship with bacteria is complex.\n\nSometimes they lend a helping hand, by curdling milk into yogurt, or helping with our digestion. At other times they are destructive, causing diseases like pneumonia and urine infections."},{"top":77.8125,"left":374,"annotation":"Viruses\n\nViruses are very tiny agents. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS and Ebola.\n \nViruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system or blood.\n \nWhen you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.\n \nFor most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases."},{"top":249.812,"left":111,"annotation":"Viruses\n\nViruses are very tiny agents. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS and Ebola.\n \nViruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system or blood.\n \nWhen you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.\n \nFor most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases."},{"top":243.812,"left":375,"annotation":"Fungal infections\n\nA fungus is a primitive organism. Mushrooms, mould and mildew are examples. Fungi live in air, in soil, on plants and in water. Some live in the human body. Only about half of all types of fungi are harmful.\n \nSome fungi reproduce through tiny spores in the air. You can inhale the spores, or they can land on you. As a result, fungal infections often start in the lungs or on the skin. You are more likely to get a fungal infection if you have a weakened immune system or take antibiotics.\n \nFungi can be difficult to kill. For skin and nail infections, you can apply medicine directly to the infected area. Oral antifungal medicines are also available for serious infections."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:00:30',
			'modified' => '2024-08-07 11:00:30'
		),
		(int) 6 => array(
			'id' => '3537',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'The Reservoir',
			'description' => 'Reservoirs, shown in the diagram, are where micro-organisms reside and multiply. Without them infectious agents could not survive and therefore could not be transmitted.

The site of exit provides a way for a micro-organism to leave a reservoir.
For example, in the body this may include any orifice (nose, mouth etc.) via any bodily substance.',
			'field_order' => '1',
			'attachment_id' => '1693',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:00:30',
			'modified' => '2024-08-07 11:00:30'
		),
		(int) 7 => array(
			'id' => '3538',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'Transmission',
			'description' => 'Direct Contact
Human-to-human contact, for example, touching, kissing, sexual intercourse or from a pregnant woman to her foetus through the placenta.

Indirect Contact

- Air-borne (i.e. coughing or sneezing)
-Vector-borne (i.e. bite from a mosquito or ticks), for example, lyme disease, which is rising here in the UK. Lyme disease is a bacterial infection that can be spread to humans by infected ticks [3]
- Dirty equipment (i.e. touched either by an infected person or someone who is carrying an infective micro-organism)
',
			'field_order' => '2',
			'attachment_id' => '1694',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:00:30',
			'modified' => '2024-08-07 11:00:30'
		),
		(int) 8 => array(
			'id' => '3539',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'Site of Entry',
			'description' => 'Site of entry is the site through which the micro-organism enters its new host and causes infection.

Infectious agents can enter the body through various portals such as those shown below.',
			'field_order' => '3',
			'attachment_id' => '1695',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:00:30',
			'modified' => '2024-08-07 11:00:30'
		),
		(int) 9 => array(
			'id' => '3540',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'Susceptible Host',
			'description' => 'Some individuals have poor physical resistance and are more susceptible to infection due to: ',
			'field_order' => '4',
			'attachment_id' => '1696',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:00:30',
			'modified' => '2024-08-07 11:00:30'
		),
		(int) 10 => array(
			'id' => '3541',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'image-hotspot',
			'field_label' => 'The chain of infection can be broken by taking the following standard precautions.',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '0',
			'attachment_id' => '1697',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":40.2188,"left":32,"annotation":"Hand hygiene\n\nOne of the most effective measures in the prevention of transmission of infection and reducing HCAIs is improving hand hygiene. Hand hygiene can be performed using:\n\nSoap and water\nHand sanitisers\nEnsure that you are aware of, and follow, guidelines in your local organisation for hand hygiene"},{"top":41.2188,"left":99,"annotation":"Management and safe disposal of clinical waste\n\nYou have a duty to ensure that clinical waste is disposed of in a safe and appropriate way. The colour-coded system used to segregate healthcare waste is as follows:\n\n- Purple: Cytotoxic/cytostatic waste, must be incinerated by licensed facility \n- Yellow: Infectious waste, must be incinerated\n- Orange: Infectious waste, can be treated to render safe prior to disposal\n- Yellow/black: Offensive/hygiene waste, can be land filled on licensed site\n- Black/clear: Domestic waste, may be land filled/recycled\n\nEnsure you follow your local policy on waste management as the colour code system for bags could differ in your organisation."},{"top":44.2188,"left":169,"annotation":"Cleaning and decontamination\n\nA dirty/contaminated clinical environment is one of the factors that contributes to HCAIs. Decontamination is a combination of the following processes:\n\n- Cleaning\n- Disinfection\n- Sterilisation\n\nThis destroys or removes micro-organisms and makes equipment safe to re-use. It is important to use correct cleaning/disinfection products when cleaning equipment or an environment.\n\nRefer to the National Specifications for Cleanliness in the NHS (NPSA) for further information - a link is available in Resources."},{"top":47.2188,"left":263,"annotation":"Management of body fluid spillages\n\nThis includes blood, faeces, vomit, urine and pus, all of which may contain disease-causing micro-organisms. These are hazardous to health and therefore there is a need to follow the Control of Substances Hazardous to Health (COSHH) Regulations [4]. It is the responsibility of all staff to act promptly when encountering such spills. Staff must follow local policy and ensure only those authorised to do so tackle the spill. General best practice includes:\n\n- Use a spillage kit if available\n- Cordon off the area and deal with the spillage as soon as possible\n- Use PPE equipment\n- Follow the correct cleaning procedure according to your organisation's policy\n- Ensure that all waste generated is clinical waste; this kind of waste should be discarded as infective waste stream"},{"top":37.2188,"left":361,"annotation":"Management of laundry\n\nUsed linen can harbour large numbers of potentially infectious agents. Precautions need to be taken at all stages of linen management:\n\n- Storage\n- Handling\n- Bagging\nTransporting\n- Laundering\n\nEnsure that you know and follow your local policy for the management of linen and clothing."},{"top":46.2188,"left":449,"annotation":"Personal Protective Equipment (PPE)\n\nPPE is designed to protect healthcare\nworkers from exposure to potentially\ninfectious material. It also prevents ongoing transmission of infection material to patients.\n\nMake sure you know and use the\nappropriate PPE for the situation.\n\nPPE equipment includes:\n\n- Gloves\n- Aprons/gowns\n- Masks\n- Protective eyewear\n\nThis is not an exhaustive list. It is your responsibility to use PPE in line with local policy and the requirements of your role."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 11 => array(
			'id' => '3542',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Safe Use and Disposal of Sharps',
			'description' => 'Safe use and disposal of sharps

- 'Sharps' are needles, blades, stitch cutters, scalpels and other medical instruments that are necessary for carrying out healthcare work and could cause an injury by cutting or pricking the skin
- Don't use a sharp if you don't have to
- Safer sharps devices must be used and, if not, then a risk assessment must be completed to acknowledge this and minimise risk of injury to the practitioner
- Never re-sheath a needle
- Ensure correct assembly of the sharps container
- Dispose of sharps in an approved container at the point of use
- Don't exceed the fill limit
- Ensure the correct disposal of the container

Remember to refer to your local protocol and training regarding the safe disposal of sharps and the management of healthcare waste in your trust or organisation.


Management of sharp injuries

- A sharps injury is an incident in which a sharp instrument penetrates the skin
- The main risk from a sharps injury is the potential exposure to infections such as blood-borne viruses (BBV) such as hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV)

What to do if you receive a sharps injury which may be contaminated:

- Encourage the wound to gently bleed, ideally holding it under running water
- Wash the wound using running water and plenty of soap
- Don't scrub the wound whilst you are washing it
- Don't suck the wound
- Dry the wound and cover it with a waterproof plaster or dressing
- Seek urgent medical advice as effective prophylaxis (medicines to help fight infection) are available
- Report the injury to your employer

Seek medical advice from your appointed department within your organisation or contracted service provider.  For example, in NHS Trusts this might be the occupational health service, in primary care there must be a contract in place for occupational health provision that includes provision for sharp injuries. 

Please refer to the Health and Safety Executive website in Resources for more information.

',
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			'attachment_id' => '1698',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 12 => array(
			'id' => '3543',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Hand Hygiene',
			'description' => 'There are ‘5 moments for hand hygiene’:

- Before touching a patient
- Before clean/aseptic procedures
- After body fluid exposure/risk
- After touching a patient
- After touching patient surroundings',
			'field_order' => '2',
			'attachment_id' => '1699',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 13 => array(
			'id' => '3544',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'bullet-points',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care.',
			'description' => 'To achieve effective hand hygiene, follow the ‘bare below the elbows’ dress code. Avoiding wearing:

',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Jewellery (especially rings with stones)","Long nails, nail varnish and false nails","Wrist bands","Wrist watches","Long sleeves"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 14 => array(
			'id' => '3545',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'text-links',
			'field_label' => 'One of the most effective measures in the prevention of transmission of infection is improving hand hygiene.',
			'description' => '    Hand hygiene can be performed using:

- Soap and water
- Hand sanitisers

Ensuring you are aware of and follow the guidelines in your organisation for hand hygiene.

Regular and correct hand washing is vital to help prevent the spread of the coronavirus (COVID-19).',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 15 => array(
			'id' => '3546',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Watch the video to learn more.',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/4ij1I0OB2hk?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/4ij1I0OB2hk/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 16 => array(
			'id' => '3547',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'multiple-choice',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care. This means to avoid:',
			'description' => 'Choose the correct options ',
			'field_order' => '6',
			'attachment_id' => '1700',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Wearing wrist bands"," Wearing jewellery"," Short sleeves","Long nails"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 17 => array(
			'id' => '3548',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Do you know the most frequently missed areas when washing your hands?',
			'description' => 'Continue to find out in you are correct.',
			'field_order' => '7',
			'attachment_id' => '1701',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 18 => array(
			'id' => '3549',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Most frequently missed areas when hand washing.',
			'description' => '',
			'field_order' => '8',
			'attachment_id' => '1702',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 19 => array(
			'id' => '3550',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Antimicrobial Resistance',
			'description' => '- Antibiotics are essential for treating many infections but they’re losing their effectiveness
- Bacteria are fighting back by changing and finding ways of surviving the effects of our medicines
- The bugs are smart - they can naturally become resistant to antibiotics over time, but we are making it worse because of overuse and misuse of our medications
- This is already a risky situation and it will only get worse if we do not take urgent action
- Examples of resistant bacteria include Meticillin-resistant Staphylococcus aureus (MRSA) and extended-spectrum beta-lactamases (ESBLs) like E. coli and Klebsiella

We can prevent the emergence of resistant bugs by using antibiotics correctly, and preventing their spread by following infection prevention and control procedures.  ',
			'field_order' => '9',
			'attachment_id' => '1703',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 20 => array(
			'id' => '3551',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Is Your Personal Health and Fitness a Risk to Others?',
			'description' => 'Have you got an Infection?

- Take precautions to protect patients and colleagues from infection
- Contact your local Occupational Health team if you have any concerns

Do you Have Direct Patient Contact?

Protect against communicable diseases, i.e. TB, hepatitis B and C, HIV, flu

- Staff should ensure they are up to date with their immunisations

Have you come into Contact with an Infectious Disease?

- Report it immediately
- Contact your local Occupational Health team if you have any concerns

Don't feel well?

Don’t attend work if it will affect your health and/or the health of others. Please refer to your employer’s sickness policy.

Diarrhoea? Vomiting?

- Stay off work until you are symptom free for 48 hours',
			'field_order' => '10',
			'attachment_id' => '1704',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 21 => array(
			'id' => '3552',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'paragraph',
			'field_label' => 'Session Summary',
			'description' => 'Key Points

- Healthcare-associated infections are often preventable
- All staff have a responsibility to follow infection prevention and control procedures all of the time
- Wherever they work in the healthcare community, staff must follow appropriate national and local guidelines/policies and safe systems of care
- Don’t forget to regularly practise good hand hygiene to protect your health and reduce the risk of spreading infection',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 22 => array(
			'id' => '3553',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following actions can visitors or patients take to help control the spread of infections?',
			'description' => 'Choose three options',
			'field_order' => '0',
			'attachment_id' => '1709',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Attend Trust training for infection control","Visitors should not visit if they have been unwell in the previous 48 hours","Challenge clinical staff concerning hand hygiene"," Cleanse hands before eating and after going to the toilet"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 23 => array(
			'id' => '3554',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are examples of the people who should challenge infection control non-compliance in a healthcare setting?',
			'description' => 'Choose one or more options',
			'field_order' => '1',
			'attachment_id' => '1706',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Local managers","Registered Nurses","Patients"," Visitors"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 24 => array(
			'id' => '3555',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following would help prevent the spread of infection?',
			'description' => 'Choose two options and select Submit.',
			'field_order' => '2',
			'attachment_id' => '1707',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Good hand hygiene"," Administering antibiotics to all patients"," Appropriate use of Personal Protective Equipment (PPE)"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 25 => array(
			'id' => '3556',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'single-choice',
			'field_label' => 'When should you use alcohol-based sanitiser to perform hand hygiene?',
			'description' => 'Choose the correct option',
			'field_order' => '3',
			'attachment_id' => '1708',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When your hands are visibly clean","When visiting\/caring for a patient with diarrhoea"," When your hands are visibly contaminated\/dirty"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 26 => array(
			'id' => '3557',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are your responsibilities in relation to infection prevention and control?',
			'description' => 'Choose three options',
			'field_order' => '4',
			'attachment_id' => '1710',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Ensuring your work area is tidy and free from clutter to facilitate cleaning","Ensuring your training is up-to-date","Using appropriate hand hygiene precautions","None, as infection prevention and control is not your responsibility"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 27 => array(
			'id' => '3558',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following factors within the environment could increase the risk of infection?',
			'description' => 'Choose one or more options',
			'field_order' => '5',
			'attachment_id' => '1711',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Use of inappropriate products or equipment for cleaning"," Chipped or damaged work surfaces"," Presence of rust or lime scale"," Cluttered and untidy work areas","Split flooring"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 28 => array(
			'id' => '3559',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'How can the risks of spreading colds and flu be reduced?',
			'description' => 'Choose four options ',
			'field_order' => '6',
			'attachment_id' => '1712',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Appropriate use and disposal of tissues","Cleaning frequently touched surfaces"," Immunisation for flu","Wearing warm clothes and shoes"," Hand hygiene"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 29 => array(
			'id' => '3560',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements in relation to immunisations are true?',
			'description' => 'Choose three options',
			'field_order' => '7',
			'attachment_id' => '1713',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["They protect vulnerable patients from preventable infections"," The flu vaccine is known to cause flu in some people"," They protect you and your family from preventable infections"," They protect your colleagues from preventable infections"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3531',
		(int) 1 => '3532',
		(int) 2 => '3533',
		(int) 3 => '3534',
		(int) 4 => '3535',
		(int) 5 => '3536',
		(int) 6 => '3537',
		(int) 7 => '3538',
		(int) 8 => '3539',
		(int) 9 => '3540',
		(int) 10 => '3541',
		(int) 11 => '3542',
		(int) 12 => '3543',
		(int) 13 => '3544',
		(int) 14 => '3545',
		(int) 15 => '3546',
		(int) 16 => '3547',
		(int) 17 => '3548',
		(int) 18 => '3549',
		(int) 19 => '3550',
		(int) 20 => '3551',
		(int) 21 => '3552',
		(int) 22 => '3553',
		(int) 23 => '3554',
		(int) 24 => '3555',
		(int) 25 => '3556',
		(int) 26 => '3557',
		(int) 27 => '3558',
		(int) 28 => '3559',
		(int) 29 => '3560'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '121'
$k = (int) 3
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
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		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '60',
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		(int) 10 => '6'
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	(int) 111 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 113 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 112 => array(
		(int) 0 => '13',
		(int) 1 => '64',
		(int) 2 => '62',
		(int) 3 => '63',
		(int) 4 => '61',
		(int) 5 => '60',
		(int) 6 => '7',
		(int) 7 => '6'
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	(int) 114 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
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	(int) 115 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 118 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 116 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
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			'course_title' => 'Equality Diversity And Inclusion E-Learning',
			'description' => 'Welcome to this e-Learning package on Equality, Diversity and Human Rights. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
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			'course_length' => '60 minutes',
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			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 09:12:40',
			'modified' => '2024-08-07 14:24:36'
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			'course_length' => '30 minutes',
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			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 13:04:44',
			'modified' => '2024-08-07 14:24:24'
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			'banner_media_id' => '1651',
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			'created_user_id' => '8779',
			'course_length' => '40 Minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 10:15:23',
			'modified' => '2024-08-07 14:23:51'
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			),
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			),
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			),
			(int) 86 => array(
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			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
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			)
		)
	),
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			'course_title' => 'Autism Awareness E-Learning',
			'description' => 'A training package designed to ensure all Trust staff have a basic awareness of autism.',
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			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 08:34:50',
			'modified' => '2024-08-07 14:24:06'
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			),
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			),
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				[maximum depth reached]
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			),
			(int) 23 => array(
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			(int) 24 => array(
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			)
		)
	)
)
$courseIds = array(
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	(int) 2 => '122',
	(int) 3 => '121',
	(int) 4 => '120',
	(int) 5 => '119',
	(int) 6 => '118',
	(int) 7 => '117',
	(int) 8 => '116',
	(int) 9 => '115',
	(int) 10 => '114',
	(int) 11 => '113',
	(int) 12 => '112',
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$course = array(
	'Course' => array(
		'id' => '121',
		'course_title' => 'Infection Prevention and Control Level 1',
		'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
		'banner_media_id' => '1714',
		'thumbnail_media_id' => '1715',
		'logo_media_id' => null,
		'banner_align_id' => '0',
		'type_id' => '0',
		'created_user_id' => '8779',
		'course_length' => '30 minutes',
		'expiry_date' => null,
		'expired' => '0',
		'active' => '1',
		'created' => '2024-08-07 10:48:35',
		'modified' => '2024-08-07 14:23:01'
	),
	'CourseLesson' => array(
		(int) 0 => array(
			'id' => '556',
			'course_id' => '121',
			'lesson_title' => 'Session Overview',
			'description' => 'Overview of learning.',
			'lesson_order' => '0',
			'created_user_id' => '8779',
			'session_length' => '2 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 10:49:10',
			'modified' => '2024-08-07 10:50:28'
		),
		(int) 1 => array(
			'id' => '557',
			'course_id' => '121',
			'lesson_title' => 'Why is it important?',
			'description' => 'This session will cover the high-level training required for infection prevention and control.&nbsp;<br /><br />As&nbsp;infection prevention and control&nbsp;training is usually tailored to a number of approaches, dependent on which area or group within the NHS that you work, there may be elements of the session that aren&rsquo;t covered or are even applicable to you.<br /><br />In such cases, where you are unsure of whether something applies to your role or workplace, then you must refer to local policy or procedures.',
			'lesson_order' => '1',
			'created_user_id' => '8779',
			'session_length' => '3 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 10:51:16',
			'modified' => '2024-08-07 10:51:16'
		),
		(int) 2 => array(
			'id' => '558',
			'course_id' => '121',
			'lesson_title' => 'What Cause Disease?',
			'description' => 'Information on what causes diseases.&nbsp;',
			'lesson_order' => '2',
			'created_user_id' => '8779',
			'session_length' => '7 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 10:55:27',
			'modified' => '2024-08-07 10:55:27'
		),
		(int) 3 => array(
			'id' => '559',
			'course_id' => '121',
			'lesson_title' => 'What are the Standard Precautions?',
			'description' => 'Learn about the standard precautions.&nbsp;',
			'lesson_order' => '3',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 11:01:10',
			'modified' => '2024-08-07 11:01:10'
		),
		(int) 4 => array(
			'id' => '560',
			'course_id' => '121',
			'lesson_title' => 'eAssessment',
			'description' => 'Welcome to the&nbsp;Infection Prevention and Control Level 1 eAssessment.<br />&nbsp;<br />To successfully complete this eAssessment, you need to achieve a score of at least 80%.',
			'lesson_order' => '4',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 11:22:15',
			'modified' => '2024-08-07 11:22:15'
		)
	),
	'CourseLessonField' => array(
		(int) 0 => array(
			'id' => '3531',
			'course_id' => '121',
			'course_lesson_id' => '556',
			'field_type' => 'paragraph',
			'field_label' => 'Learning Objectives',
			'description' => '- List ways that you can contribute to infection prevention and control
- Identify local policies and procedures for infection prevention and control
- List your responsibilities for infection prevention and control and standard precautions (including hand hygiene, personal protective equipment (PPE), management of blood and body fluid spillage, management of occupational exposure including sharps, management of the environment and management of care equipment)
- Identify when your personal health and fitness may pose a risk of infection to others at work',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:50:18',
			'modified' => '2024-08-07 10:50:18'
		),
		(int) 1 => array(
			'id' => '3532',
			'course_id' => '121',
			'course_lesson_id' => '556',
			'field_type' => 'paragraph',
			'field_label' => 'Duration',
			'description' => '- 25 minutes (knowledge chapters)
- 5 minutes (eAssessment)',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'modified' => '2024-08-07 10:50:18'
		),
		(int) 2 => array(
			'id' => '3533',
			'course_id' => '121',
			'course_lesson_id' => '557',
			'field_type' => 'media-field',
			'field_label' => 'Infection Prevention and Control',
			'description' => 'Healthcare is delivered in a range of settings, from hospitals to care delivered in clients' homes or social care settings. Healthcare-associated infections (HCAIs) can occur in any setting where healthcare is delivered. HCAIs are defined as any infection as a result of healthcare interaction that has taken place, or has occurred, 48 hours (general rule) after admission to a healthcare setting.

Infection prevention and control is important in healthcare because:

- NICE has estimated that 300,000 patients a year in England acquire a HCAI as a result of care within the NHS
- Over 6% of hospital patients in England acquire some form of infection
- HCAIs prolong a patient's period of ill health
- Patients can die from infection - in 2015/16, there were 241 deaths from MRSA and 2127 deaths from C. difficile [1]

It is everyone's responsibility to monitor and prevent HCAIs.',
			'field_order' => '0',
			'attachment_id' => '1690',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 10:54:56',
			'modified' => '2024-08-07 10:54:56'
		),
		(int) 3 => array(
			'id' => '3534',
			'course_id' => '121',
			'course_lesson_id' => '557',
			'field_type' => 'multiple-choice',
			'field_label' => 'Healthcare-associated Infections',
			'description' => 'HCAIs can develop either as a direct result of healthcare interventions such as medical or surgical treatment, or from being in contact with a healthcare setting. There are numerous factors that increase the risk of individuals acquiring an infection or that can increase the risk of reoccurrence.

Which of the following factors increase the risk of individuals acquiring an infection?

Choose one or more answers',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Age","Compromised immune system","Medical conditions","Inappropriate antibiotic use","Poor infection prevention practice"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:54:56',
			'modified' => '2024-08-07 10:54:56'
		),
		(int) 4 => array(
			'id' => '3535',
			'course_id' => '121',
			'course_lesson_id' => '557',
			'field_type' => 'media-field',
			'field_label' => 'The Chain of Infection',
			'description' => 'The transmission of infection depends on six elements which link together like a chain as shown in the diagram. The elements are infectious agent, a reservoir for it to live, a site of exit, and a mode of transmission to a susceptible host via a site of entry.
 
We will explore this further in the next chapter.',
			'field_order' => '2',
			'attachment_id' => '1691',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-07 10:54:56',
			'modified' => '2024-08-07 10:54:56'
		),
		(int) 5 => array(
			'id' => '3536',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'image-hotspot',
			'field_label' => 'Select an image to find out more',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1692',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":85.8125,"left":136,"annotation":"Bacteria\n\nBacteria are microscopic single-celled organisms that thrive in diverse environments. Bacteria are prokaryotes. The entire organism consists of a single cell with a simple internal structure. They can live within soil, in the ocean and inside the human gut. Humans' relationship with bacteria is complex.\n\nSometimes they lend a helping hand, by curdling milk into yogurt, or helping with our digestion. At other times they are destructive, causing diseases like pneumonia and urine infections."},{"top":77.8125,"left":374,"annotation":"Viruses\n\nViruses are very tiny agents. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS and Ebola.\n \nViruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system or blood.\n \nWhen you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.\n \nFor most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases."},{"top":249.812,"left":111,"annotation":"Viruses\n\nViruses are very tiny agents. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS and Ebola.\n \nViruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system or blood.\n \nWhen you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.\n \nFor most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases."},{"top":243.812,"left":375,"annotation":"Fungal infections\n\nA fungus is a primitive organism. Mushrooms, mould and mildew are examples. Fungi live in air, in soil, on plants and in water. Some live in the human body. Only about half of all types of fungi are harmful.\n \nSome fungi reproduce through tiny spores in the air. You can inhale the spores, or they can land on you. As a result, fungal infections often start in the lungs or on the skin. You are more likely to get a fungal infection if you have a weakened immune system or take antibiotics.\n \nFungi can be difficult to kill. For skin and nail infections, you can apply medicine directly to the infected area. Oral antifungal medicines are also available for serious infections."}]}',
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			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:00:30',
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		),
		(int) 6 => array(
			'id' => '3537',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'The Reservoir',
			'description' => 'Reservoirs, shown in the diagram, are where micro-organisms reside and multiply. Without them infectious agents could not survive and therefore could not be transmitted.

The site of exit provides a way for a micro-organism to leave a reservoir.
For example, in the body this may include any orifice (nose, mouth etc.) via any bodily substance.',
			'field_order' => '1',
			'attachment_id' => '1693',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
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		),
		(int) 7 => array(
			'id' => '3538',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'Transmission',
			'description' => 'Direct Contact
Human-to-human contact, for example, touching, kissing, sexual intercourse or from a pregnant woman to her foetus through the placenta.

Indirect Contact

- Air-borne (i.e. coughing or sneezing)
-Vector-borne (i.e. bite from a mosquito or ticks), for example, lyme disease, which is rising here in the UK. Lyme disease is a bacterial infection that can be spread to humans by infected ticks [3]
- Dirty equipment (i.e. touched either by an infected person or someone who is carrying an infective micro-organism)
',
			'field_order' => '2',
			'attachment_id' => '1694',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:00:30',
			'modified' => '2024-08-07 11:00:30'
		),
		(int) 8 => array(
			'id' => '3539',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'Site of Entry',
			'description' => 'Site of entry is the site through which the micro-organism enters its new host and causes infection.

Infectious agents can enter the body through various portals such as those shown below.',
			'field_order' => '3',
			'attachment_id' => '1695',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:00:30',
			'modified' => '2024-08-07 11:00:30'
		),
		(int) 9 => array(
			'id' => '3540',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'Susceptible Host',
			'description' => 'Some individuals have poor physical resistance and are more susceptible to infection due to: ',
			'field_order' => '4',
			'attachment_id' => '1696',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:00:30',
			'modified' => '2024-08-07 11:00:30'
		),
		(int) 10 => array(
			'id' => '3541',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'image-hotspot',
			'field_label' => 'The chain of infection can be broken by taking the following standard precautions.',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '0',
			'attachment_id' => '1697',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":40.2188,"left":32,"annotation":"Hand hygiene\n\nOne of the most effective measures in the prevention of transmission of infection and reducing HCAIs is improving hand hygiene. Hand hygiene can be performed using:\n\nSoap and water\nHand sanitisers\nEnsure that you are aware of, and follow, guidelines in your local organisation for hand hygiene"},{"top":41.2188,"left":99,"annotation":"Management and safe disposal of clinical waste\n\nYou have a duty to ensure that clinical waste is disposed of in a safe and appropriate way. The colour-coded system used to segregate healthcare waste is as follows:\n\n- Purple: Cytotoxic/cytostatic waste, must be incinerated by licensed facility \n- Yellow: Infectious waste, must be incinerated\n- Orange: Infectious waste, can be treated to render safe prior to disposal\n- Yellow/black: Offensive/hygiene waste, can be land filled on licensed site\n- Black/clear: Domestic waste, may be land filled/recycled\n\nEnsure you follow your local policy on waste management as the colour code system for bags could differ in your organisation."},{"top":44.2188,"left":169,"annotation":"Cleaning and decontamination\n\nA dirty/contaminated clinical environment is one of the factors that contributes to HCAIs. Decontamination is a combination of the following processes:\n\n- Cleaning\n- Disinfection\n- Sterilisation\n\nThis destroys or removes micro-organisms and makes equipment safe to re-use. It is important to use correct cleaning/disinfection products when cleaning equipment or an environment.\n\nRefer to the National Specifications for Cleanliness in the NHS (NPSA) for further information - a link is available in Resources."},{"top":47.2188,"left":263,"annotation":"Management of body fluid spillages\n\nThis includes blood, faeces, vomit, urine and pus, all of which may contain disease-causing micro-organisms. These are hazardous to health and therefore there is a need to follow the Control of Substances Hazardous to Health (COSHH) Regulations [4]. It is the responsibility of all staff to act promptly when encountering such spills. Staff must follow local policy and ensure only those authorised to do so tackle the spill. General best practice includes:\n\n- Use a spillage kit if available\n- Cordon off the area and deal with the spillage as soon as possible\n- Use PPE equipment\n- Follow the correct cleaning procedure according to your organisation's policy\n- Ensure that all waste generated is clinical waste; this kind of waste should be discarded as infective waste stream"},{"top":37.2188,"left":361,"annotation":"Management of laundry\n\nUsed linen can harbour large numbers of potentially infectious agents. Precautions need to be taken at all stages of linen management:\n\n- Storage\n- Handling\n- Bagging\nTransporting\n- Laundering\n\nEnsure that you know and follow your local policy for the management of linen and clothing."},{"top":46.2188,"left":449,"annotation":"Personal Protective Equipment (PPE)\n\nPPE is designed to protect healthcare\nworkers from exposure to potentially\ninfectious material. It also prevents ongoing transmission of infection material to patients.\n\nMake sure you know and use the\nappropriate PPE for the situation.\n\nPPE equipment includes:\n\n- Gloves\n- Aprons/gowns\n- Masks\n- Protective eyewear\n\nThis is not an exhaustive list. It is your responsibility to use PPE in line with local policy and the requirements of your role."}]}',
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		),
		(int) 11 => array(
			'id' => '3542',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Safe Use and Disposal of Sharps',
			'description' => 'Safe use and disposal of sharps

- 'Sharps' are needles, blades, stitch cutters, scalpels and other medical instruments that are necessary for carrying out healthcare work and could cause an injury by cutting or pricking the skin
- Don't use a sharp if you don't have to
- Safer sharps devices must be used and, if not, then a risk assessment must be completed to acknowledge this and minimise risk of injury to the practitioner
- Never re-sheath a needle
- Ensure correct assembly of the sharps container
- Dispose of sharps in an approved container at the point of use
- Don't exceed the fill limit
- Ensure the correct disposal of the container

Remember to refer to your local protocol and training regarding the safe disposal of sharps and the management of healthcare waste in your trust or organisation.


Management of sharp injuries

- A sharps injury is an incident in which a sharp instrument penetrates the skin
- The main risk from a sharps injury is the potential exposure to infections such as blood-borne viruses (BBV) such as hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV)

What to do if you receive a sharps injury which may be contaminated:

- Encourage the wound to gently bleed, ideally holding it under running water
- Wash the wound using running water and plenty of soap
- Don't scrub the wound whilst you are washing it
- Don't suck the wound
- Dry the wound and cover it with a waterproof plaster or dressing
- Seek urgent medical advice as effective prophylaxis (medicines to help fight infection) are available
- Report the injury to your employer

Seek medical advice from your appointed department within your organisation or contracted service provider.  For example, in NHS Trusts this might be the occupational health service, in primary care there must be a contract in place for occupational health provision that includes provision for sharp injuries. 

Please refer to the Health and Safety Executive website in Resources for more information.

',
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			'attachment_pos' => '1',
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		(int) 12 => array(
			'id' => '3543',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Hand Hygiene',
			'description' => 'There are ‘5 moments for hand hygiene’:

- Before touching a patient
- Before clean/aseptic procedures
- After body fluid exposure/risk
- After touching a patient
- After touching patient surroundings',
			'field_order' => '2',
			'attachment_id' => '1699',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 13 => array(
			'id' => '3544',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'bullet-points',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care.',
			'description' => 'To achieve effective hand hygiene, follow the ‘bare below the elbows’ dress code. Avoiding wearing:

',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Jewellery (especially rings with stones)","Long nails, nail varnish and false nails","Wrist bands","Wrist watches","Long sleeves"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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		(int) 14 => array(
			'id' => '3545',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'text-links',
			'field_label' => 'One of the most effective measures in the prevention of transmission of infection is improving hand hygiene.',
			'description' => '    Hand hygiene can be performed using:

- Soap and water
- Hand sanitisers

Ensuring you are aware of and follow the guidelines in your organisation for hand hygiene.

Regular and correct hand washing is vital to help prevent the spread of the coronavirus (COVID-19).',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
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		(int) 15 => array(
			'id' => '3546',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Watch the video to learn more.',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/4ij1I0OB2hk?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/4ij1I0OB2hk/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 16 => array(
			'id' => '3547',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'multiple-choice',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care. This means to avoid:',
			'description' => 'Choose the correct options ',
			'field_order' => '6',
			'attachment_id' => '1700',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Wearing wrist bands"," Wearing jewellery"," Short sleeves","Long nails"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 17 => array(
			'id' => '3548',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Do you know the most frequently missed areas when washing your hands?',
			'description' => 'Continue to find out in you are correct.',
			'field_order' => '7',
			'attachment_id' => '1701',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 18 => array(
			'id' => '3549',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Most frequently missed areas when hand washing.',
			'description' => '',
			'field_order' => '8',
			'attachment_id' => '1702',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
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		(int) 19 => array(
			'id' => '3550',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Antimicrobial Resistance',
			'description' => '- Antibiotics are essential for treating many infections but they’re losing their effectiveness
- Bacteria are fighting back by changing and finding ways of surviving the effects of our medicines
- The bugs are smart - they can naturally become resistant to antibiotics over time, but we are making it worse because of overuse and misuse of our medications
- This is already a risky situation and it will only get worse if we do not take urgent action
- Examples of resistant bacteria include Meticillin-resistant Staphylococcus aureus (MRSA) and extended-spectrum beta-lactamases (ESBLs) like E. coli and Klebsiella

We can prevent the emergence of resistant bugs by using antibiotics correctly, and preventing their spread by following infection prevention and control procedures.  ',
			'field_order' => '9',
			'attachment_id' => '1703',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 20 => array(
			'id' => '3551',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Is Your Personal Health and Fitness a Risk to Others?',
			'description' => 'Have you got an Infection?

- Take precautions to protect patients and colleagues from infection
- Contact your local Occupational Health team if you have any concerns

Do you Have Direct Patient Contact?

Protect against communicable diseases, i.e. TB, hepatitis B and C, HIV, flu

- Staff should ensure they are up to date with their immunisations

Have you come into Contact with an Infectious Disease?

- Report it immediately
- Contact your local Occupational Health team if you have any concerns

Don't feel well?

Don’t attend work if it will affect your health and/or the health of others. Please refer to your employer’s sickness policy.

Diarrhoea? Vomiting?

- Stay off work until you are symptom free for 48 hours',
			'field_order' => '10',
			'attachment_id' => '1704',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 21 => array(
			'id' => '3552',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'paragraph',
			'field_label' => 'Session Summary',
			'description' => 'Key Points

- Healthcare-associated infections are often preventable
- All staff have a responsibility to follow infection prevention and control procedures all of the time
- Wherever they work in the healthcare community, staff must follow appropriate national and local guidelines/policies and safe systems of care
- Don’t forget to regularly practise good hand hygiene to protect your health and reduce the risk of spreading infection',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 22 => array(
			'id' => '3553',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following actions can visitors or patients take to help control the spread of infections?',
			'description' => 'Choose three options',
			'field_order' => '0',
			'attachment_id' => '1709',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Attend Trust training for infection control","Visitors should not visit if they have been unwell in the previous 48 hours","Challenge clinical staff concerning hand hygiene"," Cleanse hands before eating and after going to the toilet"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 23 => array(
			'id' => '3554',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are examples of the people who should challenge infection control non-compliance in a healthcare setting?',
			'description' => 'Choose one or more options',
			'field_order' => '1',
			'attachment_id' => '1706',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Local managers","Registered Nurses","Patients"," Visitors"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 24 => array(
			'id' => '3555',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following would help prevent the spread of infection?',
			'description' => 'Choose two options and select Submit.',
			'field_order' => '2',
			'attachment_id' => '1707',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Good hand hygiene"," Administering antibiotics to all patients"," Appropriate use of Personal Protective Equipment (PPE)"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
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		),
		(int) 25 => array(
			'id' => '3556',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'single-choice',
			'field_label' => 'When should you use alcohol-based sanitiser to perform hand hygiene?',
			'description' => 'Choose the correct option',
			'field_order' => '3',
			'attachment_id' => '1708',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When your hands are visibly clean","When visiting\/caring for a patient with diarrhoea"," When your hands are visibly contaminated\/dirty"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
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			'modified' => '2024-08-07 11:32:49'
		),
		(int) 26 => array(
			'id' => '3557',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are your responsibilities in relation to infection prevention and control?',
			'description' => 'Choose three options',
			'field_order' => '4',
			'attachment_id' => '1710',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Ensuring your work area is tidy and free from clutter to facilitate cleaning","Ensuring your training is up-to-date","Using appropriate hand hygiene precautions","None, as infection prevention and control is not your responsibility"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 27 => array(
			'id' => '3558',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following factors within the environment could increase the risk of infection?',
			'description' => 'Choose one or more options',
			'field_order' => '5',
			'attachment_id' => '1711',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Use of inappropriate products or equipment for cleaning"," Chipped or damaged work surfaces"," Presence of rust or lime scale"," Cluttered and untidy work areas","Split flooring"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 28 => array(
			'id' => '3559',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'How can the risks of spreading colds and flu be reduced?',
			'description' => 'Choose four options ',
			'field_order' => '6',
			'attachment_id' => '1712',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Appropriate use and disposal of tissues","Cleaning frequently touched surfaces"," Immunisation for flu","Wearing warm clothes and shoes"," Hand hygiene"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 29 => array(
			'id' => '3560',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements in relation to immunisations are true?',
			'description' => 'Choose three options',
			'field_order' => '7',
			'attachment_id' => '1713',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["They protect vulnerable patients from preventable infections"," The flu vaccine is known to cause flu in some people"," They protect you and your family from preventable infections"," They protect your colleagues from preventable infections"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		)
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			(int) 3 => array(
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			(int) 8 => array(
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			'id' => '3531',
			'course_id' => '121',
			'course_lesson_id' => '556',
			'field_type' => 'paragraph',
			'field_label' => 'Learning Objectives',
			'description' => '- List ways that you can contribute to infection prevention and control
- Identify local policies and procedures for infection prevention and control
- List your responsibilities for infection prevention and control and standard precautions (including hand hygiene, personal protective equipment (PPE), management of blood and body fluid spillage, management of occupational exposure including sharps, management of the environment and management of care equipment)
- Identify when your personal health and fitness may pose a risk of infection to others at work',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:50:18',
			'modified' => '2024-08-07 10:50:18'
		),
		(int) 1 => array(
			'id' => '3532',
			'course_id' => '121',
			'course_lesson_id' => '556',
			'field_type' => 'paragraph',
			'field_label' => 'Duration',
			'description' => '- 25 minutes (knowledge chapters)
- 5 minutes (eAssessment)',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 10:50:18',
			'modified' => '2024-08-07 10:50:18'
		),
		(int) 2 => array(
			'id' => '3533',
			'course_id' => '121',
			'course_lesson_id' => '557',
			'field_type' => 'media-field',
			'field_label' => 'Infection Prevention and Control',
			'description' => 'Healthcare is delivered in a range of settings, from hospitals to care delivered in clients' homes or social care settings. Healthcare-associated infections (HCAIs) can occur in any setting where healthcare is delivered. HCAIs are defined as any infection as a result of healthcare interaction that has taken place, or has occurred, 48 hours (general rule) after admission to a healthcare setting.

Infection prevention and control is important in healthcare because:

- NICE has estimated that 300,000 patients a year in England acquire a HCAI as a result of care within the NHS
- Over 6% of hospital patients in England acquire some form of infection
- HCAIs prolong a patient's period of ill health
- Patients can die from infection - in 2015/16, there were 241 deaths from MRSA and 2127 deaths from C. difficile [1]

It is everyone's responsibility to monitor and prevent HCAIs.',
			'field_order' => '0',
			'attachment_id' => '1690',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 10:54:56',
			'modified' => '2024-08-07 10:54:56'
		),
		(int) 3 => array(
			'id' => '3534',
			'course_id' => '121',
			'course_lesson_id' => '557',
			'field_type' => 'multiple-choice',
			'field_label' => 'Healthcare-associated Infections',
			'description' => 'HCAIs can develop either as a direct result of healthcare interventions such as medical or surgical treatment, or from being in contact with a healthcare setting. There are numerous factors that increase the risk of individuals acquiring an infection or that can increase the risk of reoccurrence.

Which of the following factors increase the risk of individuals acquiring an infection?

Choose one or more answers',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Age","Compromised immune system","Medical conditions","Inappropriate antibiotic use","Poor infection prevention practice"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:54:56',
			'modified' => '2024-08-07 10:54:56'
		),
		(int) 4 => array(
			'id' => '3535',
			'course_id' => '121',
			'course_lesson_id' => '557',
			'field_type' => 'media-field',
			'field_label' => 'The Chain of Infection',
			'description' => 'The transmission of infection depends on six elements which link together like a chain as shown in the diagram. The elements are infectious agent, a reservoir for it to live, a site of exit, and a mode of transmission to a susceptible host via a site of entry.
 
We will explore this further in the next chapter.',
			'field_order' => '2',
			'attachment_id' => '1691',
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			'attachment_pos' => '1',
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		),
		(int) 5 => array(
			'id' => '3536',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'image-hotspot',
			'field_label' => 'Select an image to find out more',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1692',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":85.8125,"left":136,"annotation":"Bacteria\n\nBacteria are microscopic single-celled organisms that thrive in diverse environments. Bacteria are prokaryotes. The entire organism consists of a single cell with a simple internal structure. They can live within soil, in the ocean and inside the human gut. Humans' relationship with bacteria is complex.\n\nSometimes they lend a helping hand, by curdling milk into yogurt, or helping with our digestion. At other times they are destructive, causing diseases like pneumonia and urine infections."},{"top":77.8125,"left":374,"annotation":"Viruses\n\nViruses are very tiny agents. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS and Ebola.\n \nViruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system or blood.\n \nWhen you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.\n \nFor most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases."},{"top":249.812,"left":111,"annotation":"Viruses\n\nViruses are very tiny agents. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS and Ebola.\n \nViruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system or blood.\n \nWhen you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.\n \nFor most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases."},{"top":243.812,"left":375,"annotation":"Fungal infections\n\nA fungus is a primitive organism. Mushrooms, mould and mildew are examples. Fungi live in air, in soil, on plants and in water. Some live in the human body. Only about half of all types of fungi are harmful.\n \nSome fungi reproduce through tiny spores in the air. You can inhale the spores, or they can land on you. As a result, fungal infections often start in the lungs or on the skin. You are more likely to get a fungal infection if you have a weakened immune system or take antibiotics.\n \nFungi can be difficult to kill. For skin and nail infections, you can apply medicine directly to the infected area. Oral antifungal medicines are also available for serious infections."}]}',
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 11:00:30',
			'modified' => '2024-08-07 11:00:30'
		),
		(int) 6 => array(
			'id' => '3537',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'The Reservoir',
			'description' => 'Reservoirs, shown in the diagram, are where micro-organisms reside and multiply. Without them infectious agents could not survive and therefore could not be transmitted.

The site of exit provides a way for a micro-organism to leave a reservoir.
For example, in the body this may include any orifice (nose, mouth etc.) via any bodily substance.',
			'field_order' => '1',
			'attachment_id' => '1693',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
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			'modified' => '2024-08-07 11:00:30'
		),
		(int) 7 => array(
			'id' => '3538',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'Transmission',
			'description' => 'Direct Contact
Human-to-human contact, for example, touching, kissing, sexual intercourse or from a pregnant woman to her foetus through the placenta.

Indirect Contact

- Air-borne (i.e. coughing or sneezing)
-Vector-borne (i.e. bite from a mosquito or ticks), for example, lyme disease, which is rising here in the UK. Lyme disease is a bacterial infection that can be spread to humans by infected ticks [3]
- Dirty equipment (i.e. touched either by an infected person or someone who is carrying an infective micro-organism)
',
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			'attachment_id' => '1694',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-07 11:00:30',
			'modified' => '2024-08-07 11:00:30'
		),
		(int) 8 => array(
			'id' => '3539',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'Site of Entry',
			'description' => 'Site of entry is the site through which the micro-organism enters its new host and causes infection.

Infectious agents can enter the body through various portals such as those shown below.',
			'field_order' => '3',
			'attachment_id' => '1695',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 11:00:30',
			'modified' => '2024-08-07 11:00:30'
		),
		(int) 9 => array(
			'id' => '3540',
			'course_id' => '121',
			'course_lesson_id' => '558',
			'field_type' => 'media-field',
			'field_label' => 'Susceptible Host',
			'description' => 'Some individuals have poor physical resistance and are more susceptible to infection due to: ',
			'field_order' => '4',
			'attachment_id' => '1696',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:00:30',
			'modified' => '2024-08-07 11:00:30'
		),
		(int) 10 => array(
			'id' => '3541',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'image-hotspot',
			'field_label' => 'The chain of infection can be broken by taking the following standard precautions.',
			'description' => 'Select the numbers to find out more information.',
			'field_order' => '0',
			'attachment_id' => '1697',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":40.2188,"left":32,"annotation":"Hand hygiene\n\nOne of the most effective measures in the prevention of transmission of infection and reducing HCAIs is improving hand hygiene. Hand hygiene can be performed using:\n\nSoap and water\nHand sanitisers\nEnsure that you are aware of, and follow, guidelines in your local organisation for hand hygiene"},{"top":41.2188,"left":99,"annotation":"Management and safe disposal of clinical waste\n\nYou have a duty to ensure that clinical waste is disposed of in a safe and appropriate way. The colour-coded system used to segregate healthcare waste is as follows:\n\n- Purple: Cytotoxic/cytostatic waste, must be incinerated by licensed facility \n- Yellow: Infectious waste, must be incinerated\n- Orange: Infectious waste, can be treated to render safe prior to disposal\n- Yellow/black: Offensive/hygiene waste, can be land filled on licensed site\n- Black/clear: Domestic waste, may be land filled/recycled\n\nEnsure you follow your local policy on waste management as the colour code system for bags could differ in your organisation."},{"top":44.2188,"left":169,"annotation":"Cleaning and decontamination\n\nA dirty/contaminated clinical environment is one of the factors that contributes to HCAIs. Decontamination is a combination of the following processes:\n\n- Cleaning\n- Disinfection\n- Sterilisation\n\nThis destroys or removes micro-organisms and makes equipment safe to re-use. It is important to use correct cleaning/disinfection products when cleaning equipment or an environment.\n\nRefer to the National Specifications for Cleanliness in the NHS (NPSA) for further information - a link is available in Resources."},{"top":47.2188,"left":263,"annotation":"Management of body fluid spillages\n\nThis includes blood, faeces, vomit, urine and pus, all of which may contain disease-causing micro-organisms. These are hazardous to health and therefore there is a need to follow the Control of Substances Hazardous to Health (COSHH) Regulations [4]. It is the responsibility of all staff to act promptly when encountering such spills. Staff must follow local policy and ensure only those authorised to do so tackle the spill. General best practice includes:\n\n- Use a spillage kit if available\n- Cordon off the area and deal with the spillage as soon as possible\n- Use PPE equipment\n- Follow the correct cleaning procedure according to your organisation's policy\n- Ensure that all waste generated is clinical waste; this kind of waste should be discarded as infective waste stream"},{"top":37.2188,"left":361,"annotation":"Management of laundry\n\nUsed linen can harbour large numbers of potentially infectious agents. Precautions need to be taken at all stages of linen management:\n\n- Storage\n- Handling\n- Bagging\nTransporting\n- Laundering\n\nEnsure that you know and follow your local policy for the management of linen and clothing."},{"top":46.2188,"left":449,"annotation":"Personal Protective Equipment (PPE)\n\nPPE is designed to protect healthcare\nworkers from exposure to potentially\ninfectious material. It also prevents ongoing transmission of infection material to patients.\n\nMake sure you know and use the\nappropriate PPE for the situation.\n\nPPE equipment includes:\n\n- Gloves\n- Aprons/gowns\n- Masks\n- Protective eyewear\n\nThis is not an exhaustive list. It is your responsibility to use PPE in line with local policy and the requirements of your role."}]}',
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			'allow_retry' => '0',
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		),
		(int) 11 => array(
			'id' => '3542',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Safe Use and Disposal of Sharps',
			'description' => 'Safe use and disposal of sharps

- 'Sharps' are needles, blades, stitch cutters, scalpels and other medical instruments that are necessary for carrying out healthcare work and could cause an injury by cutting or pricking the skin
- Don't use a sharp if you don't have to
- Safer sharps devices must be used and, if not, then a risk assessment must be completed to acknowledge this and minimise risk of injury to the practitioner
- Never re-sheath a needle
- Ensure correct assembly of the sharps container
- Dispose of sharps in an approved container at the point of use
- Don't exceed the fill limit
- Ensure the correct disposal of the container

Remember to refer to your local protocol and training regarding the safe disposal of sharps and the management of healthcare waste in your trust or organisation.


Management of sharp injuries

- A sharps injury is an incident in which a sharp instrument penetrates the skin
- The main risk from a sharps injury is the potential exposure to infections such as blood-borne viruses (BBV) such as hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV)

What to do if you receive a sharps injury which may be contaminated:

- Encourage the wound to gently bleed, ideally holding it under running water
- Wash the wound using running water and plenty of soap
- Don't scrub the wound whilst you are washing it
- Don't suck the wound
- Dry the wound and cover it with a waterproof plaster or dressing
- Seek urgent medical advice as effective prophylaxis (medicines to help fight infection) are available
- Report the injury to your employer

Seek medical advice from your appointed department within your organisation or contracted service provider.  For example, in NHS Trusts this might be the occupational health service, in primary care there must be a contract in place for occupational health provision that includes provision for sharp injuries. 

Please refer to the Health and Safety Executive website in Resources for more information.

',
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			'attachment_pos' => '1',
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		),
		(int) 12 => array(
			'id' => '3543',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Hand Hygiene',
			'description' => 'There are ‘5 moments for hand hygiene’:

- Before touching a patient
- Before clean/aseptic procedures
- After body fluid exposure/risk
- After touching a patient
- After touching patient surroundings',
			'field_order' => '2',
			'attachment_id' => '1699',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 13 => array(
			'id' => '3544',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'bullet-points',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care.',
			'description' => 'To achieve effective hand hygiene, follow the ‘bare below the elbows’ dress code. Avoiding wearing:

',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Jewellery (especially rings with stones)","Long nails, nail varnish and false nails","Wrist bands","Wrist watches","Long sleeves"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 14 => array(
			'id' => '3545',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'text-links',
			'field_label' => 'One of the most effective measures in the prevention of transmission of infection is improving hand hygiene.',
			'description' => '    Hand hygiene can be performed using:

- Soap and water
- Hand sanitisers

Ensuring you are aware of and follow the guidelines in your organisation for hand hygiene.

Regular and correct hand washing is vital to help prevent the spread of the coronavirus (COVID-19).',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 15 => array(
			'id' => '3546',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Watch the video to learn more.',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/4ij1I0OB2hk?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/4ij1I0OB2hk/hqdefault.jpg',
			'attachment_pos' => '0',
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			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 16 => array(
			'id' => '3547',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'multiple-choice',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care. This means to avoid:',
			'description' => 'Choose the correct options ',
			'field_order' => '6',
			'attachment_id' => '1700',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Wearing wrist bands"," Wearing jewellery"," Short sleeves","Long nails"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 17 => array(
			'id' => '3548',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Do you know the most frequently missed areas when washing your hands?',
			'description' => 'Continue to find out in you are correct.',
			'field_order' => '7',
			'attachment_id' => '1701',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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			'modified' => '2024-08-07 11:20:32'
		),
		(int) 18 => array(
			'id' => '3549',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Most frequently missed areas when hand washing.',
			'description' => '',
			'field_order' => '8',
			'attachment_id' => '1702',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 19 => array(
			'id' => '3550',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Antimicrobial Resistance',
			'description' => '- Antibiotics are essential for treating many infections but they’re losing their effectiveness
- Bacteria are fighting back by changing and finding ways of surviving the effects of our medicines
- The bugs are smart - they can naturally become resistant to antibiotics over time, but we are making it worse because of overuse and misuse of our medications
- This is already a risky situation and it will only get worse if we do not take urgent action
- Examples of resistant bacteria include Meticillin-resistant Staphylococcus aureus (MRSA) and extended-spectrum beta-lactamases (ESBLs) like E. coli and Klebsiella

We can prevent the emergence of resistant bugs by using antibiotics correctly, and preventing their spread by following infection prevention and control procedures.  ',
			'field_order' => '9',
			'attachment_id' => '1703',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
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		),
		(int) 20 => array(
			'id' => '3551',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'media-field',
			'field_label' => 'Is Your Personal Health and Fitness a Risk to Others?',
			'description' => 'Have you got an Infection?

- Take precautions to protect patients and colleagues from infection
- Contact your local Occupational Health team if you have any concerns

Do you Have Direct Patient Contact?

Protect against communicable diseases, i.e. TB, hepatitis B and C, HIV, flu

- Staff should ensure they are up to date with their immunisations

Have you come into Contact with an Infectious Disease?

- Report it immediately
- Contact your local Occupational Health team if you have any concerns

Don't feel well?

Don’t attend work if it will affect your health and/or the health of others. Please refer to your employer’s sickness policy.

Diarrhoea? Vomiting?

- Stay off work until you are symptom free for 48 hours',
			'field_order' => '10',
			'attachment_id' => '1704',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 21 => array(
			'id' => '3552',
			'course_id' => '121',
			'course_lesson_id' => '559',
			'field_type' => 'paragraph',
			'field_label' => 'Session Summary',
			'description' => 'Key Points

- Healthcare-associated infections are often preventable
- All staff have a responsibility to follow infection prevention and control procedures all of the time
- Wherever they work in the healthcare community, staff must follow appropriate national and local guidelines/policies and safe systems of care
- Don’t forget to regularly practise good hand hygiene to protect your health and reduce the risk of spreading infection',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:20:32',
			'modified' => '2024-08-07 11:20:32'
		),
		(int) 22 => array(
			'id' => '3553',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following actions can visitors or patients take to help control the spread of infections?',
			'description' => 'Choose three options',
			'field_order' => '0',
			'attachment_id' => '1709',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Attend Trust training for infection control","Visitors should not visit if they have been unwell in the previous 48 hours","Challenge clinical staff concerning hand hygiene"," Cleanse hands before eating and after going to the toilet"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 23 => array(
			'id' => '3554',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are examples of the people who should challenge infection control non-compliance in a healthcare setting?',
			'description' => 'Choose one or more options',
			'field_order' => '1',
			'attachment_id' => '1706',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Local managers","Registered Nurses","Patients"," Visitors"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 24 => array(
			'id' => '3555',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following would help prevent the spread of infection?',
			'description' => 'Choose two options and select Submit.',
			'field_order' => '2',
			'attachment_id' => '1707',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Good hand hygiene"," Administering antibiotics to all patients"," Appropriate use of Personal Protective Equipment (PPE)"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 25 => array(
			'id' => '3556',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'single-choice',
			'field_label' => 'When should you use alcohol-based sanitiser to perform hand hygiene?',
			'description' => 'Choose the correct option',
			'field_order' => '3',
			'attachment_id' => '1708',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When your hands are visibly clean","When visiting\/caring for a patient with diarrhoea"," When your hands are visibly contaminated\/dirty"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 26 => array(
			'id' => '3557',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are your responsibilities in relation to infection prevention and control?',
			'description' => 'Choose three options',
			'field_order' => '4',
			'attachment_id' => '1710',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Ensuring your work area is tidy and free from clutter to facilitate cleaning","Ensuring your training is up-to-date","Using appropriate hand hygiene precautions","None, as infection prevention and control is not your responsibility"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 27 => array(
			'id' => '3558',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following factors within the environment could increase the risk of infection?',
			'description' => 'Choose one or more options',
			'field_order' => '5',
			'attachment_id' => '1711',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Use of inappropriate products or equipment for cleaning"," Chipped or damaged work surfaces"," Presence of rust or lime scale"," Cluttered and untidy work areas","Split flooring"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 28 => array(
			'id' => '3559',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'How can the risks of spreading colds and flu be reduced?',
			'description' => 'Choose four options ',
			'field_order' => '6',
			'attachment_id' => '1712',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Appropriate use and disposal of tissues","Cleaning frequently touched surfaces"," Immunisation for flu","Wearing warm clothes and shoes"," Hand hygiene"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		),
		(int) 29 => array(
			'id' => '3560',
			'course_id' => '121',
			'course_lesson_id' => '560',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements in relation to immunisations are true?',
			'description' => 'Choose three options',
			'field_order' => '7',
			'attachment_id' => '1713',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["They protect vulnerable patients from preventable infections"," The flu vaccine is known to cause flu in some people"," They protect you and your family from preventable infections"," They protect your colleagues from preventable infections"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 11:32:49',
			'modified' => '2024-08-07 11:32:49'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3531',
		(int) 1 => '3532',
		(int) 2 => '3533',
		(int) 3 => '3534',
		(int) 4 => '3535',
		(int) 5 => '3536',
		(int) 6 => '3537',
		(int) 7 => '3538',
		(int) 8 => '3539',
		(int) 9 => '3540',
		(int) 10 => '3541',
		(int) 11 => '3542',
		(int) 12 => '3543',
		(int) 13 => '3544',
		(int) 14 => '3545',
		(int) 15 => '3546',
		(int) 16 => '3547',
		(int) 17 => '3548',
		(int) 18 => '3549',
		(int) 19 => '3550',
		(int) 20 => '3551',
		(int) 21 => '3552',
		(int) 22 => '3553',
		(int) 23 => '3554',
		(int) 24 => '3555',
		(int) 25 => '3556',
		(int) 26 => '3557',
		(int) 27 => '3558',
		(int) 28 => '3559',
		(int) 29 => '3560'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '121'
$k = (int) 3
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:53:24'
		)
	),
	(int) 6 => array(
		'Attachment' => array(
			'id' => '1598',
			'record_id' => '117',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:55:19'
		)
	),
	(int) 7 => array(
		'Attachment' => array(
			'id' => '1617',
			'record_id' => '119',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 15:57:54'
		)
	),
	(int) 8 => array(
		'Attachment' => array(
			'id' => '1648',
			'record_id' => '111',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:36:24'
		)
	),
	(int) 9 => array(
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			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3640',
			(int) 1 => '3641',
			(int) 2 => '3642',
			(int) 3 => '3643',
			(int) 4 => '3644',
			(int) 5 => '3645',
			(int) 6 => '3646',
			(int) 7 => '3647',
			(int) 8 => '3648',
			(int) 9 => '3649',
			(int) 10 => '3650',
			(int) 11 => '3651',
			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
		)
	),
	(int) 2 => array(
		'Course' => array(
			'id' => '122',
			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
			'banner_media_id' => '1721',
			'thumbnail_media_id' => '1722',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3561',
			(int) 1 => '3562',
			(int) 2 => '3563',
			(int) 3 => '3564',
			(int) 4 => '3565',
			(int) 5 => '3566',
			(int) 6 => '3567',
			(int) 7 => '3568',
			(int) 8 => '3569',
			(int) 9 => '3570',
			(int) 10 => '3571',
			(int) 11 => '3572',
			(int) 12 => '3573',
			(int) 13 => '3574',
			(int) 14 => '3575',
			(int) 15 => '3576',
			(int) 16 => '3577',
			(int) 17 => '3578',
			(int) 18 => '3580',
			(int) 19 => '3581',
			(int) 20 => '3582',
			(int) 21 => '3583',
			(int) 22 => '3585',
			(int) 23 => '3586',
			(int) 24 => '3584',
			(int) 25 => '3587',
			(int) 26 => '3588',
			(int) 27 => '3589',
			(int) 28 => '3590',
			(int) 29 => '3591',
			(int) 30 => '3592',
			(int) 31 => '3593',
			(int) 32 => '3594',
			(int) 33 => '3595',
			(int) 34 => '3596',
			(int) 35 => '3597',
			(int) 36 => '3598',
			(int) 37 => '3599',
			(int) 38 => '3600',
			(int) 39 => '3601',
			(int) 40 => '3602',
			(int) 41 => '3603',
			(int) 42 => '3604',
			(int) 43 => '3605',
			(int) 44 => '3606',
			(int) 45 => '3607',
			(int) 46 => '3608',
			(int) 47 => '3609',
			(int) 48 => '3610',
			(int) 49 => '3611',
			(int) 50 => '3612',
			(int) 51 => '3613',
			(int) 52 => '3614',
			(int) 53 => '3615',
			(int) 54 => '3619',
			(int) 55 => '3618',
			(int) 56 => '3617',
			(int) 57 => '3616',
			(int) 58 => '3622',
			(int) 59 => '3621',
			(int) 60 => '3620',
			(int) 61 => '3623',
			(int) 62 => '3624',
			(int) 63 => '3625',
			(int) 64 => '3626',
			(int) 65 => '3627',
			(int) 66 => '3628',
			(int) 67 => '3629',
			(int) 68 => '3630',
			(int) 69 => '3631',
			(int) 70 => '3632',
			(int) 71 => '3633',
			(int) 72 => '3634',
			(int) 73 => '3635',
			(int) 74 => '3636',
			(int) 75 => '3637',
			(int) 76 => '3638',
			(int) 77 => '3639'
		)
	),
	(int) 3 => array(
		'Course' => array(
			'id' => '121',
			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'field_count' => (int) 30,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 556 => array(
				[maximum depth reached]
			),
			(int) 557 => array(
				[maximum depth reached]
			),
			(int) 558 => array(
				[maximum depth reached]
			),
			(int) 559 => array(
				[maximum depth reached]
			),
			(int) 560 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3531',
			(int) 1 => '3532',
			(int) 2 => '3533',
			(int) 3 => '3534',
			(int) 4 => '3535',
			(int) 5 => '3536',
			(int) 6 => '3537',
			(int) 7 => '3538',
			(int) 8 => '3539',
			(int) 9 => '3540',
			(int) 10 => '3541',
			(int) 11 => '3542',
			(int) 12 => '3543',
			(int) 13 => '3544',
			(int) 14 => '3545',
			(int) 15 => '3546',
			(int) 16 => '3547',
			(int) 17 => '3548',
			(int) 18 => '3549',
			(int) 19 => '3550',
			(int) 20 => '3551',
			(int) 21 => '3552',
			(int) 22 => '3553',
			(int) 23 => '3554',
			(int) 24 => '3555',
			(int) 25 => '3556',
			(int) 26 => '3557',
			(int) 27 => '3558',
			(int) 28 => '3559',
			(int) 29 => '3560'
		)
	),
	(int) 4 => array(
		'Course' => array(
			'id' => '120',
			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'field_count' => (int) 39
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 549 => array(
				[maximum depth reached]
			),
			(int) 550 => array(
				[maximum depth reached]
			),
			(int) 551 => array(
				[maximum depth reached]
			),
			(int) 552 => array(
				[maximum depth reached]
			),
			(int) 553 => array(
				[maximum depth reached]
			),
			(int) 554 => array(
				[maximum depth reached]
			),
			(int) 555 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
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			'created' => '2024-08-05 14:33:41',
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			'created' => '2024-07-31 13:04:44',
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			'created' => '2024-07-31 10:15:23',
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	(int) 11 => '113',
	(int) 12 => '112',
	(int) 13 => '111',
	(int) 14 => '110',
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)
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		'banner_media_id' => '1689',
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		'created' => '2024-08-07 09:50:04',
		'modified' => '2024-08-07 14:22:40'
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			'created_user_id' => '8779',
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			'created_user_id' => '8779',
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			'character_id' => '',
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			'created' => '2024-08-07 09:53:42',
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			'course_id' => '120',
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			'created_user_id' => '8779',
			'session_length' => '7 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 09:55:51',
			'modified' => '2024-08-07 10:26:51'
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		(int) 3 => array(
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			'course_id' => '120',
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			'created_user_id' => '8779',
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			'character_id' => '',
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			'created' => '2024-08-07 10:04:37',
			'modified' => '2024-08-07 10:26:51'
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		(int) 4 => array(
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			'course_id' => '120',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 10:13:01',
			'modified' => '2024-08-07 10:26:51'
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		(int) 5 => array(
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			'course_id' => '120',
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			'created_user_id' => '8779',
			'session_length' => '7 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 10:19:13',
			'modified' => '2024-08-07 10:26:51'
		),
		(int) 6 => array(
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			'course_id' => '120',
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			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 10:26:39',
			'modified' => '2024-08-07 10:26:51'
		)
	),
	'CourseLessonField' => array(
		(int) 0 => array(
			'id' => '3492',
			'course_id' => '120',
			'course_lesson_id' => '549',
			'field_type' => 'media-field',
			'field_label' => 'What you will learn in this session.',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1658',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 09:53:12',
			'modified' => '2024-08-07 09:53:12'
		),
		(int) 1 => array(
			'id' => '3493',
			'course_id' => '120',
			'course_lesson_id' => '549',
			'field_type' => 'media-field',
			'field_label' => 'Learning outcomes',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1659',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 09:53:12',
			'modified' => '2024-08-07 09:53:12'
		),
		(int) 2 => array(
			'id' => '3494',
			'course_id' => '120',
			'course_lesson_id' => '550',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1660',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 09:55:20',
			'modified' => '2024-08-07 09:55:20'
		),
		(int) 3 => array(
			'id' => '3495',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Definition of a child at risk',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1662',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 4 => array(
			'id' => '3496',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Definition of an adult at risk',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1663',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 5 => array(
			'id' => '3497',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'What is adult abuse?',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1664',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 6 => array(
			'id' => '3498',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'What do we mean by abuse?',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1665',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 7 => array(
			'id' => '3499',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Types of abuse',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1666',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 8 => array(
			'id' => '3500',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Do you know who your child is talking to?',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1667',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 9 => array(
			'id' => '3501',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Some safeguarding issues apply to both children & adults',
			'description' => 'Staff have a duty yo seek advice and report and concerns.

Remember: the Safeguarding Team are available for any help and support.',
			'field_order' => '6',
			'attachment_id' => '1668',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 10 => array(
			'id' => '3502',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Concerns about behaviour of UHMB staff or volunteers',
			'description' => '',
			'field_order' => '7',
			'attachment_id' => '1669',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
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			'show_correct' => '0',
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			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 11 => array(
			'id' => '3503',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '8',
			'attachment_id' => '1670',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 12 => array(
			'id' => '3504',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'Domestic Violence',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1671',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 13 => array(
			'id' => '3505',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'HONOUR BASED VIOLENCE',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1673',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 14 => array(
			'id' => '3506',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'FEMALE GENITAL MUTILATION',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1674',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 15 => array(
			'id' => '3507',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'What is PREVENT?',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1675',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 16 => array(
			'id' => '3508',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'Responding to PREVENT',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1676',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 17 => array(
			'id' => '3509',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'What should you do?',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1677',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 18 => array(
			'id' => '3510',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'What should you do?',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1678',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 19 => array(
			'id' => '3511',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'PREVENT Violent Extremsism',
			'description' => '',
			'field_order' => '7',
			'attachment_id' => '1679',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 20 => array(
			'id' => '3512',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'What is human trafficking?',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1680',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 21 => array(
			'id' => '3513',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'Fabricated Induced Illness',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1681',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 22 => array(
			'id' => '3514',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'Modern Slavery',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1682',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 23 => array(
			'id' => '3515',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'Signs of modern slavery',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1683',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 24 => array(
			'id' => '3516',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1684',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 25 => array(
			'id' => '3517',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'How to report concerns about modern slavery',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1685',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 26 => array(
			'id' => '3518',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'Safeguarding is everyon's business',
			'description' => 'Watch the video to find out more.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/UckG7Jyk1sU?autohide=1&showinfo=0&controls=1&enablejsapi=1',
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			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 27 => array(
			'id' => '3519',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'See the child',
			'description' => 'Watch the video to find out more.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/s-gPqKn8V5o?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/s-gPqKn8V5o/hqdefault.jpg',
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			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 28 => array(
			'id' => '3520',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'Your duty to safeguard...',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1686',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 29 => array(
			'id' => '3521',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'Everybody, Somebody, Anybody and Nobody',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1687',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 30 => array(
			'id' => '3522',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'text-links',
			'field_label' => 'Safeguarding on the UHMB intranet',
			'description' => 'Information about UHMB Safeguarding (including contacts, policies, procedures &amp;training) can be found on the UHMB Safeguarding intranet page:<br><br><a href="https://nhscanl.sharepoint.com/sites/Safeguarding">https://nhscanl.sharepoint.com/sites/Safeguarding</a><br><br>Or by typing 'safeguarding' on the main page of the UHMB intranet site search bar.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 31 => array(
			'id' => '3523',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'multiple-choice',
			'field_label' => 'Who is responsible for the safeguarding of adults and children at risk of harm?',
			'description' => 'select one or more answers',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Government","Adult\/Children Social Care","The Public","The Police"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 32 => array(
			'id' => '3524',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'Which of these sentences best describes 'safeguarding' in practice?',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["is an umberella term for 'protecting from harm' & 'dealing with complaints of abuse'","is about responding appropriatley & quickly to allegations of abuse or neglect","is about promoting resilience in adults at risk","can be described as a continuum with 'promoting welfare' at one end & 'protecting from harm' at the other end"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 33 => array(
			'id' => '3525',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'The term abuse is used to describe deliberate harm inflicted on an individual by another person or an institution.',
			'description' => 'select an answer',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 34 => array(
			'id' => '3526',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'multiple-choice',
			'field_label' => 'Name the 4 categories of abuse',
			'description' => 'select 4 answers',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Emotional","Physical","Neglect","Discriminatory","Sexual","Financial"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 35 => array(
			'id' => '3527',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'What does the PREVENT strategy aim to do?',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["PREVENT Strategy aims to stop vulnerable people being abused","PREVENT Strategy aims to stop people thinking for themselves","PREVENT Strategy aims to stop vulnerable people from being recruited to terrorism"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 36 => array(
			'id' => '3528',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'An elderly woman you know lives at home with her son. The son is very conscientious when it comes to money & looks after his mum on the benefits he receives and her pension. He was brought up to be frugal & proudly ensures they live within their means. During a cold winter, the women is brought into the hospital by her son with hyperthermia. She explains to the doctors that they don't like to keep the heating on all day because of the expense. She praises her son being good with money & looking after her. She is also underweight - she explains this is because of lack of appetite. Should you raise a concern?  ',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No - the son has his mother's best interest at heart","Yes - the son my be neglecting the mother","No - the mother is clearly happy with the arrangement with her son"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 37 => array(
			'id' => '3529',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'Whilst working on reception at the Children's Outpatients you see that a mother has come for an appointment with her daughter and has a black eye. The girl, aged 3, whispered 'I saw daddy hit my mummy and she was  crying'.',
			'description' => 'select an answer',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Domestic abuse","Sexual abuse"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 38 => array(
			'id' => '3530',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'multiple-choice',
			'field_label' => 'Whilst working on reception at the Children's Outpatients you see that a mother has come for an appointment with her daughter and has a black eye. The girl, aged 3, whispered 'I saw daddy hit my mummy and she was  crying'. - And what would you do?',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Inform the nurse in charge","Recird in the child records action you have taken","Infrom the paediatric consultant"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		)
	),
	'LessonFieldList' => array(
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				[maximum depth reached]
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		(int) 550 => array(
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		(int) 551 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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			(int) 6 => array(
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			(int) 7 => array(
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			(int) 8 => array(
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		),
		(int) 552 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
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			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
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			(int) 6 => array(
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			(int) 7 => array(
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		),
		(int) 553 => array(
			(int) 0 => array(
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			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
				[maximum depth reached]
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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		(int) 554 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
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			(int) 3 => array(
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			(int) 4 => array(
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		(int) 555 => array(
			(int) 0 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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			(int) 6 => array(
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			(int) 7 => array(
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			)
		)
	),
	'LessonFieldAll' => array(
		(int) 0 => array(
			'id' => '3492',
			'course_id' => '120',
			'course_lesson_id' => '549',
			'field_type' => 'media-field',
			'field_label' => 'What you will learn in this session.',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1658',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 09:53:12',
			'modified' => '2024-08-07 09:53:12'
		),
		(int) 1 => array(
			'id' => '3493',
			'course_id' => '120',
			'course_lesson_id' => '549',
			'field_type' => 'media-field',
			'field_label' => 'Learning outcomes',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1659',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 09:53:12',
			'modified' => '2024-08-07 09:53:12'
		),
		(int) 2 => array(
			'id' => '3494',
			'course_id' => '120',
			'course_lesson_id' => '550',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1660',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 09:55:20',
			'modified' => '2024-08-07 09:55:20'
		),
		(int) 3 => array(
			'id' => '3495',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Definition of a child at risk',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1662',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 4 => array(
			'id' => '3496',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Definition of an adult at risk',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1663',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 5 => array(
			'id' => '3497',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'What is adult abuse?',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1664',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 6 => array(
			'id' => '3498',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'What do we mean by abuse?',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1665',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 7 => array(
			'id' => '3499',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Types of abuse',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1666',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 8 => array(
			'id' => '3500',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Do you know who your child is talking to?',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1667',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 9 => array(
			'id' => '3501',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Some safeguarding issues apply to both children & adults',
			'description' => 'Staff have a duty yo seek advice and report and concerns.

Remember: the Safeguarding Team are available for any help and support.',
			'field_order' => '6',
			'attachment_id' => '1668',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 10 => array(
			'id' => '3502',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Concerns about behaviour of UHMB staff or volunteers',
			'description' => '',
			'field_order' => '7',
			'attachment_id' => '1669',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 11 => array(
			'id' => '3503',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '8',
			'attachment_id' => '1670',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 12 => array(
			'id' => '3504',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'Domestic Violence',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1671',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 13 => array(
			'id' => '3505',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'HONOUR BASED VIOLENCE',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1673',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 14 => array(
			'id' => '3506',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'FEMALE GENITAL MUTILATION',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1674',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 15 => array(
			'id' => '3507',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'What is PREVENT?',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1675',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 16 => array(
			'id' => '3508',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'Responding to PREVENT',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1676',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 17 => array(
			'id' => '3509',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'What should you do?',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1677',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 18 => array(
			'id' => '3510',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'What should you do?',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1678',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 19 => array(
			'id' => '3511',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'PREVENT Violent Extremsism',
			'description' => '',
			'field_order' => '7',
			'attachment_id' => '1679',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 20 => array(
			'id' => '3512',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'What is human trafficking?',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1680',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 21 => array(
			'id' => '3513',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'Fabricated Induced Illness',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1681',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 22 => array(
			'id' => '3514',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'Modern Slavery',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1682',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 23 => array(
			'id' => '3515',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'Signs of modern slavery',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1683',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 24 => array(
			'id' => '3516',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1684',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 25 => array(
			'id' => '3517',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'How to report concerns about modern slavery',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1685',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 26 => array(
			'id' => '3518',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'Safeguarding is everyon's business',
			'description' => 'Watch the video to find out more.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/UckG7Jyk1sU?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/UckG7Jyk1sU/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 27 => array(
			'id' => '3519',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'See the child',
			'description' => 'Watch the video to find out more.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/s-gPqKn8V5o?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/s-gPqKn8V5o/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 28 => array(
			'id' => '3520',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'Your duty to safeguard...',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1686',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 29 => array(
			'id' => '3521',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'Everybody, Somebody, Anybody and Nobody',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1687',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 30 => array(
			'id' => '3522',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'text-links',
			'field_label' => 'Safeguarding on the UHMB intranet',
			'description' => 'Information about UHMB Safeguarding (including contacts, policies, procedures &amp;training) can be found on the UHMB Safeguarding intranet page:<br><br><a href="https://nhscanl.sharepoint.com/sites/Safeguarding">https://nhscanl.sharepoint.com/sites/Safeguarding</a><br><br>Or by typing 'safeguarding' on the main page of the UHMB intranet site search bar.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 31 => array(
			'id' => '3523',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'multiple-choice',
			'field_label' => 'Who is responsible for the safeguarding of adults and children at risk of harm?',
			'description' => 'select one or more answers',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Government","Adult\/Children Social Care","The Public","The Police"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 32 => array(
			'id' => '3524',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'Which of these sentences best describes 'safeguarding' in practice?',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["is an umberella term for 'protecting from harm' & 'dealing with complaints of abuse'","is about responding appropriatley & quickly to allegations of abuse or neglect","is about promoting resilience in adults at risk","can be described as a continuum with 'promoting welfare' at one end & 'protecting from harm' at the other end"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 33 => array(
			'id' => '3525',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'The term abuse is used to describe deliberate harm inflicted on an individual by another person or an institution.',
			'description' => 'select an answer',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 34 => array(
			'id' => '3526',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'multiple-choice',
			'field_label' => 'Name the 4 categories of abuse',
			'description' => 'select 4 answers',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Emotional","Physical","Neglect","Discriminatory","Sexual","Financial"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 35 => array(
			'id' => '3527',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'What does the PREVENT strategy aim to do?',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["PREVENT Strategy aims to stop vulnerable people being abused","PREVENT Strategy aims to stop people thinking for themselves","PREVENT Strategy aims to stop vulnerable people from being recruited to terrorism"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 36 => array(
			'id' => '3528',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'An elderly woman you know lives at home with her son. The son is very conscientious when it comes to money & looks after his mum on the benefits he receives and her pension. He was brought up to be frugal & proudly ensures they live within their means. During a cold winter, the women is brought into the hospital by her son with hyperthermia. She explains to the doctors that they don't like to keep the heating on all day because of the expense. She praises her son being good with money & looking after her. She is also underweight - she explains this is because of lack of appetite. Should you raise a concern?  ',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No - the son has his mother's best interest at heart","Yes - the son my be neglecting the mother","No - the mother is clearly happy with the arrangement with her son"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 37 => array(
			'id' => '3529',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'Whilst working on reception at the Children's Outpatients you see that a mother has come for an appointment with her daughter and has a black eye. The girl, aged 3, whispered 'I saw daddy hit my mummy and she was  crying'.',
			'description' => 'select an answer',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Domestic abuse","Sexual abuse"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 38 => array(
			'id' => '3530',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'multiple-choice',
			'field_label' => 'Whilst working on reception at the Children's Outpatients you see that a mother has come for an appointment with her daughter and has a black eye. The girl, aged 3, whispered 'I saw daddy hit my mummy and she was  crying'. - And what would you do?',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Inform the nurse in charge","Recird in the child records action you have taken","Infrom the paediatric consultant"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3492',
		(int) 1 => '3493',
		(int) 2 => '3494',
		(int) 3 => '3495',
		(int) 4 => '3496',
		(int) 5 => '3497',
		(int) 6 => '3498',
		(int) 7 => '3499',
		(int) 8 => '3500',
		(int) 9 => '3501',
		(int) 10 => '3502',
		(int) 11 => '3503',
		(int) 12 => '3504',
		(int) 13 => '3505',
		(int) 14 => '3506',
		(int) 15 => '3507',
		(int) 16 => '3508',
		(int) 17 => '3509',
		(int) 18 => '3510',
		(int) 19 => '3511',
		(int) 20 => '3512',
		(int) 21 => '3513',
		(int) 22 => '3514',
		(int) 23 => '3515',
		(int) 24 => '3516',
		(int) 25 => '3517',
		(int) 26 => '3518',
		(int) 27 => '3519',
		(int) 28 => '3520',
		(int) 29 => '3521',
		(int) 30 => '3522',
		(int) 31 => '3523',
		(int) 32 => '3524',
		(int) 33 => '3525',
		(int) 34 => '3526',
		(int) 35 => '3527',
		(int) 36 => '3528',
		(int) 37 => '3529',
		(int) 38 => '3530'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '120'
$k = (int) 4
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:53:24'
		)
	),
	(int) 6 => array(
		'Attachment' => array(
			'id' => '1598',
			'record_id' => '117',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:55:19'
		)
	),
	(int) 7 => array(
		'Attachment' => array(
			'id' => '1617',
			'record_id' => '119',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 15:57:54'
		)
	),
	(int) 8 => array(
		'Attachment' => array(
			'id' => '1648',
			'record_id' => '111',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:36:24'
		)
	),
	(int) 9 => array(
		'Attachment' => array(
			'id' => '1650',
			'record_id' => '110',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:37:21'
		)
	),
	(int) 10 => array(
		'Attachment' => array(
			'id' => '1688',
			'record_id' => '120',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-177092421-612x612.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 10:43:35'
		)
	),
	(int) 11 => array(
		'Attachment' => array(
			'id' => '1715',
			'record_id' => '121',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 11:33:31'
		)
	),
	(int) 12 => array(
		'Attachment' => array(
			'id' => '1722',
			'record_id' => '122',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/363adb5de96917647f08030ff931e80a73114f8c_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 11:57:20'
		)
	),
	(int) 13 => array(
		'Attachment' => array(
			'id' => '1783',
			'record_id' => '123',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1).jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1).jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1).jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1768244338-612x612-(1)_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 14:20:20'
		)
	),
	(int) 14 => array(
		'Attachment' => array(
			'id' => '1813',
			'record_id' => '124',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 16:18:21'
		)
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)
$thumbnail = array(
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		'record_id' => '124',
		'type' => 'course',
		'created_user_id' => '8779',
		'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg',
		'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
		'mime_type' => 'image/jpeg',
		'title' => '',
		'alt_text' => '',
		'description' => '',
		'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
		'active' => '1',
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$attachmentId = '1688'
$termId = (int) 6
$taxTerms = array(
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		(int) 3 => 'Primary',
		(int) 2 => 'KS3 (11-14)',
		(int) 1 => 'KS4 (14-16)',
		(int) 13 => 'KS5 (16-18)',
		(int) 5 => 'Young people not in education or work',
		(int) 18 => 'Graduates',
		(int) 19 => 'Employability programmes',
		(int) 20 => 'Career change',
		(int) 64 => 'T-Level'
	),
	'Course Type' => array(
		(int) 62 => 'Profession',
		(int) 63 => 'Work Experience',
		(int) 61 => 'Careers',
		(int) 59 => 'Creating Careers: A Step Ahead  Programme',
		(int) 21 => 'In person experiences',
		(int) 9 => 'Interactive',
		(int) 10 => 'Live Sessions',
		(int) 22 => 'Non-accredited programme',
		(int) 11 => 'Podcasts',
		(int) 60 => 'Skills in the Workplace',
		(int) 12 => 'Webinars'
	),
	'Age Bracket' => array(
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		(int) 58 => '12 - 13',
		(int) 17 => '14 - 16',
		(int) 7 => '16 - 18',
		(int) 6 => '18+'
	)
)
$activeTerms = array(
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	(int) 196 => '2',
	(int) 244 => '3',
	(int) 199 => '4',
	(int) 285 => '5',
	(int) 201 => '6',
	(int) 200 => '7',
	(int) 198 => '8',
	(int) 143 => '9',
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	(int) 204 => '11',
	(int) 205 => '12',
	(int) 247 => '13',
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	(int) 279 => '19',
	(int) 280 => '20',
	(int) 739 => '21',
	(int) 740 => '22',
	(int) 744 => '24',
	(int) 679 => '25',
	(int) 944 => '26',
	(int) 1405 => '27',
	(int) 945 => '28',
	(int) 680 => '29',
	(int) 681 => '30',
	(int) 1933 => '35',
	(int) 1403 => '36',
	(int) 1420 => '37',
	(int) 1520 => '38',
	(int) 1521 => '39',
	(int) 1533 => '40',
	(int) 1539 => '41',
	(int) 1550 => '42',
	(int) 1551 => '43',
	(int) 1573 => '44',
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	(int) 1595 => '46',
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	(int) 1748 => '48',
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	(int) 1943 => '54',
	(int) 1941 => '55',
	(int) 2035 => '56',
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	(int) 3043 => '58',
	(int) 4314 => '59',
	(int) 5264 => '60',
	(int) 6359 => '61',
	(int) 6357 => '62',
	(int) 5774 => '63',
	(int) 6356 => '64'
)
$terms = array(
	(int) 0 => '64'
)
$termName = 'Age Bracket'
$name = '18+'
$selectedTerms = array()
$termGroups = array(
	(int) 0 => array(
		(int) 0 => '64'
	)
)
$searchTerm = false
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		(int) 8 => '12',
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		(int) 0 => '13',
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		(int) 2 => '18',
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		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 116 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
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		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
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		(int) 10 => '6'
	),
	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
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			(int) 3 => array(
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			(int) 4 => array(
				[maximum depth reached]
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			(int) 5 => array(
				[maximum depth reached]
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			(int) 6 => array(
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			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
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			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
				[maximum depth reached]
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			(int) 3 => array(
				[maximum depth reached]
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			(int) 4 => array(
				[maximum depth reached]
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			(int) 5 => array(
				[maximum depth reached]
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			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
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			(int) 8 => array(
				[maximum depth reached]
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			(int) 9 => array(
				[maximum depth reached]
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			(int) 10 => array(
				[maximum depth reached]
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			(int) 11 => array(
				[maximum depth reached]
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			(int) 12 => array(
				[maximum depth reached]
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			(int) 13 => array(
				[maximum depth reached]
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			(int) 14 => array(
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			(int) 15 => array(
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			(int) 17 => array(
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			(int) 18 => array(
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			(int) 19 => array(
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			(int) 20 => array(
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			(int) 21 => array(
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			(int) 25 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
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			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
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			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3640',
			(int) 1 => '3641',
			(int) 2 => '3642',
			(int) 3 => '3643',
			(int) 4 => '3644',
			(int) 5 => '3645',
			(int) 6 => '3646',
			(int) 7 => '3647',
			(int) 8 => '3648',
			(int) 9 => '3649',
			(int) 10 => '3650',
			(int) 11 => '3651',
			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
		)
	),
	(int) 2 => array(
		'Course' => array(
			'id' => '122',
			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
			'banner_media_id' => '1721',
			'thumbnail_media_id' => '1722',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
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			(int) 15 => '3576',
			(int) 16 => '3577',
			(int) 17 => '3578',
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			(int) 19 => '3581',
			(int) 20 => '3582',
			(int) 21 => '3583',
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			(int) 30 => '3592',
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			(int) 32 => '3594',
			(int) 33 => '3595',
			(int) 34 => '3596',
			(int) 35 => '3597',
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			(int) 52 => '3614',
			(int) 53 => '3615',
			(int) 54 => '3619',
			(int) 55 => '3618',
			(int) 56 => '3617',
			(int) 57 => '3616',
			(int) 58 => '3622',
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			(int) 60 => '3620',
			(int) 61 => '3623',
			(int) 62 => '3624',
			(int) 63 => '3625',
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			(int) 65 => '3627',
			(int) 66 => '3628',
			(int) 67 => '3629',
			(int) 68 => '3630',
			(int) 69 => '3631',
			(int) 70 => '3632',
			(int) 71 => '3633',
			(int) 72 => '3634',
			(int) 73 => '3635',
			(int) 74 => '3636',
			(int) 75 => '3637',
			(int) 76 => '3638',
			(int) 77 => '3639'
		)
	),
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			'id' => '121',
			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'field_count' => (int) 30,
			'answer_count' => (int) 0,
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			),
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			),
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			(int) 27 => '3558',
			(int) 28 => '3559',
			(int) 29 => '3560'
		)
	),
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
			'banner_align_id' => '0',
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			'created_user_id' => '8779',
			'course_length' => '',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'field_count' => (int) 39
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			(int) 5 => array(
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				[maximum depth reached]
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			(int) 24 => array(
				[maximum depth reached]
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			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			)
		),
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				[maximum depth reached]
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			(int) 550 => array(
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			(int) 11 => array(
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			(int) 12 => array(
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			(int) 13 => array(
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			(int) 14 => array(
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			(int) 15 => array(
				[maximum depth reached]
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			(int) 16 => array(
				[maximum depth reached]
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			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
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			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
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		),
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			(int) 4 => '3496',
			(int) 5 => '3497',
			(int) 6 => '3498',
			(int) 7 => '3499',
			(int) 8 => '3500',
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			(int) 10 => '3502',
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			(int) 12 => '3504',
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			(int) 15 => '3507',
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			(int) 17 => '3509',
			(int) 18 => '3510',
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			(int) 24 => '3516',
			(int) 25 => '3517',
			(int) 26 => '3518',
			(int) 27 => '3519',
			(int) 28 => '3520',
			(int) 29 => '3521',
			(int) 30 => '3522',
			(int) 31 => '3523',
			(int) 32 => '3524',
			(int) 33 => '3525',
			(int) 34 => '3526',
			(int) 35 => '3527',
			(int) 36 => '3528',
			(int) 37 => '3529',
			(int) 38 => '3530'
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	),
	(int) 5 => array(
		'Course' => array(
			'id' => '119',
			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
			'banner_media_id' => '1616',
			'thumbnail_media_id' => '1617',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 14:59:06',
			'modified' => '2024-08-07 14:26:42'
		),
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				[maximum depth reached]
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				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
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				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			),
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
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			'created' => '2024-08-05 10:38:25',
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			'created' => '2024-07-31 13:04:44',
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			'created_user_id' => '8779',
			'course_length' => '40 Minutes',
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			'active' => '1',
			'created' => '2024-07-31 10:15:23',
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		'created' => '2024-08-07 09:50:04',
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			'session_length' => '7 minutes',
			'character_id' => '',
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			'created' => '2024-08-07 09:55:51',
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			'created_user_id' => '8779',
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			'created_user_id' => '8779',
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			'created_user_id' => '8779',
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			'character_id' => '',
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			'created' => '2024-08-07 10:19:13',
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			'id' => '3499',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Types of abuse',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1666',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 8 => array(
			'id' => '3500',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Do you know who your child is talking to?',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1667',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 9 => array(
			'id' => '3501',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Some safeguarding issues apply to both children & adults',
			'description' => 'Staff have a duty yo seek advice and report and concerns.

Remember: the Safeguarding Team are available for any help and support.',
			'field_order' => '6',
			'attachment_id' => '1668',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 10 => array(
			'id' => '3502',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Concerns about behaviour of UHMB staff or volunteers',
			'description' => '',
			'field_order' => '7',
			'attachment_id' => '1669',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 11 => array(
			'id' => '3503',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '8',
			'attachment_id' => '1670',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 12 => array(
			'id' => '3504',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'Domestic Violence',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1671',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 13 => array(
			'id' => '3505',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'HONOUR BASED VIOLENCE',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1673',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 14 => array(
			'id' => '3506',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'FEMALE GENITAL MUTILATION',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1674',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 15 => array(
			'id' => '3507',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'What is PREVENT?',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1675',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 16 => array(
			'id' => '3508',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'Responding to PREVENT',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1676',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 17 => array(
			'id' => '3509',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'What should you do?',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1677',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 18 => array(
			'id' => '3510',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'What should you do?',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1678',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 19 => array(
			'id' => '3511',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'PREVENT Violent Extremsism',
			'description' => '',
			'field_order' => '7',
			'attachment_id' => '1679',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 20 => array(
			'id' => '3512',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'What is human trafficking?',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1680',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 21 => array(
			'id' => '3513',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'Fabricated Induced Illness',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1681',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 22 => array(
			'id' => '3514',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'Modern Slavery',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1682',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 23 => array(
			'id' => '3515',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'Signs of modern slavery',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1683',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 24 => array(
			'id' => '3516',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1684',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 25 => array(
			'id' => '3517',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'How to report concerns about modern slavery',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1685',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 26 => array(
			'id' => '3518',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'Safeguarding is everyon's business',
			'description' => 'Watch the video to find out more.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/UckG7Jyk1sU?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/UckG7Jyk1sU/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 27 => array(
			'id' => '3519',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'See the child',
			'description' => 'Watch the video to find out more.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/s-gPqKn8V5o?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/s-gPqKn8V5o/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 28 => array(
			'id' => '3520',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'Your duty to safeguard...',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1686',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 29 => array(
			'id' => '3521',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'Everybody, Somebody, Anybody and Nobody',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1687',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 30 => array(
			'id' => '3522',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'text-links',
			'field_label' => 'Safeguarding on the UHMB intranet',
			'description' => 'Information about UHMB Safeguarding (including contacts, policies, procedures &amp;training) can be found on the UHMB Safeguarding intranet page:<br><br><a href="https://nhscanl.sharepoint.com/sites/Safeguarding">https://nhscanl.sharepoint.com/sites/Safeguarding</a><br><br>Or by typing 'safeguarding' on the main page of the UHMB intranet site search bar.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 31 => array(
			'id' => '3523',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'multiple-choice',
			'field_label' => 'Who is responsible for the safeguarding of adults and children at risk of harm?',
			'description' => 'select one or more answers',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Government","Adult\/Children Social Care","The Public","The Police"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 32 => array(
			'id' => '3524',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'Which of these sentences best describes 'safeguarding' in practice?',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["is an umberella term for 'protecting from harm' & 'dealing with complaints of abuse'","is about responding appropriatley & quickly to allegations of abuse or neglect","is about promoting resilience in adults at risk","can be described as a continuum with 'promoting welfare' at one end & 'protecting from harm' at the other end"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 33 => array(
			'id' => '3525',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'The term abuse is used to describe deliberate harm inflicted on an individual by another person or an institution.',
			'description' => 'select an answer',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 34 => array(
			'id' => '3526',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'multiple-choice',
			'field_label' => 'Name the 4 categories of abuse',
			'description' => 'select 4 answers',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Emotional","Physical","Neglect","Discriminatory","Sexual","Financial"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 35 => array(
			'id' => '3527',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'What does the PREVENT strategy aim to do?',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["PREVENT Strategy aims to stop vulnerable people being abused","PREVENT Strategy aims to stop people thinking for themselves","PREVENT Strategy aims to stop vulnerable people from being recruited to terrorism"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 36 => array(
			'id' => '3528',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'An elderly woman you know lives at home with her son. The son is very conscientious when it comes to money & looks after his mum on the benefits he receives and her pension. He was brought up to be frugal & proudly ensures they live within their means. During a cold winter, the women is brought into the hospital by her son with hyperthermia. She explains to the doctors that they don't like to keep the heating on all day because of the expense. She praises her son being good with money & looking after her. She is also underweight - she explains this is because of lack of appetite. Should you raise a concern?  ',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No - the son has his mother's best interest at heart","Yes - the son my be neglecting the mother","No - the mother is clearly happy with the arrangement with her son"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 37 => array(
			'id' => '3529',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'Whilst working on reception at the Children's Outpatients you see that a mother has come for an appointment with her daughter and has a black eye. The girl, aged 3, whispered 'I saw daddy hit my mummy and she was  crying'.',
			'description' => 'select an answer',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Domestic abuse","Sexual abuse"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 38 => array(
			'id' => '3530',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'multiple-choice',
			'field_label' => 'Whilst working on reception at the Children's Outpatients you see that a mother has come for an appointment with her daughter and has a black eye. The girl, aged 3, whispered 'I saw daddy hit my mummy and she was  crying'. - And what would you do?',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Inform the nurse in charge","Recird in the child records action you have taken","Infrom the paediatric consultant"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		)
	),
	'LessonFieldList' => array(
		(int) 549 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			)
		),
		(int) 550 => array(
			(int) 0 => array(
				[maximum depth reached]
			)
		),
		(int) 551 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			)
		),
		(int) 552 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		(int) 553 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			)
		),
		(int) 554 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 555 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		)
	),
	'LessonFieldAll' => array(
		(int) 0 => array(
			'id' => '3492',
			'course_id' => '120',
			'course_lesson_id' => '549',
			'field_type' => 'media-field',
			'field_label' => 'What you will learn in this session.',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1658',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 09:53:12',
			'modified' => '2024-08-07 09:53:12'
		),
		(int) 1 => array(
			'id' => '3493',
			'course_id' => '120',
			'course_lesson_id' => '549',
			'field_type' => 'media-field',
			'field_label' => 'Learning outcomes',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1659',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 09:53:12',
			'modified' => '2024-08-07 09:53:12'
		),
		(int) 2 => array(
			'id' => '3494',
			'course_id' => '120',
			'course_lesson_id' => '550',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1660',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 09:55:20',
			'modified' => '2024-08-07 09:55:20'
		),
		(int) 3 => array(
			'id' => '3495',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Definition of a child at risk',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1662',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 4 => array(
			'id' => '3496',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Definition of an adult at risk',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1663',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 5 => array(
			'id' => '3497',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'What is adult abuse?',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1664',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 6 => array(
			'id' => '3498',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'What do we mean by abuse?',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1665',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 7 => array(
			'id' => '3499',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Types of abuse',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1666',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 8 => array(
			'id' => '3500',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Do you know who your child is talking to?',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1667',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 9 => array(
			'id' => '3501',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Some safeguarding issues apply to both children & adults',
			'description' => 'Staff have a duty yo seek advice and report and concerns.

Remember: the Safeguarding Team are available for any help and support.',
			'field_order' => '6',
			'attachment_id' => '1668',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 10 => array(
			'id' => '3502',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => 'Concerns about behaviour of UHMB staff or volunteers',
			'description' => '',
			'field_order' => '7',
			'attachment_id' => '1669',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 11 => array(
			'id' => '3503',
			'course_id' => '120',
			'course_lesson_id' => '551',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '8',
			'attachment_id' => '1670',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:03:53',
			'modified' => '2024-08-07 10:03:53'
		),
		(int) 12 => array(
			'id' => '3504',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'Domestic Violence',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1671',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 13 => array(
			'id' => '3505',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'HONOUR BASED VIOLENCE',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1673',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 14 => array(
			'id' => '3506',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'FEMALE GENITAL MUTILATION',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1674',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 15 => array(
			'id' => '3507',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'What is PREVENT?',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1675',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 16 => array(
			'id' => '3508',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'Responding to PREVENT',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1676',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 17 => array(
			'id' => '3509',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'What should you do?',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1677',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 18 => array(
			'id' => '3510',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'What should you do?',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1678',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 19 => array(
			'id' => '3511',
			'course_id' => '120',
			'course_lesson_id' => '552',
			'field_type' => 'media-field',
			'field_label' => 'PREVENT Violent Extremsism',
			'description' => '',
			'field_order' => '7',
			'attachment_id' => '1679',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:12:24',
			'modified' => '2024-08-07 10:12:24'
		),
		(int) 20 => array(
			'id' => '3512',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'What is human trafficking?',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1680',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 21 => array(
			'id' => '3513',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'Fabricated Induced Illness',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1681',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 22 => array(
			'id' => '3514',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'Modern Slavery',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1682',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 23 => array(
			'id' => '3515',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'Signs of modern slavery',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1683',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 24 => array(
			'id' => '3516',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1684',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 25 => array(
			'id' => '3517',
			'course_id' => '120',
			'course_lesson_id' => '553',
			'field_type' => 'media-field',
			'field_label' => 'How to report concerns about modern slavery',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1685',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:18:09',
			'modified' => '2024-08-07 10:18:09'
		),
		(int) 26 => array(
			'id' => '3518',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'Safeguarding is everyon's business',
			'description' => 'Watch the video to find out more.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/UckG7Jyk1sU?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/UckG7Jyk1sU/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 27 => array(
			'id' => '3519',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'See the child',
			'description' => 'Watch the video to find out more.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/s-gPqKn8V5o?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/s-gPqKn8V5o/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 28 => array(
			'id' => '3520',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'Your duty to safeguard...',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1686',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 29 => array(
			'id' => '3521',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'media-field',
			'field_label' => 'Everybody, Somebody, Anybody and Nobody',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1687',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 30 => array(
			'id' => '3522',
			'course_id' => '120',
			'course_lesson_id' => '554',
			'field_type' => 'text-links',
			'field_label' => 'Safeguarding on the UHMB intranet',
			'description' => 'Information about UHMB Safeguarding (including contacts, policies, procedures &amp;training) can be found on the UHMB Safeguarding intranet page:<br><br><a href="https://nhscanl.sharepoint.com/sites/Safeguarding">https://nhscanl.sharepoint.com/sites/Safeguarding</a><br><br>Or by typing 'safeguarding' on the main page of the UHMB intranet site search bar.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:25:47',
			'modified' => '2024-08-07 10:25:47'
		),
		(int) 31 => array(
			'id' => '3523',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'multiple-choice',
			'field_label' => 'Who is responsible for the safeguarding of adults and children at risk of harm?',
			'description' => 'select one or more answers',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Government","Adult\/Children Social Care","The Public","The Police"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 32 => array(
			'id' => '3524',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'Which of these sentences best describes 'safeguarding' in practice?',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["is an umberella term for 'protecting from harm' & 'dealing with complaints of abuse'","is about responding appropriatley & quickly to allegations of abuse or neglect","is about promoting resilience in adults at risk","can be described as a continuum with 'promoting welfare' at one end & 'protecting from harm' at the other end"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 33 => array(
			'id' => '3525',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'The term abuse is used to describe deliberate harm inflicted on an individual by another person or an institution.',
			'description' => 'select an answer',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 34 => array(
			'id' => '3526',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'multiple-choice',
			'field_label' => 'Name the 4 categories of abuse',
			'description' => 'select 4 answers',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Emotional","Physical","Neglect","Discriminatory","Sexual","Financial"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 35 => array(
			'id' => '3527',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'What does the PREVENT strategy aim to do?',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["PREVENT Strategy aims to stop vulnerable people being abused","PREVENT Strategy aims to stop people thinking for themselves","PREVENT Strategy aims to stop vulnerable people from being recruited to terrorism"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 36 => array(
			'id' => '3528',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'An elderly woman you know lives at home with her son. The son is very conscientious when it comes to money & looks after his mum on the benefits he receives and her pension. He was brought up to be frugal & proudly ensures they live within their means. During a cold winter, the women is brought into the hospital by her son with hyperthermia. She explains to the doctors that they don't like to keep the heating on all day because of the expense. She praises her son being good with money & looking after her. She is also underweight - she explains this is because of lack of appetite. Should you raise a concern?  ',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No - the son has his mother's best interest at heart","Yes - the son my be neglecting the mother","No - the mother is clearly happy with the arrangement with her son"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 37 => array(
			'id' => '3529',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'single-choice',
			'field_label' => 'Whilst working on reception at the Children's Outpatients you see that a mother has come for an appointment with her daughter and has a black eye. The girl, aged 3, whispered 'I saw daddy hit my mummy and she was  crying'.',
			'description' => 'select an answer',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Domestic abuse","Sexual abuse"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		),
		(int) 38 => array(
			'id' => '3530',
			'course_id' => '120',
			'course_lesson_id' => '555',
			'field_type' => 'multiple-choice',
			'field_label' => 'Whilst working on reception at the Children's Outpatients you see that a mother has come for an appointment with her daughter and has a black eye. The girl, aged 3, whispered 'I saw daddy hit my mummy and she was  crying'. - And what would you do?',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Inform the nurse in charge","Recird in the child records action you have taken","Infrom the paediatric consultant"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 10:42:24',
			'modified' => '2024-08-07 10:42:24'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3492',
		(int) 1 => '3493',
		(int) 2 => '3494',
		(int) 3 => '3495',
		(int) 4 => '3496',
		(int) 5 => '3497',
		(int) 6 => '3498',
		(int) 7 => '3499',
		(int) 8 => '3500',
		(int) 9 => '3501',
		(int) 10 => '3502',
		(int) 11 => '3503',
		(int) 12 => '3504',
		(int) 13 => '3505',
		(int) 14 => '3506',
		(int) 15 => '3507',
		(int) 16 => '3508',
		(int) 17 => '3509',
		(int) 18 => '3510',
		(int) 19 => '3511',
		(int) 20 => '3512',
		(int) 21 => '3513',
		(int) 22 => '3514',
		(int) 23 => '3515',
		(int) 24 => '3516',
		(int) 25 => '3517',
		(int) 26 => '3518',
		(int) 27 => '3519',
		(int) 28 => '3520',
		(int) 29 => '3521',
		(int) 30 => '3522',
		(int) 31 => '3523',
		(int) 32 => '3524',
		(int) 33 => '3525',
		(int) 34 => '3526',
		(int) 35 => '3527',
		(int) 36 => '3528',
		(int) 37 => '3529',
		(int) 38 => '3530'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '120'
$k = (int) 4
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
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			'mime_type' => 'image/jpeg',
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			'type' => 'course',
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			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
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			'active' => '1',
			'created' => '2024-08-07 14:20:20'
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			'type' => 'course',
			'created_user_id' => '8779',
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			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'mime_type' => 'image/jpeg',
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)
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		'record_id' => '124',
		'type' => 'course',
		'created_user_id' => '8779',
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		'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
		'mime_type' => 'image/jpeg',
		'title' => '',
		'alt_text' => '',
		'description' => '',
		'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
		'active' => '1',
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)
$attachmentId = '1617'
$termId = (int) 6
$taxTerms = array(
	'Qualification' => array(
		(int) 3 => 'Primary',
		(int) 2 => 'KS3 (11-14)',
		(int) 1 => 'KS4 (14-16)',
		(int) 13 => 'KS5 (16-18)',
		(int) 5 => 'Young people not in education or work',
		(int) 18 => 'Graduates',
		(int) 19 => 'Employability programmes',
		(int) 20 => 'Career change',
		(int) 64 => 'T-Level'
	),
	'Course Type' => array(
		(int) 62 => 'Profession',
		(int) 63 => 'Work Experience',
		(int) 61 => 'Careers',
		(int) 59 => 'Creating Careers: A Step Ahead  Programme',
		(int) 21 => 'In person experiences',
		(int) 9 => 'Interactive',
		(int) 10 => 'Live Sessions',
		(int) 22 => 'Non-accredited programme',
		(int) 11 => 'Podcasts',
		(int) 60 => 'Skills in the Workplace',
		(int) 12 => 'Webinars'
	),
	'Age Bracket' => array(
		(int) 35 => '5 - 11',
		(int) 58 => '12 - 13',
		(int) 17 => '14 - 16',
		(int) 7 => '16 - 18',
		(int) 6 => '18+'
	)
)
$activeTerms = array(
	(int) 197 => '1',
	(int) 196 => '2',
	(int) 244 => '3',
	(int) 199 => '4',
	(int) 285 => '5',
	(int) 201 => '6',
	(int) 200 => '7',
	(int) 198 => '8',
	(int) 143 => '9',
	(int) 203 => '10',
	(int) 204 => '11',
	(int) 205 => '12',
	(int) 247 => '13',
	(int) 248 => '17',
	(int) 278 => '18',
	(int) 279 => '19',
	(int) 280 => '20',
	(int) 739 => '21',
	(int) 740 => '22',
	(int) 744 => '24',
	(int) 679 => '25',
	(int) 944 => '26',
	(int) 1405 => '27',
	(int) 945 => '28',
	(int) 680 => '29',
	(int) 681 => '30',
	(int) 1933 => '35',
	(int) 1403 => '36',
	(int) 1420 => '37',
	(int) 1520 => '38',
	(int) 1521 => '39',
	(int) 1533 => '40',
	(int) 1539 => '41',
	(int) 1550 => '42',
	(int) 1551 => '43',
	(int) 1573 => '44',
	(int) 1585 => '45',
	(int) 1595 => '46',
	(int) 1766 => '47',
	(int) 1748 => '48',
	(int) 1754 => '49',
	(int) 1760 => '50',
	(int) 1778 => '51',
	(int) 1736 => '52',
	(int) 1772 => '53',
	(int) 1943 => '54',
	(int) 1941 => '55',
	(int) 2035 => '56',
	(int) 2181 => '57',
	(int) 3043 => '58',
	(int) 4314 => '59',
	(int) 5264 => '60',
	(int) 6359 => '61',
	(int) 6357 => '62',
	(int) 5774 => '63',
	(int) 6356 => '64'
)
$terms = array(
	(int) 0 => '64'
)
$termName = 'Age Bracket'
$name = '18+'
$selectedTerms = array()
$termGroups = array(
	(int) 0 => array(
		(int) 0 => '64'
	)
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		'description' => '',
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		'modified' => '2024-07-31 08:44:33'
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$key = 'TermLink1'
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			(int) 6 => array(
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			(int) 7 => array(
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			(int) 59 => array(
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			(int) 576 => array(
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			(int) 584 => array(
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			(int) 1 => array(
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			(int) 21 => array(
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			(int) 22 => array(
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			(int) 23 => array(
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			(int) 24 => array(
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			(int) 27 => array(
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			(int) 29 => array(
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			(int) 30 => array(
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			(int) 31 => array(
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			(int) 40 => array(
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			(int) 41 => array(
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			(int) 42 => array(
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			(int) 43 => array(
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			(int) 44 => array(
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			(int) 45 => array(
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			(int) 46 => array(
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			(int) 47 => array(
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			(int) 48 => array(
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			(int) 49 => array(
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			(int) 50 => array(
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			(int) 51 => array(
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			),
			(int) 52 => array(
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			(int) 53 => array(
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			(int) 54 => array(
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			(int) 55 => array(
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			(int) 56 => array(
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			(int) 57 => array(
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			(int) 58 => array(
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			),
			(int) 59 => array(
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			(int) 60 => array(
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			'created' => '2024-08-07 13:51:17',
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
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			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
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			'answer_count' => (int) 0,
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				[maximum depth reached]
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			),
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			(int) 35 => array(
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			),
			(int) 36 => array(
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			),
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
			'banner_media_id' => '1616',
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			'banner_align_id' => '5',
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			'created_user_id' => '8779',
			'course_length' => '40 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 14:59:06',
			'modified' => '2024-08-07 14:26:42',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'field_count' => (int) 52
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				[maximum depth reached]
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				[maximum depth reached]
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			(int) 10 => array(
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			(int) 14 => array(
				[maximum depth reached]
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			(int) 15 => array(
				[maximum depth reached]
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			(int) 16 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 25 => array(
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			(int) 27 => array(
				[maximum depth reached]
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			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
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			(int) 30 => array(
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			(int) 31 => array(
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			(int) 32 => array(
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			(int) 34 => array(
				[maximum depth reached]
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			(int) 35 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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			(int) 15 => array(
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			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
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			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
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			(int) 34 => array(
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			(int) 35 => array(
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			(int) 36 => array(
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				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
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			'created' => '2024-07-31 13:04:44',
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			'course_length' => '40 Minutes',
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			'created' => '2024-07-31 10:15:23',
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		'course_title' => 'Safeguarding Adults Level 2',
		'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
		'banner_media_id' => '1616',
		'thumbnail_media_id' => '1617',
		'logo_media_id' => null,
		'banner_align_id' => '5',
		'type_id' => '0',
		'created_user_id' => '8779',
		'course_length' => '40 minutes',
		'expiry_date' => null,
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		'active' => '1',
		'created' => '2024-08-06 14:59:06',
		'modified' => '2024-08-07 14:26:42'
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			'course_id' => '119',
			'lesson_title' => 'Key Legislation and Guidance Relating to Safeguarding',
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			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
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			'created' => '2024-08-06 15:00:07',
			'modified' => '2024-08-06 15:00:10'
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			'course_id' => '119',
			'lesson_title' => 'Wellbeing Principles',
			'description' => 'Learn about the Wellbeing Principles.',
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			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 15:26:05',
			'modified' => '2024-08-06 15:26:05'
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			'course_id' => '119',
			'lesson_title' => 'Rules for Sharing Information',
			'description' => 'How to share information safely.',
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			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 15:49:24',
			'modified' => '2024-08-06 15:49:24'
		),
		(int) 3 => array(
			'id' => '540',
			'course_id' => '119',
			'lesson_title' => 'Session Summary ',
			'description' => 'Summary of topics learned.',
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			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
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			'modified' => '2024-08-06 15:55:17'
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		(int) 4 => array(
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			'course_id' => '119',
			'lesson_title' => 'eAssessment ',
			'description' => 'This eAssessment aligns to the UK Core Skills Training Framework learning outcomes and assessment criteria.<br />You will need to achieve a pass mark of at least 80% in the eAssessment to successfully complete this training course.',
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			'created_user_id' => '8779',
			'session_length' => '15 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 08:03:52',
			'modified' => '2024-08-07 08:03:52'
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			'field_label' => 'There has been significant media coverage of adult safeguarding issues, in particular relating to the abuse and neglect at Winterbourne View [1] and Mid-Staffordshire NHS Foundation Trust [2].',
			'description' => 'These events were significant drivers in placing safeguarding adults on a statutory footing and highlighted the importance of the role of health professionals in recognising, responding to and preventing abuse and neglect.

As a result, the Care Act (2014) [3] replaced previous laws and practice guidance.',
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			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'paragraph',
			'field_label' => 'The Principles Underpinning The Safeguarding Duties In The Care Act',
			'description' => 'The Care Act (2014) [3] is a major change in practice - a move away from the process-led, tickbox culture to a person-centred approach which achieves the outcomes that people want. Practice must focus on the person, which accounts for the possibility that individuals can change their mind on what outcomes they want through the course of the intervention.

You have learnt about the six principles of Adult Safeguarding in Level 1. Can you match the principle to the description?',
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			'attachment_id' => null,
			'external_media_src' => null,
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			'modified' => '2024-08-07 08:32:50'
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			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
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			'description' => 'select one answer',
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			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '5',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
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			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '_________is people being supported and encouraged to make their own decisions and give informed consent.',
			'description' => 'select one answer',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
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			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'multiple-choice',
			'field_label' => '__________________ is the least intrusive response necessary to the risk presented.',
			'description' => 'select one answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
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			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'multiple-choice',
			'field_label' => '_______________ is support and representation for those in greatest need.',
			'description' => 'select one answer',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 6 => array(
			'id' => '3416',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'multiple-choice',
			'field_label' => '_______________is working in partnership to achieve local solutions in communities where we live. Communities have a part to play in preventing, detecting and reporting abuse and neglect.',
			'description' => 'select one answer',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 7 => array(
			'id' => '3417',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '____________is transparency in delivering safeguarding and fulfilling our duty of candour.',
			'description' => 'select one answer',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 8 => array(
			'id' => '3418',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'media-field',
			'field_label' => 'What are the outcomes that the principles aim for?',
			'description' => 'The outcomes are:',
			'field_order' => '9',
			'attachment_id' => '1601',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 9 => array(
			'id' => '3419',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'media-field',
			'field_label' => 'The Care Act 2014 - Terminology',
			'description' => 'The Care Act 2014 consolidates previous legislation. The Care and Support Statutory Guidance (updated 2016) replaced ‘No Secrets’ and the previous safeguarding procedures and terminology used.

The terms on the left of the diagram below have now been replaced with the terms on the right.',
			'field_order' => '10',
			'attachment_id' => '1602',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 10 => array(
			'id' => '3420',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'image-hotspot',
			'field_label' => 'Types of Abuse',
			'description' => 'In Level 1 you learnt about the different types of abuse. If you need a recap select each of the headings below.',
			'field_order' => '11',
			'attachment_id' => '1603',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":11.4844,"left":52,"annotation":"Physical abuse including:\n\nAssault\nHitting\nSlapping\nPushing\nMisuse of medication\nRestraint\nInappropriate physical sanctions"},{"top":12.4844,"left":140,"annotation":"Domestic violence including:\n\nPsychological\nPhysical\nSexual\nFinancial\nEmotional abuse\nSo called ‘honour’ based violence"},{"top":16.4844,"left":252,"annotation":"Sexual abuse including:\n\nRape\nIndecent exposure\nSexual harassment\nInappropriate looking or touching\nSexual teasing or innuendo\nSexual photography\nSubjection to pornography or witnessing sexual acts\nSexual assault\nSexual acts to which the adult has not consented or was pressured into consenting"},{"top":12.4844,"left":381,"annotation":"Psychological abuse including:\n\nEmotional abuse\nThreats of harm or abandonment\nDeprivation of contact\nHumiliation\nBlaming\nControlling\nIntimidation\nCoercion\nHarassment\nVerbal abuse\nCyber bullying\nIsolation\nUnreasonable and unjustified withdrawal of services or supportive networks"},{"top":40.4844,"left":88,"annotation":"Financial or material abuse including:\n\nTheft\nFraud\nInternet scamming\nCoercion in relation to an adult’s financial affairs or arrangements, including in connection with wills, property, inheritance or financial transactions\nThe misuse or misappropriation of property, possessions or benefits"},{"top":44.4844,"left":205,"annotation":"Modern slavery encompasses:\n\nSlavery\nHuman trafficking\nForced labour and domestic servitude.\nTraffickers and slave masters using whatever means they have at their disposal to coerce, deceive and force individuals into a life of abuse, servitude and inhumane treatment"},{"top":45.4844,"left":304,"annotation":"Discriminatory abuse including forms of:\n\nHarassment\nSlurs or similar treatment because of:\n\nRace\nGender and gender identity\nAge\nDisability\nSexual orientation\nReligion"},{"top":5.5,"left":453,"annotation":"Organisational abuse\n\nIncluding neglect and poor care practice within an institution or specific care setting such as a hospital or care home, for example, or in relation to care provided in one’s own home. This may range from one off incidents to on-going ill-treatment. It can be through neglect or poor professional practice as a result of the structure, policies, processes and practices within an organisation."},{"top":76.4844,"left":118,"annotation":"Neglect and acts of omission including:\n\nIgnoring medical emotional or physical care needs\nFailure to provide access to appropriate health, care and support or educational services\nThe withholding of the necessities of life, such as medication, adequate nutrition and heating"},{"top":71.4844,"left":215,"annotation":"Self-neglect\n\nThis covers a wide range of behaviour neglecting to care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding. It should be noted that self-neglect may not prompt a section 42 enquiry. An assessment should be made on a case by case basis. A decision on whether a response is required under safeguarding will depend on the adult’s ability to protect themselves by controlling their own behaviour. There may come a point when they are no longer able to do this, without external support."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 11 => array(
			'id' => '3422',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => 'Have a look at each scenario and decide what type of abuse it is.',
			'description' => 'Marjorie says that her carer is always showing her indecent pictures. He says he’s just having a laugh but she doesn’t want to see them.',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Physical","Pyhscilogical ","Sexual","Financial and material"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 12 => array(
			'id' => '3423',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '',
			'description' => 'Dominic lives in a care home. He is in pain as he has severe arthritis. He is told that he is not allowed any more pain relief as the person who dispenses medicine has gone home.',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Organisational abuse","Discriminatory","Financial and material","Domestic"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 13 => array(
			'id' => '3424',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'bullet-points',
			'field_label' => 'Multi-Agency Working and Parallel Processes',
			'description' => 'Different agencies and their processes.',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Local Statutory Safeguarding Adult Boards - A  multi-agency statutory board which has responsibility for providing strategic leadership and oversight in preventing, detecting and protecting adults who are at risk from abusive behaviour and practice in all its forms in each local authority area. This includes the implementation and quality assurance of local guidance and procedures for safeguarding adults. Each board should have its own website or web page on the local authority website. Your safeguarding lead will know who your organisations Board member or link is.","Multi-Agency Public Protection Arrangements (MAPPA) - The police have a shared responsibility for the management of sexual offenders and violent offenders when they are released from prison into the community. This is managed in partnership with probation staff and prison staff as well as other agencies such as social services, housing and health. This is known as the Multi-Agency Public Protection Agreements (MAPPA). The statutory MAPPA guidance can be accessed online via the GOV.UK website - see Resources for a link to the website.","Multi-Agency Risk Assessment Conference (MARAC) - Multi-Agency Risk Assessment Conference (MARAC) is a risk-management meeting where professionals share information on high-risk cases of domestic violence and abuse and put in place a risk management plan.  See your safeguarding and/or domestic abuse policy and speak to your safeguarding lead for more information.","Channel Panel - The Channel Panel in each local authority area is part of the Counter Terrorism Prevent strategy. The process is a multi-agency approach to identify and provide support to individuals who are at risk of being drawn into terrorism. ","Community Safety Partnerships - Community Safety Partnerships are made up of representatives from the police, Local Authorities, fire and rescue authorities, health, and probation services (the 'responsible authorities'). The responsible authorities work together to protect their local communities from crime and to help people feel safer.","Local Safeguarding Children Partnership (LSCP) - The Local Safeguarding Children Partnership (LSCP) is the key statutory mechanism for agreeing how the relevant agencies in each local area will co-operate to safeguard and promote the welfare of children in that locality, and for ensuring the effectiveness of what they do."]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 14 => array(
			'id' => '3425',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'The wellbeing principles from Section 1 of the Care Act [3] are:',
			'description' => '- Personal dignity
- Physical and mental health and emotional wellbeing
- Protection from abuse and neglect
- Control by the individual over their day-to-day life
- Participation in work, education, training or recreation
- Suitability of living accommodation
- Domestic, family and personal relationships
Social and economic wellbeing
- Contribution to society

All work with adults related to care and support has to adhere to these principles.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 15 => array(
			'id' => '3426',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Health Inequalities',
			'description' => 'Health is determined by a complex interaction between individual characteristics, lifestyle and the physical, social and economic environment. Health inequalities are avoidable, unfair and systematic differences in health between different groups of people.

Health inequalities affect people grouped by a range of factors:

Health inequalities affect people grouped by a range of factors:

- Socio-economic factors, for example, income
- Geography, for example, region or whether urban or rural
- Specific characteristics including those protected in law, such as sex, ethnicity or disability
- Socially excluded groups, for example, people experiencing homelessness [4]

These differences have a huge impact because they result in people who are worse off experiencing poorer health and shorter lives [5].

Taking action to reduce health inequalities is a key aim of the NHS Long Term Plan, published in 2019 [6].
',
			'field_order' => '1',
			'attachment_id' => '1604',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 16 => array(
			'id' => '3427',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Safeguarding Case Study Example',
			'description' => 'There are many forms of slavery and trafficking including sexual exploitation, domestic servitude, criminal exploitation and forced labour. In this case study we look at a scenario where modern slavery in the form of forced labour may be occurring. Individuals seeking better employment prospects are being manipulated into exploitative labour practices under false claims. Industries that commonly exploit for labour include agriculture, warehouse and distribution, manufacturing and food processing – sectors that require shift work and can hire through agencies that offer zero-hour contracts.

Anton is a 28-year-old Polish man, he attends the Emergency Department, he does not speak much English and is accompanied by another man who speaks English well and calls himself a friend although he is unable to provide an address for Anton. Anton is very thin, dirty and very subdued with poor eye contact. He is wearing very dirty clothes and cannot weight bear on his right foot. His friend says they work together on a construction site and that Anton got his foot trapped under some heavy equipment and now cannot walk properly.
On examination, Anton is wearing trainers not work boots, his foot is badly damaged, and you note a number of other injuries on his body and can smell alcohol on him.

This scenario should trigger professional curiosity about what is happening to this man.

What are the concerns?  What actions could you take?

Concerns - Anton appears in a poor state of general health as well as the acute foot injury.

He appears weak and confused with a smell of alcohol despite arriving from a construction site yet is not wearing any protective clothing including work boots.

He cannot speak for himself due to the language barrier and his non-verbal interaction is also poor, his friend is speaking for him.

Actions - Anton must be given a chance to speak to health professionals to ensure he gets the correct medical treatment and support and his wishes are known. Do not use any accompanying person as interpreter for the potential victim; if safe to do so, access an independent interpreter, see your local area protocol for access to interpreting.

Anton is showing signs of being a victim of modern slavery which must be explored further. He may be part of a group of people being abused in this way.

If Anton shares information that suggests he is being abused and exploited, a trauma informed approach must be used, and his responses and injuries carefully documented. The usual principles of consent apply to any referrals considered. 

Usual principles of mental capacity apply as set out in the Capacity section; individuals should be presumed to have the capacity to make decisions, including about their care and decisions on whether to agree to, or refuse, an examination, investigation or treatment, unless it is established that they lack capacity.  Speak to your safeguarding lead for advice. You can also contact:

- The Police on 999 if an emergency or 101 if no immediate danger
- The Modern Slavery Helpline on 08000 121 700 providing confidential advice and support whether you are sure or not that someone is a victim
- The Gangmasters and Labour Abuse Authority to report concerns about the mistreatment of workers on 0800 432 0804, or by email intelligence@glaa.gsi.gov.uk
- Report to local authority safeguarding adults and/or children team depending on the ages suspected',
			'field_order' => '2',
			'attachment_id' => '1605',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 17 => array(
			'id' => '3428',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Victims may have had limited or poor access to healthcare services which may exacerbate any medical conditions.',
			'description' => 'Healthcare professionals are in a unique position to help identify victims and to make a difference to their lives by…

Healthcare professionals are in a unique position to help identify victims and to make a difference to their lives by treating their injuries from physical violence or from occupational hazards, their illnesses from poor environmental conditions or from infectious diseases, their sexual health conditions linked to sexual abuse and exploitation, as well as helping to manage the psychological effects of their traumas.',
			'field_order' => '3',
			'attachment_id' => '1606',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 18 => array(
			'id' => '3429',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Making Safeguarding Personal',
			'description' => 'Making Safeguarding Personal (MSP) requires a shift in culture and practice in a response to what we know about what makes safeguarding more or less effective from the perspective of the person being safeguarded. It's about having a conversation with people about how we might respond in safeguarding situations in a way that enables their involvement, choice and control as well as improving quality of life, well-being and safety. It is:

A personalised approach that enables safeguarding to be done with, not to, people
A practice that focuses on achieving meaningful improvement to people's circumstances rather than just on ‘enquiry' and ‘conclusion’
An approach that utilises social work skills rather than just ‘putting people through a process’
An approach that enables practitioners, families, teams and SABs to know what difference has been made

(Safeguarding Adults: Advice and Guidance to Directors of Adult Social Services ADASS; LGA, 2013.)',
			'field_order' => '4',
			'attachment_id' => '1607',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 19 => array(
			'id' => '3430',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'The safeguarding process should be set out in your local multi-agency safeguarding adults with care and support needs procedures. 

This will include the local authority’s assessments that inform the safeguarding plan. For further information please see your local multi-agency safeguarding plan and the national guidance in resources. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 20 => array(
			'id' => '3431',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'The Adult Safeguarding Duty',
			'description' => 'The adult safeguarding duty applies to an adult, aged 18 or over, who:

- Has needs for care and support (whether or not the local authority is meeting any of those needs)
- Is experiencing, or at risk of, abuse or neglect
- As a result of those care and support needs is unable to protect themselves from either the risk, or the experience, of abuse and neglect
- The person’s inability to protect themselves must be the result of their care and support needs




',
			'field_order' => '6',
			'attachment_id' => '1608',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 21 => array(
			'id' => '3432',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'What about the local authority's role in carrying out enquiries?',
			'description' => 'Local authorities must make enquiries, or cause others to do so, if they reasonably suspect an adult who meets the above criteria is at risk of being abused or neglected.

In many cases, a health professional who already knows the adult, or if the enquiry is clinical in nature, may be best placed to begin the enquiry, following discussion with the local authority.

An enquiry could range from a conversation with the adult, representative or advocate (if they lack capacity or have substantial difficulty in understanding the enquiry) prior to initiating a formal enquiry under Section 42, right through to a much more formal multi-agency plan or course of action.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 22 => array(
			'id' => '3433',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'What about the Safeguarding Adults section 42 enquiry?',
			'description' => 'A Section 42 enquiry will:

- Protect the adult from abuse and/or neglect in accordance with their views and wishes (discovered in consultation with relatives, friends or advocate where needed) about the level of risk
- Establish the facts
- Assess the level of risk and needs of the adult for protection, support and redress and consider how they might be met
- Make decisions about what follow-up actions should take place with regards to the person or organisation causing harm
- Enable the adult to achieve resolution and recovery',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 23 => array(
			'id' => '3434',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'When should an enquiry be undertaken without consent?',
			'description' => 'An enquiry should be undertaken without consent when:

- The adult lacks the mental capacity to consent even after all practicable measures to maximise capacity have been carried out
- It would be in the best interests of an adult lacking capacity to carry out enquiries
- There is an overriding public interest due to others being at risk',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 24 => array(
			'id' => '3435',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'What should an enquiry take into account?',
			'description' => '- Providing individuals with information about options for resolution
- The individual's wishes and outcomes
- The individual's need for care and support, the risk of abuse or neglect, and the impact they may have on that individual
- The ability of the individual to safeguard themselves or the ability of their informal networks to increase the support they offer to safeguard the person (asset based)
- The potential impact on important relationships and the potential that action could increase the risk of harm
- Risk of repeated/increasingly serious acts including risks to others (adults/children)
- Supporting the individual to identify and manage risks
- Safeguarding enquiries and interventions must be undertaken within a framework of respect for the person's rights such as the right to liberty, autonomy and rights to private family life',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 25 => array(
			'id' => '3436',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Safeguarding adults is everybody’s business if you identify a concern you have a responsibility to raise and document it. You should be familiar with your organisation's policy and procedures for safeguarding adults which will align to the multi-agency policies and procedures for safeguarding adults that your local Safeguarding Adults Board oversee, facilitate and define the relationships between agencies to safeguard adults appropriately. The local authority is the lead accountable agency for safeguarding adults’ enquiries while the police lead on any criminal element. Health services and staff have a key role to play in identifying, recording, and raising concerns and then working in partnership with the local authorities (and police where necessary) to achieve the best outcome for the adult(s) involved.',
			'field_order' => '11',
			'attachment_id' => '1609',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 26 => array(
			'id' => '3437',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'The Mental Capacity Act',
			'description' => 'The Mental Capacity Act (MCA) [7] is the law which must be followed to assist and support people who may lack capacity and to discourage anyone who is involved in caring for them from being overly restrictive or controlling.

It also aims to balance people’s right to make decisions for themselves, and live as they choose, with their right to be protected from harm if they lack capacity to make decisions to protect themselves.

Anyone paid to work with, or on behalf of, someone who lacks capacity must ‘have regard to’ the MCA statutory code of practice.

In order to assess an individual's capacity, functional and diagnostic tests need to be carried out. Chapter 4 of the MCA code of practice describes how and when assessments of capacity should be carried out.

The MCA set up Independent Mental Capacity Advocates (IMCA) who MUST be instructed, and then consulted, for people lacking capacity who have no one else to support them in situations set out in Chapter 10 of the MCA Code of Practice.

The MCA [7] is based on five statutory principles, which must form the basis of decision making whenever someone aged 16 or above might lack mental capacity for a specific decision at the time it needs to be made. The MCA is fundamental to the Safeguarding Adults agenda.
',
			'field_order' => '12',
			'attachment_id' => '1629',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 27 => array(
			'id' => '3438',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'image-hotspot',
			'field_label' => 'Let's recap on the five principles of the Mental Capacity Act [7].',
			'description' => 'Select each number to find out more information.',
			'field_order' => '13',
			'attachment_id' => '1610',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":102.703,"left":69,"annotation":"1. Assumption of capacity\n\nThis means that nobody has to prove that they have capacity for a certain decision. The responsibility lies with someone who wishes to act under the MCA to show, on the balance of probability, that the person does lack capacity to make the decision."},{"top":48.7031,"left":132,"annotation":"2. Take all practical steps to support a person to make a decision\n\nThis means a person-centred search for what will help this individual to make their own decisions: this could be finding the best time of day, or a quiet place, or the best way to communicate with this individual. Chapter 3 of the MCA code of practice outlines ways to achieve the necessary best practice."},{"top":26.7031,"left":217,"annotation":"3. Unwise decisions\n\nA series of unwise decisions, or a particularly risky, uncharacteristic decision, may alert you to a possible lack of capacity. If this happens, apply the two-stage test of capacity (see MCA code of practice, chapter 4). But remember that we all make, with capacity, what other people might think ‘unwise or eccentric’ decisions."},{"top":40.7031,"left":305,"annotation":"4. Best interests\n\nThe MCA lays out a statutory checklist of factors that must be considered in working out what is in the best interests of the person. Crucial among these factors are the wishes and feelings of the person. These wishes and feelings must sometimes be overruled in their best interests, but they should be honoured wherever possible. See MCA code of practice, chapter 5 [4].\n\nWhen to instruct an Independent Mental Capacity Advocate (IMCA)\n\nAn IMCA must be instructed, via the local authority, and then consulted when a person has no one other than paid staff to support them and:\n\nAn NHS body is proposing serious medical treatment\nAn NHS body or local authority is proposing to arrange accommodation or a change of accommodation, in a hospital or a care home and - the person will stay in the hospital more than 28 days or - they will stay in the care home longer than 8 weeks.\nAn IMCA may be instructed to support someone who lacks capacity to make decisions concerning care reviews where there is no one else to consult - or adult protection cases where family and friends are involved."},{"top":215.703,"left":435,"annotation":"5. Least restrictive option\n\nThis is the ‘golden thread’ that runs through the MCA [4]. Always look for the option, among those available, that is the least restrictive of the person’s freedom of choice, and the closest to what they want."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 28 => array(
			'id' => '3439',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'Advocacy',
			'description' => 'Advocacy means getting support from another person to help a person express their views and wishes, and help stand up for their rights. There are many types of advocacy available where a person requires this support or has no-one to represent them.  An advocate is truly independent and is there to support rights wishes and feelings of the person involved and not to offer their own opinion or persuade a person to a particular decision. 

Statutory Advocacy services that support people in relation to the Care Act, Mental Capacity Act or Mental Health Act, are provided through the local authority who can advise on which type of advocate a person may need.

An advocate can:

- Listen to the person's views and concerns
- Help the person explore their options and rights (without pressuring them)
- Provide information to help the person make informed decisions
- Help the person contact relevant people, or contact them on their behalf
- Accompany and support the person in meetings or appointments

An advocate will not:

- Give their personal opinion
- Solve problems and make decisions for a person
- Make judgements about a person

',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 29 => array(
			'id' => '3440',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Deprivation of Liberty Safeguards (DoLS)',
			'description' => 'The Deprivation of Liberty Safeguards (DoLS) protect the rights of people aged 18 or over who lack capacity to consent to treatment in care homes, or hospitals, in England in Wales. A DoLS authorisation is required when the way they are cared for, in order to be given necessary care or treatment, deprives them of their liberty. DoLS provide this protection by ensuring that the deprivation of liberty cannot be arbitrary but must follow a process laid down in law, so that anyone can understand it, and the person has a right to challenge the deprivation of liberty in a court.

In settings other than care homes and hospitals, such as supported living or shared lives settings, or for people aged 16 or 17, the commissioner (or, if the care is privately funded, the local authority) must apply directly to the Court of Protection for authority to deprive the person of their liberty.

You can also contact the DoLS team in the adult care department of your local authority.

What is the ‘acid test’?

A Supreme Court ruling in 2014 widened the understanding of what constituted deprivation of liberty in the so-called ‘acid test'. It applies wherever a person lacks capacity to consent to the arrangements needed to provide necessary care or treatment and is not free to leave the care or treatment setting and is under continuous supervision and control in that setting.',
			'field_order' => '15',
			'attachment_id' => '1611',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 30 => array(
			'id' => '3441',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'media-field',
			'field_label' => 'General Data Protection Regulation (GDPR)',
			'description' => 'The General Data Protection Regulation (GDPR) [8] came into effect on the 25th May 2018 and replaces the Data Protection Directive.

The purpose of GDPR is to harmonise data privacy laws across Europe by standardising definitions and addressing legal uncertainty and the public's perception that their data is at risk.

GDPR protects an individual's fundamental rights and freedoms, in particular, their ‘Right to the Protection of Personal Data’.

It's important to remember that the GDPR is not a barrier to sharing information. Sharing information with the right people can be just as important as not disclosing to the wrong person.
 
You have a legal duty to share the information:
- If it will assist in the care or treatment of an individual and
- It is reasonable to believe that the individual understands the reason for sharing

Safeguarding concerns should always be fully documented, according to your organisation's policies and procedures, by the first person to report the suspected abuse and at all subsequent stages by those involved with the adult. Concerns should be recorded regardless of whether the concern progresses or is not substantiated. The outcome of any concern must be fully documented in the patient record. This may on occasion, also include digital images or recordings, and all health professionals utilising such media must follow current guidance from the Faculty of Forensic and Legal Medicine.

It is important to document concerns contemporaneously (at the time) and avoid personal opinions or speculation, only record the facts relevant to the concern and actions taken.',
			'field_order' => '0',
			'attachment_id' => '1612',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 31 => array(
			'id' => '3442',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'image-hotspot',
			'field_label' => 'Seven Golden Rules of Informatin Sharing',
			'description' => 'Have a look at the seven golden rules of information sharing.

Please ensure that you refer to the latest General Data Protection Regulation and information governance guidelines. See Resources for more information.',
			'field_order' => '1',
			'attachment_id' => '1613',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":58.1406,"left":60,"annotation":"1. Remember that the Data Protection Act is not a barrier to sharing information\n\nBoth the Data Protection Act [9] and GDPR provide a framework to ensure that personal information about living persons is shared appropriately."},{"top":66.1406,"left":185,"annotation":"2. Be open and honest\n\nBe open and honest with the person (and/or their family where appropriate) from the outset about why, what, how and with whom information will, or could, be shared, and seek their agreement, unless it is unsafe or inappropriate to do so."},{"top":56.1406,"left":330,"annotation":"3. Seek advice\n\nIf you are in any doubt, seek advice without disclosing the identity of the person where possible."},{"top":51.1406,"left":436,"annotation":"4. Share with consent where appropriate\n\nShare with consent where appropriate and, where possible, respect the wishes of those who do not consent to share confidential information. You may still share information without consent if, in your judgement, that lack of consent can be overridden in the public interest. You will need to base your judgement on the facts of the case.\n\nThe MCA code of practice, chapter 16 gives guidance on information sharing when a person lacks capacity to consent to it."},{"top":136.141,"left":152,"annotation":"5. Consider safety and well-being\n\nBase your information-sharing decisions on considerations of the safety and well-being of the person and others who may be affected by their actions."},{"top":129.141,"left":248,"annotation":"6. Necessary, proportionate, relevant, accurate, timely and secure\n\nEnsure that the information you share is necessary for the purpose for which you are sharing it, is shared only with those people who need to have it, is accurate and up-to-date, is shared in a timely fashion, and is shared securely."},{"top":144.141,"left":376,"annotation":"7. Keep a record\n\nKeep a record of your decision and the reasons for it – whether it is to share information or not. If you decide to share, then record what you have shared, with whom and for what purpose."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 32 => array(
			'id' => '3443',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'media-field',
			'field_label' => 'Remember that the duty to share is as important as the duty of confidentiality.',
			'description' => 'When sharing information, you should ask yourself the following questions:',
			'field_order' => '2',
			'attachment_id' => '1614',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 33 => array(
			'id' => '3444',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'paragraph',
			'field_label' => 'Exploitation and Safeguarding',
			'description' => 'Adult safeguarding recognises the vulnerability of adults with care and support needs to all forms of exploitation. For example, modern slavery is the recruitment, movement, harbouring or receiving of children, women or men through the use of force, coercion, abuse of vulnerability, deception or other means for the purpose of exploitation. Individuals may be trafficked into, out of, or within the UK, and they may be trafficked for a number of reasons including sexual exploitation, forced labour, domestic servitude and organ harvesting.

Another example is radicalisation which is where an individual comes to support any form of extremism and in some cases join terrorist groups. It has potential to cause significant harm to the individuals and others and is therefore aligned to safeguarding principles.

PREVENT is part of the UK's counter-terrorism strategy to reduce the risk of people (which will include patients and/or staff) becoming involved in or supporting terrorism. The Counter-Terrorism and Security Act (2015) [10] places a duty on statutory bodies including the NHS to have 'regard to the need to prevent people from being drawn into terrorism'.

The key challenge for the healthcare sector is to ensure that, where there are signs that someone has been or is being drawn into terrorism, the healthcare worker is trained to recognise those signs correctly and is aware of and can locate available support, including the Channel programme where necessary. Preventing someone from being drawn into terrorism is substantially comparable to safeguarding in other areas, including child abuse or domestic violence. (Home Office 2019).

Please visit the Statutory and Mandatory Preventing Radicalisation e-learning sessions for more information.',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 34 => array(
			'id' => '3445',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'single-choice',
			'field_label' => 'When should you share information?',
			'description' => 'Choose one option ',
			'field_order' => '4',
			'attachment_id' => '1615',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["You should share information only with the person\u2019s consent","Information should be shared without consent in circumstances where there are concerns for the safety of an individual","You should share information with other agencies when they ask for it"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 35 => array(
			'id' => '3448',
			'course_id' => '119',
			'course_lesson_id' => '540',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => '- Remain vigilant to the possibility of abuse and neglect occurring and be prepared to take action
- Protecting adults with care and support needs should be your first priority
- Always listen and believe those who tell you they have been abused. The adult should be involved from the beginning unless there are exceptional circumstances that would increase the risk of abuse. Record what the adult and, as appropriate, carer and/or other person present told you and what you have done in response
- It's important to have a personalised approach that enables safeguarding to be done with, not to, people
- Follow your organisation's safeguarding adults procedures and your local statutory multi-agency policy and procedures
- Never allow abusive behaviour to go unreported and ensure that your concern is escalated appropriately
- Always ensure that appropriate specific decisions are made in the best interests (where the adult has been identified as lacking capacity) of the individual and, where relevant, compliant with the Mental Capacity Act (2005)
- Recognise where and when care can amount to Deprivation of Liberty Safeguards (DoLS) and know what to do
- Remember that the duty to share is as important as the duty of confidentiality; be aware of the latest data protection and GDPR guidance

THINK, ACT and REPORT!  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:56:45',
			'modified' => '2024-08-06 15:56:45'
		),
		(int) 36 => array(
			'id' => '3449',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'When would you involve the police in keeping someone safe?',
			'description' => 'Choose three options ',
			'field_order' => '0',
			'attachment_id' => '1618',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The police should always be involved","When the service user consents or requests","When you feel there is immediate danger to yourself or others","When you believe a crime has been committed and the patient lacks the mental capacity to consent to police referral"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 37 => array(
			'id' => '3450',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'There is an allegation of sexual abuse by a carer. Which of the following actions would reduce the risk of further harm to the service user?',
			'description' => 'Choose one or more options ',
			'field_order' => '1',
			'attachment_id' => '1619',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Escalate immediately to senior staff in your own organisation following policy and procedure","Provide necessary information to assist in the enquiry"," Ensure the immediate on-going safety of the service user"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 38 => array(
			'id' => '3451',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'How do you help adults with care and support needs reduce the risk of harm or abuse from others?',
			'description' => 'Choose three options',
			'field_order' => '2',
			'attachment_id' => '1620',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Tell them what to do","Provide them with choices","Supply them with relevant information","Support them to speak out"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 39 => array(
			'id' => '3452',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'What would you do if a service user who has been subject to abuse declines a referral to safeguarding?',
			'description' => 'Choose four options',
			'field_order' => '3',
			'attachment_id' => '1621',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Document your actions and the rationale for them","Explore reasons for declining"," Consider whether to make a referral without consent"," Do nothing as they have declined referral","Assess whether they have the mental capacity to consent to the referral"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 40 => array(
			'id' => '3453',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Which agency do you refer to about requesting advocacy?',
			'description' => 'Choose the correct option',
			'field_order' => '4',
			'attachment_id' => '1622',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" The NHS","Police","Local authority"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 41 => array(
			'id' => '3454',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'There are different types of advocates.',
			'description' => 'Choose the correct option',
			'field_order' => '5',
			'attachment_id' => '1623',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 42 => array(
			'id' => '3455',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Consideration must always be made for advocacy to support involvement in assessing, planning and reviewing services for someone lacking mental capacity.',
			'description' => 'Choose the correct option',
			'field_order' => '6',
			'attachment_id' => '1624',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 43 => array(
			'id' => '3456',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'You are invited to a safeguarding meeting for a patient you have been supporting, you feel unsure about your role about this. Do you...',
			'description' => 'Choose the correct option ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Attend after speaking to your safeguarding lead for advice and support about what information you contribute","Decline to attend"," Attend but don\u2019t share any information"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 44 => array(
			'id' => '3457',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'A patient on the ward complains that a staff member has stolen £5 from their purse but they do not wish for you to report it further. Do you...',
			'description' => 'Choose the correct option',
			'field_order' => '8',
			'attachment_id' => '1625',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Assess their capacity to make the decision","Explain that you must report this as it could affect other people too","Respect their wishes in making safeguarding personal"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 45 => array(
			'id' => '3458',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where can you find information on the criteria for investigating in response to a safeguarding concern appropriate for your organisation?',
			'description' => 'Choose two options',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Local authority website","Local safeguarding policy and procedure","Nursing and Midwifery Council"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 46 => array(
			'id' => '3459',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Safeguarding enquiries involves coordinating the collection of information about abuse or neglect that is alleged to have occurred or might occur.',
			'description' => 'Choose the correct option ',
			'field_order' => '10',
			'attachment_id' => '1626',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 47 => array(
			'id' => '3460',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'What should be included in an accurate record of safeguarding concerns?',
			'description' => 'Choose six options',
			'field_order' => '11',
			'attachment_id' => '1627',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Details of concern","Date and time"," Actions taken and rationale"," Service users' own words","Your details","Your feelings about the incident"," Service users' details"]',
			'field_correct' => '0,1,2,3,4,6',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 48 => array(
			'id' => '3461',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Safeguarding records should be disposed of once the case is closed.',
			'description' => 'Choose the correct option ',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 49 => array(
			'id' => '3462',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'If you decline to share information in relation to a safeguarding enquiry, should you:',
			'description' => 'Choose one or more options',
			'field_order' => '13',
			'attachment_id' => '1628',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Record your decision with reasons why you are declining to share","Discuss your decision with your line manager and safeguarding lead"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 50 => array(
			'id' => '3463',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'If you are concerned a colleague or a member of the public is at risk of being drawn in to extremism you can raise a concern in confidence by following your organisations PREVENT policy and speaking to your PREVENT lead.',
			'description' => 'Choose the correct option ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 51 => array(
			'id' => '3464',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'text-image',
			'field_label' => 'The Care Act 2014',
			'description' => 'Safeguarding duties under the Care Act (2014) [3] and supporting statutory care and support guidance introduced the following: 

Duty to arrange an independent advocate
A duty for the local authority to arrange independent advocacy if a person would otherwise be unable to participate in or understand the care and support system. 

A framework for protecting adults
New statutory framework for protecting adults from neglect and abuse.

Enquiries into suspected abuse or neglect
Duty on local authorities to carry out enquiries into suspected abuse or neglect, past or present, experienced by adults still living and deceased.

Assessment of young people in transition from children's to adult services
Duty to assess young people and their carers in advance of transition from children’s to adult services, where they are likely to need care and support as an adult.

Care and Support Statutory Guidance (updated 2016)
The 'No Secrets' (Para 14.1) document has been replaced by Chapter 14 of the Care and Support Statutory Guidance (updated 2016).

',
			'field_order' => '1',
			'attachment_id' => '1630',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		)
	),
	'LessonFieldList' => array(
		(int) 537 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		(int) 538 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			)
		),
		(int) 539 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 540 => array(
			(int) 0 => array(
				[maximum depth reached]
			)
		),
		(int) 541 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		)
	),
	'LessonFieldAll' => array(
		(int) 0 => array(
			'id' => '3409',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'media-field',
			'field_label' => 'There has been significant media coverage of adult safeguarding issues, in particular relating to the abuse and neglect at Winterbourne View [1] and Mid-Staffordshire NHS Foundation Trust [2].',
			'description' => 'These events were significant drivers in placing safeguarding adults on a statutory footing and highlighted the importance of the role of health professionals in recognising, responding to and preventing abuse and neglect.

As a result, the Care Act (2014) [3] replaced previous laws and practice guidance.',
			'field_order' => '0',
			'attachment_id' => '1599',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 1 => array(
			'id' => '3464',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'text-image',
			'field_label' => 'The Care Act 2014',
			'description' => 'Safeguarding duties under the Care Act (2014) [3] and supporting statutory care and support guidance introduced the following: 

Duty to arrange an independent advocate
A duty for the local authority to arrange independent advocacy if a person would otherwise be unable to participate in or understand the care and support system. 

A framework for protecting adults
New statutory framework for protecting adults from neglect and abuse.

Enquiries into suspected abuse or neglect
Duty on local authorities to carry out enquiries into suspected abuse or neglect, past or present, experienced by adults still living and deceased.

Assessment of young people in transition from children's to adult services
Duty to assess young people and their carers in advance of transition from children’s to adult services, where they are likely to need care and support as an adult.

Care and Support Statutory Guidance (updated 2016)
The 'No Secrets' (Para 14.1) document has been replaced by Chapter 14 of the Care and Support Statutory Guidance (updated 2016).

',
			'field_order' => '1',
			'attachment_id' => '1630',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 2 => array(
			'id' => '3411',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'paragraph',
			'field_label' => 'The Principles Underpinning The Safeguarding Duties In The Care Act',
			'description' => 'The Care Act (2014) [3] is a major change in practice - a move away from the process-led, tickbox culture to a person-centred approach which achieves the outcomes that people want. Practice must focus on the person, which accounts for the possibility that individuals can change their mind on what outcomes they want through the course of the intervention.

You have learnt about the six principles of Adult Safeguarding in Level 1. Can you match the principle to the description?',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 3 => array(
			'id' => '3413',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '_________is people being supported and encouraged to make their own decisions and give informed consent.',
			'description' => 'select one answer',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 4 => array(
			'id' => '3412',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '__________ is better to take action before harm occurs.',
			'description' => 'select one answer',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '5',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 5 => array(
			'id' => '3414',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'multiple-choice',
			'field_label' => '__________________ is the least intrusive response necessary to the risk presented.',
			'description' => 'select one answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 6 => array(
			'id' => '3415',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'multiple-choice',
			'field_label' => '_______________ is support and representation for those in greatest need.',
			'description' => 'select one answer',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 7 => array(
			'id' => '3416',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'multiple-choice',
			'field_label' => '_______________is working in partnership to achieve local solutions in communities where we live. Communities have a part to play in preventing, detecting and reporting abuse and neglect.',
			'description' => 'select one answer',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 8 => array(
			'id' => '3417',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '____________is transparency in delivering safeguarding and fulfilling our duty of candour.',
			'description' => 'select one answer',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 9 => array(
			'id' => '3418',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'media-field',
			'field_label' => 'What are the outcomes that the principles aim for?',
			'description' => 'The outcomes are:',
			'field_order' => '9',
			'attachment_id' => '1601',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 10 => array(
			'id' => '3419',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'media-field',
			'field_label' => 'The Care Act 2014 - Terminology',
			'description' => 'The Care Act 2014 consolidates previous legislation. The Care and Support Statutory Guidance (updated 2016) replaced ‘No Secrets’ and the previous safeguarding procedures and terminology used.

The terms on the left of the diagram below have now been replaced with the terms on the right.',
			'field_order' => '10',
			'attachment_id' => '1602',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 11 => array(
			'id' => '3420',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'image-hotspot',
			'field_label' => 'Types of Abuse',
			'description' => 'In Level 1 you learnt about the different types of abuse. If you need a recap select each of the headings below.',
			'field_order' => '11',
			'attachment_id' => '1603',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":11.4844,"left":52,"annotation":"Physical abuse including:\n\nAssault\nHitting\nSlapping\nPushing\nMisuse of medication\nRestraint\nInappropriate physical sanctions"},{"top":12.4844,"left":140,"annotation":"Domestic violence including:\n\nPsychological\nPhysical\nSexual\nFinancial\nEmotional abuse\nSo called ‘honour’ based violence"},{"top":16.4844,"left":252,"annotation":"Sexual abuse including:\n\nRape\nIndecent exposure\nSexual harassment\nInappropriate looking or touching\nSexual teasing or innuendo\nSexual photography\nSubjection to pornography or witnessing sexual acts\nSexual assault\nSexual acts to which the adult has not consented or was pressured into consenting"},{"top":12.4844,"left":381,"annotation":"Psychological abuse including:\n\nEmotional abuse\nThreats of harm or abandonment\nDeprivation of contact\nHumiliation\nBlaming\nControlling\nIntimidation\nCoercion\nHarassment\nVerbal abuse\nCyber bullying\nIsolation\nUnreasonable and unjustified withdrawal of services or supportive networks"},{"top":40.4844,"left":88,"annotation":"Financial or material abuse including:\n\nTheft\nFraud\nInternet scamming\nCoercion in relation to an adult’s financial affairs or arrangements, including in connection with wills, property, inheritance or financial transactions\nThe misuse or misappropriation of property, possessions or benefits"},{"top":44.4844,"left":205,"annotation":"Modern slavery encompasses:\n\nSlavery\nHuman trafficking\nForced labour and domestic servitude.\nTraffickers and slave masters using whatever means they have at their disposal to coerce, deceive and force individuals into a life of abuse, servitude and inhumane treatment"},{"top":45.4844,"left":304,"annotation":"Discriminatory abuse including forms of:\n\nHarassment\nSlurs or similar treatment because of:\n\nRace\nGender and gender identity\nAge\nDisability\nSexual orientation\nReligion"},{"top":5.5,"left":453,"annotation":"Organisational abuse\n\nIncluding neglect and poor care practice within an institution or specific care setting such as a hospital or care home, for example, or in relation to care provided in one’s own home. This may range from one off incidents to on-going ill-treatment. It can be through neglect or poor professional practice as a result of the structure, policies, processes and practices within an organisation."},{"top":76.4844,"left":118,"annotation":"Neglect and acts of omission including:\n\nIgnoring medical emotional or physical care needs\nFailure to provide access to appropriate health, care and support or educational services\nThe withholding of the necessities of life, such as medication, adequate nutrition and heating"},{"top":71.4844,"left":215,"annotation":"Self-neglect\n\nThis covers a wide range of behaviour neglecting to care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding. It should be noted that self-neglect may not prompt a section 42 enquiry. An assessment should be made on a case by case basis. A decision on whether a response is required under safeguarding will depend on the adult’s ability to protect themselves by controlling their own behaviour. There may come a point when they are no longer able to do this, without external support."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 12 => array(
			'id' => '3422',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => 'Have a look at each scenario and decide what type of abuse it is.',
			'description' => 'Marjorie says that her carer is always showing her indecent pictures. He says he’s just having a laugh but she doesn’t want to see them.',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Physical","Pyhscilogical ","Sexual","Financial and material"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 13 => array(
			'id' => '3423',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '',
			'description' => 'Dominic lives in a care home. He is in pain as he has severe arthritis. He is told that he is not allowed any more pain relief as the person who dispenses medicine has gone home.',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Organisational abuse","Discriminatory","Financial and material","Domestic"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 14 => array(
			'id' => '3424',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'bullet-points',
			'field_label' => 'Multi-Agency Working and Parallel Processes',
			'description' => 'Different agencies and their processes.',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Local Statutory Safeguarding Adult Boards - A  multi-agency statutory board which has responsibility for providing strategic leadership and oversight in preventing, detecting and protecting adults who are at risk from abusive behaviour and practice in all its forms in each local authority area. This includes the implementation and quality assurance of local guidance and procedures for safeguarding adults. Each board should have its own website or web page on the local authority website. Your safeguarding lead will know who your organisations Board member or link is.","Multi-Agency Public Protection Arrangements (MAPPA) - The police have a shared responsibility for the management of sexual offenders and violent offenders when they are released from prison into the community. This is managed in partnership with probation staff and prison staff as well as other agencies such as social services, housing and health. This is known as the Multi-Agency Public Protection Agreements (MAPPA). The statutory MAPPA guidance can be accessed online via the GOV.UK website - see Resources for a link to the website.","Multi-Agency Risk Assessment Conference (MARAC) - Multi-Agency Risk Assessment Conference (MARAC) is a risk-management meeting where professionals share information on high-risk cases of domestic violence and abuse and put in place a risk management plan.  See your safeguarding and/or domestic abuse policy and speak to your safeguarding lead for more information.","Channel Panel - The Channel Panel in each local authority area is part of the Counter Terrorism Prevent strategy. The process is a multi-agency approach to identify and provide support to individuals who are at risk of being drawn into terrorism. ","Community Safety Partnerships - Community Safety Partnerships are made up of representatives from the police, Local Authorities, fire and rescue authorities, health, and probation services (the 'responsible authorities'). The responsible authorities work together to protect their local communities from crime and to help people feel safer.","Local Safeguarding Children Partnership (LSCP) - The Local Safeguarding Children Partnership (LSCP) is the key statutory mechanism for agreeing how the relevant agencies in each local area will co-operate to safeguard and promote the welfare of children in that locality, and for ensuring the effectiveness of what they do."]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 15 => array(
			'id' => '3425',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'The wellbeing principles from Section 1 of the Care Act [3] are:',
			'description' => '- Personal dignity
- Physical and mental health and emotional wellbeing
- Protection from abuse and neglect
- Control by the individual over their day-to-day life
- Participation in work, education, training or recreation
- Suitability of living accommodation
- Domestic, family and personal relationships
Social and economic wellbeing
- Contribution to society

All work with adults related to care and support has to adhere to these principles.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 16 => array(
			'id' => '3426',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Health Inequalities',
			'description' => 'Health is determined by a complex interaction between individual characteristics, lifestyle and the physical, social and economic environment. Health inequalities are avoidable, unfair and systematic differences in health between different groups of people.

Health inequalities affect people grouped by a range of factors:

Health inequalities affect people grouped by a range of factors:

- Socio-economic factors, for example, income
- Geography, for example, region or whether urban or rural
- Specific characteristics including those protected in law, such as sex, ethnicity or disability
- Socially excluded groups, for example, people experiencing homelessness [4]

These differences have a huge impact because they result in people who are worse off experiencing poorer health and shorter lives [5].

Taking action to reduce health inequalities is a key aim of the NHS Long Term Plan, published in 2019 [6].
',
			'field_order' => '1',
			'attachment_id' => '1604',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 17 => array(
			'id' => '3427',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Safeguarding Case Study Example',
			'description' => 'There are many forms of slavery and trafficking including sexual exploitation, domestic servitude, criminal exploitation and forced labour. In this case study we look at a scenario where modern slavery in the form of forced labour may be occurring. Individuals seeking better employment prospects are being manipulated into exploitative labour practices under false claims. Industries that commonly exploit for labour include agriculture, warehouse and distribution, manufacturing and food processing – sectors that require shift work and can hire through agencies that offer zero-hour contracts.

Anton is a 28-year-old Polish man, he attends the Emergency Department, he does not speak much English and is accompanied by another man who speaks English well and calls himself a friend although he is unable to provide an address for Anton. Anton is very thin, dirty and very subdued with poor eye contact. He is wearing very dirty clothes and cannot weight bear on his right foot. His friend says they work together on a construction site and that Anton got his foot trapped under some heavy equipment and now cannot walk properly.
On examination, Anton is wearing trainers not work boots, his foot is badly damaged, and you note a number of other injuries on his body and can smell alcohol on him.

This scenario should trigger professional curiosity about what is happening to this man.

What are the concerns?  What actions could you take?

Concerns - Anton appears in a poor state of general health as well as the acute foot injury.

He appears weak and confused with a smell of alcohol despite arriving from a construction site yet is not wearing any protective clothing including work boots.

He cannot speak for himself due to the language barrier and his non-verbal interaction is also poor, his friend is speaking for him.

Actions - Anton must be given a chance to speak to health professionals to ensure he gets the correct medical treatment and support and his wishes are known. Do not use any accompanying person as interpreter for the potential victim; if safe to do so, access an independent interpreter, see your local area protocol for access to interpreting.

Anton is showing signs of being a victim of modern slavery which must be explored further. He may be part of a group of people being abused in this way.

If Anton shares information that suggests he is being abused and exploited, a trauma informed approach must be used, and his responses and injuries carefully documented. The usual principles of consent apply to any referrals considered. 

Usual principles of mental capacity apply as set out in the Capacity section; individuals should be presumed to have the capacity to make decisions, including about their care and decisions on whether to agree to, or refuse, an examination, investigation or treatment, unless it is established that they lack capacity.  Speak to your safeguarding lead for advice. You can also contact:

- The Police on 999 if an emergency or 101 if no immediate danger
- The Modern Slavery Helpline on 08000 121 700 providing confidential advice and support whether you are sure or not that someone is a victim
- The Gangmasters and Labour Abuse Authority to report concerns about the mistreatment of workers on 0800 432 0804, or by email intelligence@glaa.gsi.gov.uk
- Report to local authority safeguarding adults and/or children team depending on the ages suspected',
			'field_order' => '2',
			'attachment_id' => '1605',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 18 => array(
			'id' => '3428',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Victims may have had limited or poor access to healthcare services which may exacerbate any medical conditions.',
			'description' => 'Healthcare professionals are in a unique position to help identify victims and to make a difference to their lives by…

Healthcare professionals are in a unique position to help identify victims and to make a difference to their lives by treating their injuries from physical violence or from occupational hazards, their illnesses from poor environmental conditions or from infectious diseases, their sexual health conditions linked to sexual abuse and exploitation, as well as helping to manage the psychological effects of their traumas.',
			'field_order' => '3',
			'attachment_id' => '1606',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 19 => array(
			'id' => '3429',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Making Safeguarding Personal',
			'description' => 'Making Safeguarding Personal (MSP) requires a shift in culture and practice in a response to what we know about what makes safeguarding more or less effective from the perspective of the person being safeguarded. It's about having a conversation with people about how we might respond in safeguarding situations in a way that enables their involvement, choice and control as well as improving quality of life, well-being and safety. It is:

A personalised approach that enables safeguarding to be done with, not to, people
A practice that focuses on achieving meaningful improvement to people's circumstances rather than just on ‘enquiry' and ‘conclusion’
An approach that utilises social work skills rather than just ‘putting people through a process’
An approach that enables practitioners, families, teams and SABs to know what difference has been made

(Safeguarding Adults: Advice and Guidance to Directors of Adult Social Services ADASS; LGA, 2013.)',
			'field_order' => '4',
			'attachment_id' => '1607',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 20 => array(
			'id' => '3430',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'The safeguarding process should be set out in your local multi-agency safeguarding adults with care and support needs procedures. 

This will include the local authority’s assessments that inform the safeguarding plan. For further information please see your local multi-agency safeguarding plan and the national guidance in resources. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 21 => array(
			'id' => '3431',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'The Adult Safeguarding Duty',
			'description' => 'The adult safeguarding duty applies to an adult, aged 18 or over, who:

- Has needs for care and support (whether or not the local authority is meeting any of those needs)
- Is experiencing, or at risk of, abuse or neglect
- As a result of those care and support needs is unable to protect themselves from either the risk, or the experience, of abuse and neglect
- The person’s inability to protect themselves must be the result of their care and support needs




',
			'field_order' => '6',
			'attachment_id' => '1608',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 22 => array(
			'id' => '3432',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'What about the local authority's role in carrying out enquiries?',
			'description' => 'Local authorities must make enquiries, or cause others to do so, if they reasonably suspect an adult who meets the above criteria is at risk of being abused or neglected.

In many cases, a health professional who already knows the adult, or if the enquiry is clinical in nature, may be best placed to begin the enquiry, following discussion with the local authority.

An enquiry could range from a conversation with the adult, representative or advocate (if they lack capacity or have substantial difficulty in understanding the enquiry) prior to initiating a formal enquiry under Section 42, right through to a much more formal multi-agency plan or course of action.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 23 => array(
			'id' => '3433',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'What about the Safeguarding Adults section 42 enquiry?',
			'description' => 'A Section 42 enquiry will:

- Protect the adult from abuse and/or neglect in accordance with their views and wishes (discovered in consultation with relatives, friends or advocate where needed) about the level of risk
- Establish the facts
- Assess the level of risk and needs of the adult for protection, support and redress and consider how they might be met
- Make decisions about what follow-up actions should take place with regards to the person or organisation causing harm
- Enable the adult to achieve resolution and recovery',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 24 => array(
			'id' => '3434',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'When should an enquiry be undertaken without consent?',
			'description' => 'An enquiry should be undertaken without consent when:

- The adult lacks the mental capacity to consent even after all practicable measures to maximise capacity have been carried out
- It would be in the best interests of an adult lacking capacity to carry out enquiries
- There is an overriding public interest due to others being at risk',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 25 => array(
			'id' => '3435',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'What should an enquiry take into account?',
			'description' => '- Providing individuals with information about options for resolution
- The individual's wishes and outcomes
- The individual's need for care and support, the risk of abuse or neglect, and the impact they may have on that individual
- The ability of the individual to safeguard themselves or the ability of their informal networks to increase the support they offer to safeguard the person (asset based)
- The potential impact on important relationships and the potential that action could increase the risk of harm
- Risk of repeated/increasingly serious acts including risks to others (adults/children)
- Supporting the individual to identify and manage risks
- Safeguarding enquiries and interventions must be undertaken within a framework of respect for the person's rights such as the right to liberty, autonomy and rights to private family life',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 26 => array(
			'id' => '3436',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Safeguarding adults is everybody’s business if you identify a concern you have a responsibility to raise and document it. You should be familiar with your organisation's policy and procedures for safeguarding adults which will align to the multi-agency policies and procedures for safeguarding adults that your local Safeguarding Adults Board oversee, facilitate and define the relationships between agencies to safeguard adults appropriately. The local authority is the lead accountable agency for safeguarding adults’ enquiries while the police lead on any criminal element. Health services and staff have a key role to play in identifying, recording, and raising concerns and then working in partnership with the local authorities (and police where necessary) to achieve the best outcome for the adult(s) involved.',
			'field_order' => '11',
			'attachment_id' => '1609',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 27 => array(
			'id' => '3437',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'The Mental Capacity Act',
			'description' => 'The Mental Capacity Act (MCA) [7] is the law which must be followed to assist and support people who may lack capacity and to discourage anyone who is involved in caring for them from being overly restrictive or controlling.

It also aims to balance people’s right to make decisions for themselves, and live as they choose, with their right to be protected from harm if they lack capacity to make decisions to protect themselves.

Anyone paid to work with, or on behalf of, someone who lacks capacity must ‘have regard to’ the MCA statutory code of practice.

In order to assess an individual's capacity, functional and diagnostic tests need to be carried out. Chapter 4 of the MCA code of practice describes how and when assessments of capacity should be carried out.

The MCA set up Independent Mental Capacity Advocates (IMCA) who MUST be instructed, and then consulted, for people lacking capacity who have no one else to support them in situations set out in Chapter 10 of the MCA Code of Practice.

The MCA [7] is based on five statutory principles, which must form the basis of decision making whenever someone aged 16 or above might lack mental capacity for a specific decision at the time it needs to be made. The MCA is fundamental to the Safeguarding Adults agenda.
',
			'field_order' => '12',
			'attachment_id' => '1629',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 28 => array(
			'id' => '3438',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'image-hotspot',
			'field_label' => 'Let's recap on the five principles of the Mental Capacity Act [7].',
			'description' => 'Select each number to find out more information.',
			'field_order' => '13',
			'attachment_id' => '1610',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":102.703,"left":69,"annotation":"1. Assumption of capacity\n\nThis means that nobody has to prove that they have capacity for a certain decision. The responsibility lies with someone who wishes to act under the MCA to show, on the balance of probability, that the person does lack capacity to make the decision."},{"top":48.7031,"left":132,"annotation":"2. Take all practical steps to support a person to make a decision\n\nThis means a person-centred search for what will help this individual to make their own decisions: this could be finding the best time of day, or a quiet place, or the best way to communicate with this individual. Chapter 3 of the MCA code of practice outlines ways to achieve the necessary best practice."},{"top":26.7031,"left":217,"annotation":"3. Unwise decisions\n\nA series of unwise decisions, or a particularly risky, uncharacteristic decision, may alert you to a possible lack of capacity. If this happens, apply the two-stage test of capacity (see MCA code of practice, chapter 4). But remember that we all make, with capacity, what other people might think ‘unwise or eccentric’ decisions."},{"top":40.7031,"left":305,"annotation":"4. Best interests\n\nThe MCA lays out a statutory checklist of factors that must be considered in working out what is in the best interests of the person. Crucial among these factors are the wishes and feelings of the person. These wishes and feelings must sometimes be overruled in their best interests, but they should be honoured wherever possible. See MCA code of practice, chapter 5 [4].\n\nWhen to instruct an Independent Mental Capacity Advocate (IMCA)\n\nAn IMCA must be instructed, via the local authority, and then consulted when a person has no one other than paid staff to support them and:\n\nAn NHS body is proposing serious medical treatment\nAn NHS body or local authority is proposing to arrange accommodation or a change of accommodation, in a hospital or a care home and - the person will stay in the hospital more than 28 days or - they will stay in the care home longer than 8 weeks.\nAn IMCA may be instructed to support someone who lacks capacity to make decisions concerning care reviews where there is no one else to consult - or adult protection cases where family and friends are involved."},{"top":215.703,"left":435,"annotation":"5. Least restrictive option\n\nThis is the ‘golden thread’ that runs through the MCA [4]. Always look for the option, among those available, that is the least restrictive of the person’s freedom of choice, and the closest to what they want."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 29 => array(
			'id' => '3439',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'Advocacy',
			'description' => 'Advocacy means getting support from another person to help a person express their views and wishes, and help stand up for their rights. There are many types of advocacy available where a person requires this support or has no-one to represent them.  An advocate is truly independent and is there to support rights wishes and feelings of the person involved and not to offer their own opinion or persuade a person to a particular decision. 

Statutory Advocacy services that support people in relation to the Care Act, Mental Capacity Act or Mental Health Act, are provided through the local authority who can advise on which type of advocate a person may need.

An advocate can:

- Listen to the person's views and concerns
- Help the person explore their options and rights (without pressuring them)
- Provide information to help the person make informed decisions
- Help the person contact relevant people, or contact them on their behalf
- Accompany and support the person in meetings or appointments

An advocate will not:

- Give their personal opinion
- Solve problems and make decisions for a person
- Make judgements about a person

',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 30 => array(
			'id' => '3440',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Deprivation of Liberty Safeguards (DoLS)',
			'description' => 'The Deprivation of Liberty Safeguards (DoLS) protect the rights of people aged 18 or over who lack capacity to consent to treatment in care homes, or hospitals, in England in Wales. A DoLS authorisation is required when the way they are cared for, in order to be given necessary care or treatment, deprives them of their liberty. DoLS provide this protection by ensuring that the deprivation of liberty cannot be arbitrary but must follow a process laid down in law, so that anyone can understand it, and the person has a right to challenge the deprivation of liberty in a court.

In settings other than care homes and hospitals, such as supported living or shared lives settings, or for people aged 16 or 17, the commissioner (or, if the care is privately funded, the local authority) must apply directly to the Court of Protection for authority to deprive the person of their liberty.

You can also contact the DoLS team in the adult care department of your local authority.

What is the ‘acid test’?

A Supreme Court ruling in 2014 widened the understanding of what constituted deprivation of liberty in the so-called ‘acid test'. It applies wherever a person lacks capacity to consent to the arrangements needed to provide necessary care or treatment and is not free to leave the care or treatment setting and is under continuous supervision and control in that setting.',
			'field_order' => '15',
			'attachment_id' => '1611',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 31 => array(
			'id' => '3441',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'media-field',
			'field_label' => 'General Data Protection Regulation (GDPR)',
			'description' => 'The General Data Protection Regulation (GDPR) [8] came into effect on the 25th May 2018 and replaces the Data Protection Directive.

The purpose of GDPR is to harmonise data privacy laws across Europe by standardising definitions and addressing legal uncertainty and the public's perception that their data is at risk.

GDPR protects an individual's fundamental rights and freedoms, in particular, their ‘Right to the Protection of Personal Data’.

It's important to remember that the GDPR is not a barrier to sharing information. Sharing information with the right people can be just as important as not disclosing to the wrong person.
 
You have a legal duty to share the information:
- If it will assist in the care or treatment of an individual and
- It is reasonable to believe that the individual understands the reason for sharing

Safeguarding concerns should always be fully documented, according to your organisation's policies and procedures, by the first person to report the suspected abuse and at all subsequent stages by those involved with the adult. Concerns should be recorded regardless of whether the concern progresses or is not substantiated. The outcome of any concern must be fully documented in the patient record. This may on occasion, also include digital images or recordings, and all health professionals utilising such media must follow current guidance from the Faculty of Forensic and Legal Medicine.

It is important to document concerns contemporaneously (at the time) and avoid personal opinions or speculation, only record the facts relevant to the concern and actions taken.',
			'field_order' => '0',
			'attachment_id' => '1612',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 32 => array(
			'id' => '3442',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'image-hotspot',
			'field_label' => 'Seven Golden Rules of Informatin Sharing',
			'description' => 'Have a look at the seven golden rules of information sharing.

Please ensure that you refer to the latest General Data Protection Regulation and information governance guidelines. See Resources for more information.',
			'field_order' => '1',
			'attachment_id' => '1613',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":58.1406,"left":60,"annotation":"1. Remember that the Data Protection Act is not a barrier to sharing information\n\nBoth the Data Protection Act [9] and GDPR provide a framework to ensure that personal information about living persons is shared appropriately."},{"top":66.1406,"left":185,"annotation":"2. Be open and honest\n\nBe open and honest with the person (and/or their family where appropriate) from the outset about why, what, how and with whom information will, or could, be shared, and seek their agreement, unless it is unsafe or inappropriate to do so."},{"top":56.1406,"left":330,"annotation":"3. Seek advice\n\nIf you are in any doubt, seek advice without disclosing the identity of the person where possible."},{"top":51.1406,"left":436,"annotation":"4. Share with consent where appropriate\n\nShare with consent where appropriate and, where possible, respect the wishes of those who do not consent to share confidential information. You may still share information without consent if, in your judgement, that lack of consent can be overridden in the public interest. You will need to base your judgement on the facts of the case.\n\nThe MCA code of practice, chapter 16 gives guidance on information sharing when a person lacks capacity to consent to it."},{"top":136.141,"left":152,"annotation":"5. Consider safety and well-being\n\nBase your information-sharing decisions on considerations of the safety and well-being of the person and others who may be affected by their actions."},{"top":129.141,"left":248,"annotation":"6. Necessary, proportionate, relevant, accurate, timely and secure\n\nEnsure that the information you share is necessary for the purpose for which you are sharing it, is shared only with those people who need to have it, is accurate and up-to-date, is shared in a timely fashion, and is shared securely."},{"top":144.141,"left":376,"annotation":"7. Keep a record\n\nKeep a record of your decision and the reasons for it – whether it is to share information or not. If you decide to share, then record what you have shared, with whom and for what purpose."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 33 => array(
			'id' => '3443',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'media-field',
			'field_label' => 'Remember that the duty to share is as important as the duty of confidentiality.',
			'description' => 'When sharing information, you should ask yourself the following questions:',
			'field_order' => '2',
			'attachment_id' => '1614',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 34 => array(
			'id' => '3444',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'paragraph',
			'field_label' => 'Exploitation and Safeguarding',
			'description' => 'Adult safeguarding recognises the vulnerability of adults with care and support needs to all forms of exploitation. For example, modern slavery is the recruitment, movement, harbouring or receiving of children, women or men through the use of force, coercion, abuse of vulnerability, deception or other means for the purpose of exploitation. Individuals may be trafficked into, out of, or within the UK, and they may be trafficked for a number of reasons including sexual exploitation, forced labour, domestic servitude and organ harvesting.

Another example is radicalisation which is where an individual comes to support any form of extremism and in some cases join terrorist groups. It has potential to cause significant harm to the individuals and others and is therefore aligned to safeguarding principles.

PREVENT is part of the UK's counter-terrorism strategy to reduce the risk of people (which will include patients and/or staff) becoming involved in or supporting terrorism. The Counter-Terrorism and Security Act (2015) [10] places a duty on statutory bodies including the NHS to have 'regard to the need to prevent people from being drawn into terrorism'.

The key challenge for the healthcare sector is to ensure that, where there are signs that someone has been or is being drawn into terrorism, the healthcare worker is trained to recognise those signs correctly and is aware of and can locate available support, including the Channel programme where necessary. Preventing someone from being drawn into terrorism is substantially comparable to safeguarding in other areas, including child abuse or domestic violence. (Home Office 2019).

Please visit the Statutory and Mandatory Preventing Radicalisation e-learning sessions for more information.',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 35 => array(
			'id' => '3445',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'single-choice',
			'field_label' => 'When should you share information?',
			'description' => 'Choose one option ',
			'field_order' => '4',
			'attachment_id' => '1615',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["You should share information only with the person\u2019s consent","Information should be shared without consent in circumstances where there are concerns for the safety of an individual","You should share information with other agencies when they ask for it"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 36 => array(
			'id' => '3448',
			'course_id' => '119',
			'course_lesson_id' => '540',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => '- Remain vigilant to the possibility of abuse and neglect occurring and be prepared to take action
- Protecting adults with care and support needs should be your first priority
- Always listen and believe those who tell you they have been abused. The adult should be involved from the beginning unless there are exceptional circumstances that would increase the risk of abuse. Record what the adult and, as appropriate, carer and/or other person present told you and what you have done in response
- It's important to have a personalised approach that enables safeguarding to be done with, not to, people
- Follow your organisation's safeguarding adults procedures and your local statutory multi-agency policy and procedures
- Never allow abusive behaviour to go unreported and ensure that your concern is escalated appropriately
- Always ensure that appropriate specific decisions are made in the best interests (where the adult has been identified as lacking capacity) of the individual and, where relevant, compliant with the Mental Capacity Act (2005)
- Recognise where and when care can amount to Deprivation of Liberty Safeguards (DoLS) and know what to do
- Remember that the duty to share is as important as the duty of confidentiality; be aware of the latest data protection and GDPR guidance

THINK, ACT and REPORT!  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:56:45',
			'modified' => '2024-08-06 15:56:45'
		),
		(int) 37 => array(
			'id' => '3449',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'When would you involve the police in keeping someone safe?',
			'description' => 'Choose three options ',
			'field_order' => '0',
			'attachment_id' => '1618',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The police should always be involved","When the service user consents or requests","When you feel there is immediate danger to yourself or others","When you believe a crime has been committed and the patient lacks the mental capacity to consent to police referral"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 38 => array(
			'id' => '3450',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'There is an allegation of sexual abuse by a carer. Which of the following actions would reduce the risk of further harm to the service user?',
			'description' => 'Choose one or more options ',
			'field_order' => '1',
			'attachment_id' => '1619',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Escalate immediately to senior staff in your own organisation following policy and procedure","Provide necessary information to assist in the enquiry"," Ensure the immediate on-going safety of the service user"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 39 => array(
			'id' => '3451',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'How do you help adults with care and support needs reduce the risk of harm or abuse from others?',
			'description' => 'Choose three options',
			'field_order' => '2',
			'attachment_id' => '1620',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Tell them what to do","Provide them with choices","Supply them with relevant information","Support them to speak out"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 40 => array(
			'id' => '3452',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'What would you do if a service user who has been subject to abuse declines a referral to safeguarding?',
			'description' => 'Choose four options',
			'field_order' => '3',
			'attachment_id' => '1621',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Document your actions and the rationale for them","Explore reasons for declining"," Consider whether to make a referral without consent"," Do nothing as they have declined referral","Assess whether they have the mental capacity to consent to the referral"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 41 => array(
			'id' => '3453',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Which agency do you refer to about requesting advocacy?',
			'description' => 'Choose the correct option',
			'field_order' => '4',
			'attachment_id' => '1622',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" The NHS","Police","Local authority"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 42 => array(
			'id' => '3454',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'There are different types of advocates.',
			'description' => 'Choose the correct option',
			'field_order' => '5',
			'attachment_id' => '1623',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 43 => array(
			'id' => '3455',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Consideration must always be made for advocacy to support involvement in assessing, planning and reviewing services for someone lacking mental capacity.',
			'description' => 'Choose the correct option',
			'field_order' => '6',
			'attachment_id' => '1624',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 44 => array(
			'id' => '3456',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'You are invited to a safeguarding meeting for a patient you have been supporting, you feel unsure about your role about this. Do you...',
			'description' => 'Choose the correct option ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Attend after speaking to your safeguarding lead for advice and support about what information you contribute","Decline to attend"," Attend but don\u2019t share any information"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 45 => array(
			'id' => '3457',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'A patient on the ward complains that a staff member has stolen £5 from their purse but they do not wish for you to report it further. Do you...',
			'description' => 'Choose the correct option',
			'field_order' => '8',
			'attachment_id' => '1625',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Assess their capacity to make the decision","Explain that you must report this as it could affect other people too","Respect their wishes in making safeguarding personal"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 46 => array(
			'id' => '3458',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where can you find information on the criteria for investigating in response to a safeguarding concern appropriate for your organisation?',
			'description' => 'Choose two options',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Local authority website","Local safeguarding policy and procedure","Nursing and Midwifery Council"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 47 => array(
			'id' => '3459',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Safeguarding enquiries involves coordinating the collection of information about abuse or neglect that is alleged to have occurred or might occur.',
			'description' => 'Choose the correct option ',
			'field_order' => '10',
			'attachment_id' => '1626',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 48 => array(
			'id' => '3460',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'What should be included in an accurate record of safeguarding concerns?',
			'description' => 'Choose six options',
			'field_order' => '11',
			'attachment_id' => '1627',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Details of concern","Date and time"," Actions taken and rationale"," Service users' own words","Your details","Your feelings about the incident"," Service users' details"]',
			'field_correct' => '0,1,2,3,4,6',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 49 => array(
			'id' => '3461',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Safeguarding records should be disposed of once the case is closed.',
			'description' => 'Choose the correct option ',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 50 => array(
			'id' => '3462',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'If you decline to share information in relation to a safeguarding enquiry, should you:',
			'description' => 'Choose one or more options',
			'field_order' => '13',
			'attachment_id' => '1628',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Record your decision with reasons why you are declining to share","Discuss your decision with your line manager and safeguarding lead"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 51 => array(
			'id' => '3463',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'If you are concerned a colleague or a member of the public is at risk of being drawn in to extremism you can raise a concern in confidence by following your organisations PREVENT policy and speaking to your PREVENT lead.',
			'description' => 'Choose the correct option ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3409',
		(int) 1 => '3464',
		(int) 2 => '3411',
		(int) 3 => '3413',
		(int) 4 => '3412',
		(int) 5 => '3414',
		(int) 6 => '3415',
		(int) 7 => '3416',
		(int) 8 => '3417',
		(int) 9 => '3418',
		(int) 10 => '3419',
		(int) 11 => '3420',
		(int) 12 => '3422',
		(int) 13 => '3423',
		(int) 14 => '3424',
		(int) 15 => '3425',
		(int) 16 => '3426',
		(int) 17 => '3427',
		(int) 18 => '3428',
		(int) 19 => '3429',
		(int) 20 => '3430',
		(int) 21 => '3431',
		(int) 22 => '3432',
		(int) 23 => '3433',
		(int) 24 => '3434',
		(int) 25 => '3435',
		(int) 26 => '3436',
		(int) 27 => '3437',
		(int) 28 => '3438',
		(int) 29 => '3439',
		(int) 30 => '3440',
		(int) 31 => '3441',
		(int) 32 => '3442',
		(int) 33 => '3443',
		(int) 34 => '3444',
		(int) 35 => '3445',
		(int) 36 => '3448',
		(int) 37 => '3449',
		(int) 38 => '3450',
		(int) 39 => '3451',
		(int) 40 => '3452',
		(int) 41 => '3453',
		(int) 42 => '3454',
		(int) 43 => '3455',
		(int) 44 => '3456',
		(int) 45 => '3457',
		(int) 46 => '3458',
		(int) 47 => '3459',
		(int) 48 => '3460',
		(int) 49 => '3461',
		(int) 50 => '3462',
		(int) 51 => '3463'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '119'
$k = (int) 5
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
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$termId = (int) 6
$taxTerms = array(
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		(int) 2 => 'KS3 (11-14)',
		(int) 1 => 'KS4 (14-16)',
		(int) 13 => 'KS5 (16-18)',
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		(int) 18 => 'Graduates',
		(int) 19 => 'Employability programmes',
		(int) 20 => 'Career change',
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	),
	'Course Type' => array(
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		(int) 63 => 'Work Experience',
		(int) 61 => 'Careers',
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		(int) 21 => 'In person experiences',
		(int) 9 => 'Interactive',
		(int) 10 => 'Live Sessions',
		(int) 22 => 'Non-accredited programme',
		(int) 11 => 'Podcasts',
		(int) 60 => 'Skills in the Workplace',
		(int) 12 => 'Webinars'
	),
	'Age Bracket' => array(
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		(int) 58 => '12 - 13',
		(int) 17 => '14 - 16',
		(int) 7 => '16 - 18',
		(int) 6 => '18+'
	)
)
$activeTerms = array(
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	(int) 196 => '2',
	(int) 244 => '3',
	(int) 199 => '4',
	(int) 285 => '5',
	(int) 201 => '6',
	(int) 200 => '7',
	(int) 198 => '8',
	(int) 143 => '9',
	(int) 203 => '10',
	(int) 204 => '11',
	(int) 205 => '12',
	(int) 247 => '13',
	(int) 248 => '17',
	(int) 278 => '18',
	(int) 279 => '19',
	(int) 280 => '20',
	(int) 739 => '21',
	(int) 740 => '22',
	(int) 744 => '24',
	(int) 679 => '25',
	(int) 944 => '26',
	(int) 1405 => '27',
	(int) 945 => '28',
	(int) 680 => '29',
	(int) 681 => '30',
	(int) 1933 => '35',
	(int) 1403 => '36',
	(int) 1420 => '37',
	(int) 1520 => '38',
	(int) 1521 => '39',
	(int) 1533 => '40',
	(int) 1539 => '41',
	(int) 1550 => '42',
	(int) 1551 => '43',
	(int) 1573 => '44',
	(int) 1585 => '45',
	(int) 1595 => '46',
	(int) 1766 => '47',
	(int) 1748 => '48',
	(int) 1754 => '49',
	(int) 1760 => '50',
	(int) 1778 => '51',
	(int) 1736 => '52',
	(int) 1772 => '53',
	(int) 1943 => '54',
	(int) 1941 => '55',
	(int) 2035 => '56',
	(int) 2181 => '57',
	(int) 3043 => '58',
	(int) 4314 => '59',
	(int) 5264 => '60',
	(int) 6359 => '61',
	(int) 6357 => '62',
	(int) 5774 => '63',
	(int) 6356 => '64'
)
$terms = array(
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)
$termName = 'Age Bracket'
$name = '18+'
$selectedTerms = array()
$termGroups = array(
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	)
)
$searchTerm = false
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		(int) 8 => '12',
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	),
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		(int) 6 => '63',
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	),
	(int) 116 => array(
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		(int) 6 => '63',
		(int) 7 => '61',
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)
$mainTermData = array(
	'Term' => array(
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		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
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		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
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$key = 'TermLink1'
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			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3561',
			(int) 1 => '3562',
			(int) 2 => '3563',
			(int) 3 => '3564',
			(int) 4 => '3565',
			(int) 5 => '3566',
			(int) 6 => '3567',
			(int) 7 => '3568',
			(int) 8 => '3569',
			(int) 9 => '3570',
			(int) 10 => '3571',
			(int) 11 => '3572',
			(int) 12 => '3573',
			(int) 13 => '3574',
			(int) 14 => '3575',
			(int) 15 => '3576',
			(int) 16 => '3577',
			(int) 17 => '3578',
			(int) 18 => '3580',
			(int) 19 => '3581',
			(int) 20 => '3582',
			(int) 21 => '3583',
			(int) 22 => '3585',
			(int) 23 => '3586',
			(int) 24 => '3584',
			(int) 25 => '3587',
			(int) 26 => '3588',
			(int) 27 => '3589',
			(int) 28 => '3590',
			(int) 29 => '3591',
			(int) 30 => '3592',
			(int) 31 => '3593',
			(int) 32 => '3594',
			(int) 33 => '3595',
			(int) 34 => '3596',
			(int) 35 => '3597',
			(int) 36 => '3598',
			(int) 37 => '3599',
			(int) 38 => '3600',
			(int) 39 => '3601',
			(int) 40 => '3602',
			(int) 41 => '3603',
			(int) 42 => '3604',
			(int) 43 => '3605',
			(int) 44 => '3606',
			(int) 45 => '3607',
			(int) 46 => '3608',
			(int) 47 => '3609',
			(int) 48 => '3610',
			(int) 49 => '3611',
			(int) 50 => '3612',
			(int) 51 => '3613',
			(int) 52 => '3614',
			(int) 53 => '3615',
			(int) 54 => '3619',
			(int) 55 => '3618',
			(int) 56 => '3617',
			(int) 57 => '3616',
			(int) 58 => '3622',
			(int) 59 => '3621',
			(int) 60 => '3620',
			(int) 61 => '3623',
			(int) 62 => '3624',
			(int) 63 => '3625',
			(int) 64 => '3626',
			(int) 65 => '3627',
			(int) 66 => '3628',
			(int) 67 => '3629',
			(int) 68 => '3630',
			(int) 69 => '3631',
			(int) 70 => '3632',
			(int) 71 => '3633',
			(int) 72 => '3634',
			(int) 73 => '3635',
			(int) 74 => '3636',
			(int) 75 => '3637',
			(int) 76 => '3638',
			(int) 77 => '3639'
		)
	),
	(int) 3 => array(
		'Course' => array(
			'id' => '121',
			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'field_count' => (int) 30,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 556 => array(
				[maximum depth reached]
			),
			(int) 557 => array(
				[maximum depth reached]
			),
			(int) 558 => array(
				[maximum depth reached]
			),
			(int) 559 => array(
				[maximum depth reached]
			),
			(int) 560 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3531',
			(int) 1 => '3532',
			(int) 2 => '3533',
			(int) 3 => '3534',
			(int) 4 => '3535',
			(int) 5 => '3536',
			(int) 6 => '3537',
			(int) 7 => '3538',
			(int) 8 => '3539',
			(int) 9 => '3540',
			(int) 10 => '3541',
			(int) 11 => '3542',
			(int) 12 => '3543',
			(int) 13 => '3544',
			(int) 14 => '3545',
			(int) 15 => '3546',
			(int) 16 => '3547',
			(int) 17 => '3548',
			(int) 18 => '3549',
			(int) 19 => '3550',
			(int) 20 => '3551',
			(int) 21 => '3552',
			(int) 22 => '3553',
			(int) 23 => '3554',
			(int) 24 => '3555',
			(int) 25 => '3556',
			(int) 26 => '3557',
			(int) 27 => '3558',
			(int) 28 => '3559',
			(int) 29 => '3560'
		)
	),
	(int) 4 => array(
		'Course' => array(
			'id' => '120',
			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'field_count' => (int) 39,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
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			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
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			'created' => '2024-08-06 13:20:44',
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			'course_title' => 'Autism Awareness E-Learning',
			'description' => 'A training package designed to ensure all Trust staff have a basic awareness of autism.',
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			'created' => '2024-07-31 08:34:50',
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$course = array(
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		'id' => '119',
		'course_title' => 'Safeguarding Adults Level 2',
		'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
		'banner_media_id' => '1616',
		'thumbnail_media_id' => '1617',
		'logo_media_id' => null,
		'banner_align_id' => '5',
		'type_id' => '0',
		'created_user_id' => '8779',
		'course_length' => '40 minutes',
		'expiry_date' => null,
		'expired' => '0',
		'active' => '1',
		'created' => '2024-08-06 14:59:06',
		'modified' => '2024-08-07 14:26:42'
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			'id' => '537',
			'course_id' => '119',
			'lesson_title' => 'Key Legislation and Guidance Relating to Safeguarding',
			'description' => 'This session builds on Safeguarding Adults Level 1. It will equip you with a greater knowledge and understanding of:<br /><br />Your role in relation to safeguarding adults<br />How to raise safeguarding concerns<br />Multi-agency adult safeguarding procedures<br />Note that the session refers to UK-wide and England-only legislation and guidance, but does not specifically cover legislation relevant to Northern Ireland, Scotland or Wales.<br /><br />This session addresses the Level 2 learning outcomes for Safeguarding Adults defined in the UK Core Skills Training Framework (UK CSTF).',
			'lesson_order' => '0',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 15:00:07',
			'modified' => '2024-08-06 15:00:10'
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		(int) 1 => array(
			'id' => '538',
			'course_id' => '119',
			'lesson_title' => 'Wellbeing Principles',
			'description' => 'Learn about the Wellbeing Principles.',
			'lesson_order' => '1',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 15:26:05',
			'modified' => '2024-08-06 15:26:05'
		),
		(int) 2 => array(
			'id' => '539',
			'course_id' => '119',
			'lesson_title' => 'Rules for Sharing Information',
			'description' => 'How to share information safely.',
			'lesson_order' => '2',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 15:49:24',
			'modified' => '2024-08-06 15:49:24'
		),
		(int) 3 => array(
			'id' => '540',
			'course_id' => '119',
			'lesson_title' => 'Session Summary ',
			'description' => 'Summary of topics learned.',
			'lesson_order' => '3',
			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 15:55:17',
			'modified' => '2024-08-06 15:55:17'
		),
		(int) 4 => array(
			'id' => '541',
			'course_id' => '119',
			'lesson_title' => 'eAssessment ',
			'description' => 'This eAssessment aligns to the UK Core Skills Training Framework learning outcomes and assessment criteria.<br />You will need to achieve a pass mark of at least 80% in the eAssessment to successfully complete this training course.',
			'lesson_order' => '4',
			'created_user_id' => '8779',
			'session_length' => '15 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 08:03:52',
			'modified' => '2024-08-07 08:03:52'
		)
	),
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		(int) 0 => array(
			'id' => '3409',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'media-field',
			'field_label' => 'There has been significant media coverage of adult safeguarding issues, in particular relating to the abuse and neglect at Winterbourne View [1] and Mid-Staffordshire NHS Foundation Trust [2].',
			'description' => 'These events were significant drivers in placing safeguarding adults on a statutory footing and highlighted the importance of the role of health professionals in recognising, responding to and preventing abuse and neglect.

As a result, the Care Act (2014) [3] replaced previous laws and practice guidance.',
			'field_order' => '0',
			'attachment_id' => '1599',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 1 => array(
			'id' => '3411',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'paragraph',
			'field_label' => 'The Principles Underpinning The Safeguarding Duties In The Care Act',
			'description' => 'The Care Act (2014) [3] is a major change in practice - a move away from the process-led, tickbox culture to a person-centred approach which achieves the outcomes that people want. Practice must focus on the person, which accounts for the possibility that individuals can change their mind on what outcomes they want through the course of the intervention.

You have learnt about the six principles of Adult Safeguarding in Level 1. Can you match the principle to the description?',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
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		(int) 2 => array(
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			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '__________ is better to take action before harm occurs.',
			'description' => 'select one answer',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '5',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 3 => array(
			'id' => '3413',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '_________is people being supported and encouraged to make their own decisions and give informed consent.',
			'description' => 'select one answer',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 4 => array(
			'id' => '3414',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'multiple-choice',
			'field_label' => '__________________ is the least intrusive response necessary to the risk presented.',
			'description' => 'select one answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 5 => array(
			'id' => '3415',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'multiple-choice',
			'field_label' => '_______________ is support and representation for those in greatest need.',
			'description' => 'select one answer',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 6 => array(
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			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'multiple-choice',
			'field_label' => '_______________is working in partnership to achieve local solutions in communities where we live. Communities have a part to play in preventing, detecting and reporting abuse and neglect.',
			'description' => 'select one answer',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
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			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '____________is transparency in delivering safeguarding and fulfilling our duty of candour.',
			'description' => 'select one answer',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 8 => array(
			'id' => '3418',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'media-field',
			'field_label' => 'What are the outcomes that the principles aim for?',
			'description' => 'The outcomes are:',
			'field_order' => '9',
			'attachment_id' => '1601',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 9 => array(
			'id' => '3419',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'media-field',
			'field_label' => 'The Care Act 2014 - Terminology',
			'description' => 'The Care Act 2014 consolidates previous legislation. The Care and Support Statutory Guidance (updated 2016) replaced ‘No Secrets’ and the previous safeguarding procedures and terminology used.

The terms on the left of the diagram below have now been replaced with the terms on the right.',
			'field_order' => '10',
			'attachment_id' => '1602',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 10 => array(
			'id' => '3420',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'image-hotspot',
			'field_label' => 'Types of Abuse',
			'description' => 'In Level 1 you learnt about the different types of abuse. If you need a recap select each of the headings below.',
			'field_order' => '11',
			'attachment_id' => '1603',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":11.4844,"left":52,"annotation":"Physical abuse including:\n\nAssault\nHitting\nSlapping\nPushing\nMisuse of medication\nRestraint\nInappropriate physical sanctions"},{"top":12.4844,"left":140,"annotation":"Domestic violence including:\n\nPsychological\nPhysical\nSexual\nFinancial\nEmotional abuse\nSo called ‘honour’ based violence"},{"top":16.4844,"left":252,"annotation":"Sexual abuse including:\n\nRape\nIndecent exposure\nSexual harassment\nInappropriate looking or touching\nSexual teasing or innuendo\nSexual photography\nSubjection to pornography or witnessing sexual acts\nSexual assault\nSexual acts to which the adult has not consented or was pressured into consenting"},{"top":12.4844,"left":381,"annotation":"Psychological abuse including:\n\nEmotional abuse\nThreats of harm or abandonment\nDeprivation of contact\nHumiliation\nBlaming\nControlling\nIntimidation\nCoercion\nHarassment\nVerbal abuse\nCyber bullying\nIsolation\nUnreasonable and unjustified withdrawal of services or supportive networks"},{"top":40.4844,"left":88,"annotation":"Financial or material abuse including:\n\nTheft\nFraud\nInternet scamming\nCoercion in relation to an adult’s financial affairs or arrangements, including in connection with wills, property, inheritance or financial transactions\nThe misuse or misappropriation of property, possessions or benefits"},{"top":44.4844,"left":205,"annotation":"Modern slavery encompasses:\n\nSlavery\nHuman trafficking\nForced labour and domestic servitude.\nTraffickers and slave masters using whatever means they have at their disposal to coerce, deceive and force individuals into a life of abuse, servitude and inhumane treatment"},{"top":45.4844,"left":304,"annotation":"Discriminatory abuse including forms of:\n\nHarassment\nSlurs or similar treatment because of:\n\nRace\nGender and gender identity\nAge\nDisability\nSexual orientation\nReligion"},{"top":5.5,"left":453,"annotation":"Organisational abuse\n\nIncluding neglect and poor care practice within an institution or specific care setting such as a hospital or care home, for example, or in relation to care provided in one’s own home. This may range from one off incidents to on-going ill-treatment. It can be through neglect or poor professional practice as a result of the structure, policies, processes and practices within an organisation."},{"top":76.4844,"left":118,"annotation":"Neglect and acts of omission including:\n\nIgnoring medical emotional or physical care needs\nFailure to provide access to appropriate health, care and support or educational services\nThe withholding of the necessities of life, such as medication, adequate nutrition and heating"},{"top":71.4844,"left":215,"annotation":"Self-neglect\n\nThis covers a wide range of behaviour neglecting to care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding. It should be noted that self-neglect may not prompt a section 42 enquiry. An assessment should be made on a case by case basis. A decision on whether a response is required under safeguarding will depend on the adult’s ability to protect themselves by controlling their own behaviour. There may come a point when they are no longer able to do this, without external support."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 11 => array(
			'id' => '3422',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => 'Have a look at each scenario and decide what type of abuse it is.',
			'description' => 'Marjorie says that her carer is always showing her indecent pictures. He says he’s just having a laugh but she doesn’t want to see them.',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Physical","Pyhscilogical ","Sexual","Financial and material"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 12 => array(
			'id' => '3423',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '',
			'description' => 'Dominic lives in a care home. He is in pain as he has severe arthritis. He is told that he is not allowed any more pain relief as the person who dispenses medicine has gone home.',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Organisational abuse","Discriminatory","Financial and material","Domestic"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 13 => array(
			'id' => '3424',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'bullet-points',
			'field_label' => 'Multi-Agency Working and Parallel Processes',
			'description' => 'Different agencies and their processes.',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Local Statutory Safeguarding Adult Boards - A  multi-agency statutory board which has responsibility for providing strategic leadership and oversight in preventing, detecting and protecting adults who are at risk from abusive behaviour and practice in all its forms in each local authority area. This includes the implementation and quality assurance of local guidance and procedures for safeguarding adults. Each board should have its own website or web page on the local authority website. Your safeguarding lead will know who your organisations Board member or link is.","Multi-Agency Public Protection Arrangements (MAPPA) - The police have a shared responsibility for the management of sexual offenders and violent offenders when they are released from prison into the community. This is managed in partnership with probation staff and prison staff as well as other agencies such as social services, housing and health. This is known as the Multi-Agency Public Protection Agreements (MAPPA). The statutory MAPPA guidance can be accessed online via the GOV.UK website - see Resources for a link to the website.","Multi-Agency Risk Assessment Conference (MARAC) - Multi-Agency Risk Assessment Conference (MARAC) is a risk-management meeting where professionals share information on high-risk cases of domestic violence and abuse and put in place a risk management plan.  See your safeguarding and/or domestic abuse policy and speak to your safeguarding lead for more information.","Channel Panel - The Channel Panel in each local authority area is part of the Counter Terrorism Prevent strategy. The process is a multi-agency approach to identify and provide support to individuals who are at risk of being drawn into terrorism. ","Community Safety Partnerships - Community Safety Partnerships are made up of representatives from the police, Local Authorities, fire and rescue authorities, health, and probation services (the 'responsible authorities'). The responsible authorities work together to protect their local communities from crime and to help people feel safer.","Local Safeguarding Children Partnership (LSCP) - The Local Safeguarding Children Partnership (LSCP) is the key statutory mechanism for agreeing how the relevant agencies in each local area will co-operate to safeguard and promote the welfare of children in that locality, and for ensuring the effectiveness of what they do."]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 14 => array(
			'id' => '3425',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'The wellbeing principles from Section 1 of the Care Act [3] are:',
			'description' => '- Personal dignity
- Physical and mental health and emotional wellbeing
- Protection from abuse and neglect
- Control by the individual over their day-to-day life
- Participation in work, education, training or recreation
- Suitability of living accommodation
- Domestic, family and personal relationships
Social and economic wellbeing
- Contribution to society

All work with adults related to care and support has to adhere to these principles.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 15 => array(
			'id' => '3426',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Health Inequalities',
			'description' => 'Health is determined by a complex interaction between individual characteristics, lifestyle and the physical, social and economic environment. Health inequalities are avoidable, unfair and systematic differences in health between different groups of people.

Health inequalities affect people grouped by a range of factors:

Health inequalities affect people grouped by a range of factors:

- Socio-economic factors, for example, income
- Geography, for example, region or whether urban or rural
- Specific characteristics including those protected in law, such as sex, ethnicity or disability
- Socially excluded groups, for example, people experiencing homelessness [4]

These differences have a huge impact because they result in people who are worse off experiencing poorer health and shorter lives [5].

Taking action to reduce health inequalities is a key aim of the NHS Long Term Plan, published in 2019 [6].
',
			'field_order' => '1',
			'attachment_id' => '1604',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 16 => array(
			'id' => '3427',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Safeguarding Case Study Example',
			'description' => 'There are many forms of slavery and trafficking including sexual exploitation, domestic servitude, criminal exploitation and forced labour. In this case study we look at a scenario where modern slavery in the form of forced labour may be occurring. Individuals seeking better employment prospects are being manipulated into exploitative labour practices under false claims. Industries that commonly exploit for labour include agriculture, warehouse and distribution, manufacturing and food processing – sectors that require shift work and can hire through agencies that offer zero-hour contracts.

Anton is a 28-year-old Polish man, he attends the Emergency Department, he does not speak much English and is accompanied by another man who speaks English well and calls himself a friend although he is unable to provide an address for Anton. Anton is very thin, dirty and very subdued with poor eye contact. He is wearing very dirty clothes and cannot weight bear on his right foot. His friend says they work together on a construction site and that Anton got his foot trapped under some heavy equipment and now cannot walk properly.
On examination, Anton is wearing trainers not work boots, his foot is badly damaged, and you note a number of other injuries on his body and can smell alcohol on him.

This scenario should trigger professional curiosity about what is happening to this man.

What are the concerns?  What actions could you take?

Concerns - Anton appears in a poor state of general health as well as the acute foot injury.

He appears weak and confused with a smell of alcohol despite arriving from a construction site yet is not wearing any protective clothing including work boots.

He cannot speak for himself due to the language barrier and his non-verbal interaction is also poor, his friend is speaking for him.

Actions - Anton must be given a chance to speak to health professionals to ensure he gets the correct medical treatment and support and his wishes are known. Do not use any accompanying person as interpreter for the potential victim; if safe to do so, access an independent interpreter, see your local area protocol for access to interpreting.

Anton is showing signs of being a victim of modern slavery which must be explored further. He may be part of a group of people being abused in this way.

If Anton shares information that suggests he is being abused and exploited, a trauma informed approach must be used, and his responses and injuries carefully documented. The usual principles of consent apply to any referrals considered. 

Usual principles of mental capacity apply as set out in the Capacity section; individuals should be presumed to have the capacity to make decisions, including about their care and decisions on whether to agree to, or refuse, an examination, investigation or treatment, unless it is established that they lack capacity.  Speak to your safeguarding lead for advice. You can also contact:

- The Police on 999 if an emergency or 101 if no immediate danger
- The Modern Slavery Helpline on 08000 121 700 providing confidential advice and support whether you are sure or not that someone is a victim
- The Gangmasters and Labour Abuse Authority to report concerns about the mistreatment of workers on 0800 432 0804, or by email intelligence@glaa.gsi.gov.uk
- Report to local authority safeguarding adults and/or children team depending on the ages suspected',
			'field_order' => '2',
			'attachment_id' => '1605',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 17 => array(
			'id' => '3428',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Victims may have had limited or poor access to healthcare services which may exacerbate any medical conditions.',
			'description' => 'Healthcare professionals are in a unique position to help identify victims and to make a difference to their lives by…

Healthcare professionals are in a unique position to help identify victims and to make a difference to their lives by treating their injuries from physical violence or from occupational hazards, their illnesses from poor environmental conditions or from infectious diseases, their sexual health conditions linked to sexual abuse and exploitation, as well as helping to manage the psychological effects of their traumas.',
			'field_order' => '3',
			'attachment_id' => '1606',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 18 => array(
			'id' => '3429',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Making Safeguarding Personal',
			'description' => 'Making Safeguarding Personal (MSP) requires a shift in culture and practice in a response to what we know about what makes safeguarding more or less effective from the perspective of the person being safeguarded. It's about having a conversation with people about how we might respond in safeguarding situations in a way that enables their involvement, choice and control as well as improving quality of life, well-being and safety. It is:

A personalised approach that enables safeguarding to be done with, not to, people
A practice that focuses on achieving meaningful improvement to people's circumstances rather than just on ‘enquiry' and ‘conclusion’
An approach that utilises social work skills rather than just ‘putting people through a process’
An approach that enables practitioners, families, teams and SABs to know what difference has been made

(Safeguarding Adults: Advice and Guidance to Directors of Adult Social Services ADASS; LGA, 2013.)',
			'field_order' => '4',
			'attachment_id' => '1607',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 19 => array(
			'id' => '3430',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'The safeguarding process should be set out in your local multi-agency safeguarding adults with care and support needs procedures. 

This will include the local authority’s assessments that inform the safeguarding plan. For further information please see your local multi-agency safeguarding plan and the national guidance in resources. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 20 => array(
			'id' => '3431',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'The Adult Safeguarding Duty',
			'description' => 'The adult safeguarding duty applies to an adult, aged 18 or over, who:

- Has needs for care and support (whether or not the local authority is meeting any of those needs)
- Is experiencing, or at risk of, abuse or neglect
- As a result of those care and support needs is unable to protect themselves from either the risk, or the experience, of abuse and neglect
- The person’s inability to protect themselves must be the result of their care and support needs




',
			'field_order' => '6',
			'attachment_id' => '1608',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 21 => array(
			'id' => '3432',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'What about the local authority's role in carrying out enquiries?',
			'description' => 'Local authorities must make enquiries, or cause others to do so, if they reasonably suspect an adult who meets the above criteria is at risk of being abused or neglected.

In many cases, a health professional who already knows the adult, or if the enquiry is clinical in nature, may be best placed to begin the enquiry, following discussion with the local authority.

An enquiry could range from a conversation with the adult, representative or advocate (if they lack capacity or have substantial difficulty in understanding the enquiry) prior to initiating a formal enquiry under Section 42, right through to a much more formal multi-agency plan or course of action.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 22 => array(
			'id' => '3433',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'What about the Safeguarding Adults section 42 enquiry?',
			'description' => 'A Section 42 enquiry will:

- Protect the adult from abuse and/or neglect in accordance with their views and wishes (discovered in consultation with relatives, friends or advocate where needed) about the level of risk
- Establish the facts
- Assess the level of risk and needs of the adult for protection, support and redress and consider how they might be met
- Make decisions about what follow-up actions should take place with regards to the person or organisation causing harm
- Enable the adult to achieve resolution and recovery',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 23 => array(
			'id' => '3434',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'When should an enquiry be undertaken without consent?',
			'description' => 'An enquiry should be undertaken without consent when:

- The adult lacks the mental capacity to consent even after all practicable measures to maximise capacity have been carried out
- It would be in the best interests of an adult lacking capacity to carry out enquiries
- There is an overriding public interest due to others being at risk',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 24 => array(
			'id' => '3435',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'What should an enquiry take into account?',
			'description' => '- Providing individuals with information about options for resolution
- The individual's wishes and outcomes
- The individual's need for care and support, the risk of abuse or neglect, and the impact they may have on that individual
- The ability of the individual to safeguard themselves or the ability of their informal networks to increase the support they offer to safeguard the person (asset based)
- The potential impact on important relationships and the potential that action could increase the risk of harm
- Risk of repeated/increasingly serious acts including risks to others (adults/children)
- Supporting the individual to identify and manage risks
- Safeguarding enquiries and interventions must be undertaken within a framework of respect for the person's rights such as the right to liberty, autonomy and rights to private family life',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 25 => array(
			'id' => '3436',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Safeguarding adults is everybody’s business if you identify a concern you have a responsibility to raise and document it. You should be familiar with your organisation's policy and procedures for safeguarding adults which will align to the multi-agency policies and procedures for safeguarding adults that your local Safeguarding Adults Board oversee, facilitate and define the relationships between agencies to safeguard adults appropriately. The local authority is the lead accountable agency for safeguarding adults’ enquiries while the police lead on any criminal element. Health services and staff have a key role to play in identifying, recording, and raising concerns and then working in partnership with the local authorities (and police where necessary) to achieve the best outcome for the adult(s) involved.',
			'field_order' => '11',
			'attachment_id' => '1609',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 26 => array(
			'id' => '3437',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'The Mental Capacity Act',
			'description' => 'The Mental Capacity Act (MCA) [7] is the law which must be followed to assist and support people who may lack capacity and to discourage anyone who is involved in caring for them from being overly restrictive or controlling.

It also aims to balance people’s right to make decisions for themselves, and live as they choose, with their right to be protected from harm if they lack capacity to make decisions to protect themselves.

Anyone paid to work with, or on behalf of, someone who lacks capacity must ‘have regard to’ the MCA statutory code of practice.

In order to assess an individual's capacity, functional and diagnostic tests need to be carried out. Chapter 4 of the MCA code of practice describes how and when assessments of capacity should be carried out.

The MCA set up Independent Mental Capacity Advocates (IMCA) who MUST be instructed, and then consulted, for people lacking capacity who have no one else to support them in situations set out in Chapter 10 of the MCA Code of Practice.

The MCA [7] is based on five statutory principles, which must form the basis of decision making whenever someone aged 16 or above might lack mental capacity for a specific decision at the time it needs to be made. The MCA is fundamental to the Safeguarding Adults agenda.
',
			'field_order' => '12',
			'attachment_id' => '1629',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 27 => array(
			'id' => '3438',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'image-hotspot',
			'field_label' => 'Let's recap on the five principles of the Mental Capacity Act [7].',
			'description' => 'Select each number to find out more information.',
			'field_order' => '13',
			'attachment_id' => '1610',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":102.703,"left":69,"annotation":"1. Assumption of capacity\n\nThis means that nobody has to prove that they have capacity for a certain decision. The responsibility lies with someone who wishes to act under the MCA to show, on the balance of probability, that the person does lack capacity to make the decision."},{"top":48.7031,"left":132,"annotation":"2. Take all practical steps to support a person to make a decision\n\nThis means a person-centred search for what will help this individual to make their own decisions: this could be finding the best time of day, or a quiet place, or the best way to communicate with this individual. Chapter 3 of the MCA code of practice outlines ways to achieve the necessary best practice."},{"top":26.7031,"left":217,"annotation":"3. Unwise decisions\n\nA series of unwise decisions, or a particularly risky, uncharacteristic decision, may alert you to a possible lack of capacity. If this happens, apply the two-stage test of capacity (see MCA code of practice, chapter 4). But remember that we all make, with capacity, what other people might think ‘unwise or eccentric’ decisions."},{"top":40.7031,"left":305,"annotation":"4. Best interests\n\nThe MCA lays out a statutory checklist of factors that must be considered in working out what is in the best interests of the person. Crucial among these factors are the wishes and feelings of the person. These wishes and feelings must sometimes be overruled in their best interests, but they should be honoured wherever possible. See MCA code of practice, chapter 5 [4].\n\nWhen to instruct an Independent Mental Capacity Advocate (IMCA)\n\nAn IMCA must be instructed, via the local authority, and then consulted when a person has no one other than paid staff to support them and:\n\nAn NHS body is proposing serious medical treatment\nAn NHS body or local authority is proposing to arrange accommodation or a change of accommodation, in a hospital or a care home and - the person will stay in the hospital more than 28 days or - they will stay in the care home longer than 8 weeks.\nAn IMCA may be instructed to support someone who lacks capacity to make decisions concerning care reviews where there is no one else to consult - or adult protection cases where family and friends are involved."},{"top":215.703,"left":435,"annotation":"5. Least restrictive option\n\nThis is the ‘golden thread’ that runs through the MCA [4]. Always look for the option, among those available, that is the least restrictive of the person’s freedom of choice, and the closest to what they want."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 28 => array(
			'id' => '3439',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'Advocacy',
			'description' => 'Advocacy means getting support from another person to help a person express their views and wishes, and help stand up for their rights. There are many types of advocacy available where a person requires this support or has no-one to represent them.  An advocate is truly independent and is there to support rights wishes and feelings of the person involved and not to offer their own opinion or persuade a person to a particular decision. 

Statutory Advocacy services that support people in relation to the Care Act, Mental Capacity Act or Mental Health Act, are provided through the local authority who can advise on which type of advocate a person may need.

An advocate can:

- Listen to the person's views and concerns
- Help the person explore their options and rights (without pressuring them)
- Provide information to help the person make informed decisions
- Help the person contact relevant people, or contact them on their behalf
- Accompany and support the person in meetings or appointments

An advocate will not:

- Give their personal opinion
- Solve problems and make decisions for a person
- Make judgements about a person

',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 29 => array(
			'id' => '3440',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Deprivation of Liberty Safeguards (DoLS)',
			'description' => 'The Deprivation of Liberty Safeguards (DoLS) protect the rights of people aged 18 or over who lack capacity to consent to treatment in care homes, or hospitals, in England in Wales. A DoLS authorisation is required when the way they are cared for, in order to be given necessary care or treatment, deprives them of their liberty. DoLS provide this protection by ensuring that the deprivation of liberty cannot be arbitrary but must follow a process laid down in law, so that anyone can understand it, and the person has a right to challenge the deprivation of liberty in a court.

In settings other than care homes and hospitals, such as supported living or shared lives settings, or for people aged 16 or 17, the commissioner (or, if the care is privately funded, the local authority) must apply directly to the Court of Protection for authority to deprive the person of their liberty.

You can also contact the DoLS team in the adult care department of your local authority.

What is the ‘acid test’?

A Supreme Court ruling in 2014 widened the understanding of what constituted deprivation of liberty in the so-called ‘acid test'. It applies wherever a person lacks capacity to consent to the arrangements needed to provide necessary care or treatment and is not free to leave the care or treatment setting and is under continuous supervision and control in that setting.',
			'field_order' => '15',
			'attachment_id' => '1611',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 30 => array(
			'id' => '3441',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'media-field',
			'field_label' => 'General Data Protection Regulation (GDPR)',
			'description' => 'The General Data Protection Regulation (GDPR) [8] came into effect on the 25th May 2018 and replaces the Data Protection Directive.

The purpose of GDPR is to harmonise data privacy laws across Europe by standardising definitions and addressing legal uncertainty and the public's perception that their data is at risk.

GDPR protects an individual's fundamental rights and freedoms, in particular, their ‘Right to the Protection of Personal Data’.

It's important to remember that the GDPR is not a barrier to sharing information. Sharing information with the right people can be just as important as not disclosing to the wrong person.
 
You have a legal duty to share the information:
- If it will assist in the care or treatment of an individual and
- It is reasonable to believe that the individual understands the reason for sharing

Safeguarding concerns should always be fully documented, according to your organisation's policies and procedures, by the first person to report the suspected abuse and at all subsequent stages by those involved with the adult. Concerns should be recorded regardless of whether the concern progresses or is not substantiated. The outcome of any concern must be fully documented in the patient record. This may on occasion, also include digital images or recordings, and all health professionals utilising such media must follow current guidance from the Faculty of Forensic and Legal Medicine.

It is important to document concerns contemporaneously (at the time) and avoid personal opinions or speculation, only record the facts relevant to the concern and actions taken.',
			'field_order' => '0',
			'attachment_id' => '1612',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 31 => array(
			'id' => '3442',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'image-hotspot',
			'field_label' => 'Seven Golden Rules of Informatin Sharing',
			'description' => 'Have a look at the seven golden rules of information sharing.

Please ensure that you refer to the latest General Data Protection Regulation and information governance guidelines. See Resources for more information.',
			'field_order' => '1',
			'attachment_id' => '1613',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":58.1406,"left":60,"annotation":"1. Remember that the Data Protection Act is not a barrier to sharing information\n\nBoth the Data Protection Act [9] and GDPR provide a framework to ensure that personal information about living persons is shared appropriately."},{"top":66.1406,"left":185,"annotation":"2. Be open and honest\n\nBe open and honest with the person (and/or their family where appropriate) from the outset about why, what, how and with whom information will, or could, be shared, and seek their agreement, unless it is unsafe or inappropriate to do so."},{"top":56.1406,"left":330,"annotation":"3. Seek advice\n\nIf you are in any doubt, seek advice without disclosing the identity of the person where possible."},{"top":51.1406,"left":436,"annotation":"4. Share with consent where appropriate\n\nShare with consent where appropriate and, where possible, respect the wishes of those who do not consent to share confidential information. You may still share information without consent if, in your judgement, that lack of consent can be overridden in the public interest. You will need to base your judgement on the facts of the case.\n\nThe MCA code of practice, chapter 16 gives guidance on information sharing when a person lacks capacity to consent to it."},{"top":136.141,"left":152,"annotation":"5. Consider safety and well-being\n\nBase your information-sharing decisions on considerations of the safety and well-being of the person and others who may be affected by their actions."},{"top":129.141,"left":248,"annotation":"6. Necessary, proportionate, relevant, accurate, timely and secure\n\nEnsure that the information you share is necessary for the purpose for which you are sharing it, is shared only with those people who need to have it, is accurate and up-to-date, is shared in a timely fashion, and is shared securely."},{"top":144.141,"left":376,"annotation":"7. Keep a record\n\nKeep a record of your decision and the reasons for it – whether it is to share information or not. If you decide to share, then record what you have shared, with whom and for what purpose."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 32 => array(
			'id' => '3443',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'media-field',
			'field_label' => 'Remember that the duty to share is as important as the duty of confidentiality.',
			'description' => 'When sharing information, you should ask yourself the following questions:',
			'field_order' => '2',
			'attachment_id' => '1614',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 33 => array(
			'id' => '3444',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'paragraph',
			'field_label' => 'Exploitation and Safeguarding',
			'description' => 'Adult safeguarding recognises the vulnerability of adults with care and support needs to all forms of exploitation. For example, modern slavery is the recruitment, movement, harbouring or receiving of children, women or men through the use of force, coercion, abuse of vulnerability, deception or other means for the purpose of exploitation. Individuals may be trafficked into, out of, or within the UK, and they may be trafficked for a number of reasons including sexual exploitation, forced labour, domestic servitude and organ harvesting.

Another example is radicalisation which is where an individual comes to support any form of extremism and in some cases join terrorist groups. It has potential to cause significant harm to the individuals and others and is therefore aligned to safeguarding principles.

PREVENT is part of the UK's counter-terrorism strategy to reduce the risk of people (which will include patients and/or staff) becoming involved in or supporting terrorism. The Counter-Terrorism and Security Act (2015) [10] places a duty on statutory bodies including the NHS to have 'regard to the need to prevent people from being drawn into terrorism'.

The key challenge for the healthcare sector is to ensure that, where there are signs that someone has been or is being drawn into terrorism, the healthcare worker is trained to recognise those signs correctly and is aware of and can locate available support, including the Channel programme where necessary. Preventing someone from being drawn into terrorism is substantially comparable to safeguarding in other areas, including child abuse or domestic violence. (Home Office 2019).

Please visit the Statutory and Mandatory Preventing Radicalisation e-learning sessions for more information.',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 34 => array(
			'id' => '3445',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'single-choice',
			'field_label' => 'When should you share information?',
			'description' => 'Choose one option ',
			'field_order' => '4',
			'attachment_id' => '1615',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["You should share information only with the person\u2019s consent","Information should be shared without consent in circumstances where there are concerns for the safety of an individual","You should share information with other agencies when they ask for it"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 35 => array(
			'id' => '3448',
			'course_id' => '119',
			'course_lesson_id' => '540',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => '- Remain vigilant to the possibility of abuse and neglect occurring and be prepared to take action
- Protecting adults with care and support needs should be your first priority
- Always listen and believe those who tell you they have been abused. The adult should be involved from the beginning unless there are exceptional circumstances that would increase the risk of abuse. Record what the adult and, as appropriate, carer and/or other person present told you and what you have done in response
- It's important to have a personalised approach that enables safeguarding to be done with, not to, people
- Follow your organisation's safeguarding adults procedures and your local statutory multi-agency policy and procedures
- Never allow abusive behaviour to go unreported and ensure that your concern is escalated appropriately
- Always ensure that appropriate specific decisions are made in the best interests (where the adult has been identified as lacking capacity) of the individual and, where relevant, compliant with the Mental Capacity Act (2005)
- Recognise where and when care can amount to Deprivation of Liberty Safeguards (DoLS) and know what to do
- Remember that the duty to share is as important as the duty of confidentiality; be aware of the latest data protection and GDPR guidance

THINK, ACT and REPORT!  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:56:45',
			'modified' => '2024-08-06 15:56:45'
		),
		(int) 36 => array(
			'id' => '3449',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'When would you involve the police in keeping someone safe?',
			'description' => 'Choose three options ',
			'field_order' => '0',
			'attachment_id' => '1618',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The police should always be involved","When the service user consents or requests","When you feel there is immediate danger to yourself or others","When you believe a crime has been committed and the patient lacks the mental capacity to consent to police referral"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 37 => array(
			'id' => '3450',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'There is an allegation of sexual abuse by a carer. Which of the following actions would reduce the risk of further harm to the service user?',
			'description' => 'Choose one or more options ',
			'field_order' => '1',
			'attachment_id' => '1619',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Escalate immediately to senior staff in your own organisation following policy and procedure","Provide necessary information to assist in the enquiry"," Ensure the immediate on-going safety of the service user"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 38 => array(
			'id' => '3451',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'How do you help adults with care and support needs reduce the risk of harm or abuse from others?',
			'description' => 'Choose three options',
			'field_order' => '2',
			'attachment_id' => '1620',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Tell them what to do","Provide them with choices","Supply them with relevant information","Support them to speak out"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 39 => array(
			'id' => '3452',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'What would you do if a service user who has been subject to abuse declines a referral to safeguarding?',
			'description' => 'Choose four options',
			'field_order' => '3',
			'attachment_id' => '1621',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Document your actions and the rationale for them","Explore reasons for declining"," Consider whether to make a referral without consent"," Do nothing as they have declined referral","Assess whether they have the mental capacity to consent to the referral"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 40 => array(
			'id' => '3453',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Which agency do you refer to about requesting advocacy?',
			'description' => 'Choose the correct option',
			'field_order' => '4',
			'attachment_id' => '1622',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" The NHS","Police","Local authority"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 41 => array(
			'id' => '3454',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'There are different types of advocates.',
			'description' => 'Choose the correct option',
			'field_order' => '5',
			'attachment_id' => '1623',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 42 => array(
			'id' => '3455',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Consideration must always be made for advocacy to support involvement in assessing, planning and reviewing services for someone lacking mental capacity.',
			'description' => 'Choose the correct option',
			'field_order' => '6',
			'attachment_id' => '1624',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 43 => array(
			'id' => '3456',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'You are invited to a safeguarding meeting for a patient you have been supporting, you feel unsure about your role about this. Do you...',
			'description' => 'Choose the correct option ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Attend after speaking to your safeguarding lead for advice and support about what information you contribute","Decline to attend"," Attend but don\u2019t share any information"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 44 => array(
			'id' => '3457',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'A patient on the ward complains that a staff member has stolen £5 from their purse but they do not wish for you to report it further. Do you...',
			'description' => 'Choose the correct option',
			'field_order' => '8',
			'attachment_id' => '1625',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Assess their capacity to make the decision","Explain that you must report this as it could affect other people too","Respect their wishes in making safeguarding personal"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 45 => array(
			'id' => '3458',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where can you find information on the criteria for investigating in response to a safeguarding concern appropriate for your organisation?',
			'description' => 'Choose two options',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Local authority website","Local safeguarding policy and procedure","Nursing and Midwifery Council"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 46 => array(
			'id' => '3459',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Safeguarding enquiries involves coordinating the collection of information about abuse or neglect that is alleged to have occurred or might occur.',
			'description' => 'Choose the correct option ',
			'field_order' => '10',
			'attachment_id' => '1626',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 47 => array(
			'id' => '3460',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'What should be included in an accurate record of safeguarding concerns?',
			'description' => 'Choose six options',
			'field_order' => '11',
			'attachment_id' => '1627',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Details of concern","Date and time"," Actions taken and rationale"," Service users' own words","Your details","Your feelings about the incident"," Service users' details"]',
			'field_correct' => '0,1,2,3,4,6',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 48 => array(
			'id' => '3461',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Safeguarding records should be disposed of once the case is closed.',
			'description' => 'Choose the correct option ',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 49 => array(
			'id' => '3462',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'If you decline to share information in relation to a safeguarding enquiry, should you:',
			'description' => 'Choose one or more options',
			'field_order' => '13',
			'attachment_id' => '1628',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Record your decision with reasons why you are declining to share","Discuss your decision with your line manager and safeguarding lead"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 50 => array(
			'id' => '3463',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'If you are concerned a colleague or a member of the public is at risk of being drawn in to extremism you can raise a concern in confidence by following your organisations PREVENT policy and speaking to your PREVENT lead.',
			'description' => 'Choose the correct option ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 51 => array(
			'id' => '3464',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'text-image',
			'field_label' => 'The Care Act 2014',
			'description' => 'Safeguarding duties under the Care Act (2014) [3] and supporting statutory care and support guidance introduced the following: 

Duty to arrange an independent advocate
A duty for the local authority to arrange independent advocacy if a person would otherwise be unable to participate in or understand the care and support system. 

A framework for protecting adults
New statutory framework for protecting adults from neglect and abuse.

Enquiries into suspected abuse or neglect
Duty on local authorities to carry out enquiries into suspected abuse or neglect, past or present, experienced by adults still living and deceased.

Assessment of young people in transition from children's to adult services
Duty to assess young people and their carers in advance of transition from children’s to adult services, where they are likely to need care and support as an adult.

Care and Support Statutory Guidance (updated 2016)
The 'No Secrets' (Para 14.1) document has been replaced by Chapter 14 of the Care and Support Statutory Guidance (updated 2016).

',
			'field_order' => '1',
			'attachment_id' => '1630',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		)
	),
	'LessonFieldList' => array(
		(int) 537 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		(int) 538 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			)
		),
		(int) 539 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 540 => array(
			(int) 0 => array(
				[maximum depth reached]
			)
		),
		(int) 541 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		)
	),
	'LessonFieldAll' => array(
		(int) 0 => array(
			'id' => '3409',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'media-field',
			'field_label' => 'There has been significant media coverage of adult safeguarding issues, in particular relating to the abuse and neglect at Winterbourne View [1] and Mid-Staffordshire NHS Foundation Trust [2].',
			'description' => 'These events were significant drivers in placing safeguarding adults on a statutory footing and highlighted the importance of the role of health professionals in recognising, responding to and preventing abuse and neglect.

As a result, the Care Act (2014) [3] replaced previous laws and practice guidance.',
			'field_order' => '0',
			'attachment_id' => '1599',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 1 => array(
			'id' => '3464',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'text-image',
			'field_label' => 'The Care Act 2014',
			'description' => 'Safeguarding duties under the Care Act (2014) [3] and supporting statutory care and support guidance introduced the following: 

Duty to arrange an independent advocate
A duty for the local authority to arrange independent advocacy if a person would otherwise be unable to participate in or understand the care and support system. 

A framework for protecting adults
New statutory framework for protecting adults from neglect and abuse.

Enquiries into suspected abuse or neglect
Duty on local authorities to carry out enquiries into suspected abuse or neglect, past or present, experienced by adults still living and deceased.

Assessment of young people in transition from children's to adult services
Duty to assess young people and their carers in advance of transition from children’s to adult services, where they are likely to need care and support as an adult.

Care and Support Statutory Guidance (updated 2016)
The 'No Secrets' (Para 14.1) document has been replaced by Chapter 14 of the Care and Support Statutory Guidance (updated 2016).

',
			'field_order' => '1',
			'attachment_id' => '1630',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 2 => array(
			'id' => '3411',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'paragraph',
			'field_label' => 'The Principles Underpinning The Safeguarding Duties In The Care Act',
			'description' => 'The Care Act (2014) [3] is a major change in practice - a move away from the process-led, tickbox culture to a person-centred approach which achieves the outcomes that people want. Practice must focus on the person, which accounts for the possibility that individuals can change their mind on what outcomes they want through the course of the intervention.

You have learnt about the six principles of Adult Safeguarding in Level 1. Can you match the principle to the description?',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 3 => array(
			'id' => '3413',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '_________is people being supported and encouraged to make their own decisions and give informed consent.',
			'description' => 'select one answer',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 4 => array(
			'id' => '3412',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '__________ is better to take action before harm occurs.',
			'description' => 'select one answer',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '5',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 5 => array(
			'id' => '3414',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'multiple-choice',
			'field_label' => '__________________ is the least intrusive response necessary to the risk presented.',
			'description' => 'select one answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 6 => array(
			'id' => '3415',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'multiple-choice',
			'field_label' => '_______________ is support and representation for those in greatest need.',
			'description' => 'select one answer',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 7 => array(
			'id' => '3416',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'multiple-choice',
			'field_label' => '_______________is working in partnership to achieve local solutions in communities where we live. Communities have a part to play in preventing, detecting and reporting abuse and neglect.',
			'description' => 'select one answer',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 8 => array(
			'id' => '3417',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '____________is transparency in delivering safeguarding and fulfilling our duty of candour.',
			'description' => 'select one answer',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Proportionality","Empowerment","Accountability","Protection","Partnership","Prevention"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 9 => array(
			'id' => '3418',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'media-field',
			'field_label' => 'What are the outcomes that the principles aim for?',
			'description' => 'The outcomes are:',
			'field_order' => '9',
			'attachment_id' => '1601',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 10 => array(
			'id' => '3419',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'media-field',
			'field_label' => 'The Care Act 2014 - Terminology',
			'description' => 'The Care Act 2014 consolidates previous legislation. The Care and Support Statutory Guidance (updated 2016) replaced ‘No Secrets’ and the previous safeguarding procedures and terminology used.

The terms on the left of the diagram below have now been replaced with the terms on the right.',
			'field_order' => '10',
			'attachment_id' => '1602',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 11 => array(
			'id' => '3420',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'image-hotspot',
			'field_label' => 'Types of Abuse',
			'description' => 'In Level 1 you learnt about the different types of abuse. If you need a recap select each of the headings below.',
			'field_order' => '11',
			'attachment_id' => '1603',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":11.4844,"left":52,"annotation":"Physical abuse including:\n\nAssault\nHitting\nSlapping\nPushing\nMisuse of medication\nRestraint\nInappropriate physical sanctions"},{"top":12.4844,"left":140,"annotation":"Domestic violence including:\n\nPsychological\nPhysical\nSexual\nFinancial\nEmotional abuse\nSo called ‘honour’ based violence"},{"top":16.4844,"left":252,"annotation":"Sexual abuse including:\n\nRape\nIndecent exposure\nSexual harassment\nInappropriate looking or touching\nSexual teasing or innuendo\nSexual photography\nSubjection to pornography or witnessing sexual acts\nSexual assault\nSexual acts to which the adult has not consented or was pressured into consenting"},{"top":12.4844,"left":381,"annotation":"Psychological abuse including:\n\nEmotional abuse\nThreats of harm or abandonment\nDeprivation of contact\nHumiliation\nBlaming\nControlling\nIntimidation\nCoercion\nHarassment\nVerbal abuse\nCyber bullying\nIsolation\nUnreasonable and unjustified withdrawal of services or supportive networks"},{"top":40.4844,"left":88,"annotation":"Financial or material abuse including:\n\nTheft\nFraud\nInternet scamming\nCoercion in relation to an adult’s financial affairs or arrangements, including in connection with wills, property, inheritance or financial transactions\nThe misuse or misappropriation of property, possessions or benefits"},{"top":44.4844,"left":205,"annotation":"Modern slavery encompasses:\n\nSlavery\nHuman trafficking\nForced labour and domestic servitude.\nTraffickers and slave masters using whatever means they have at their disposal to coerce, deceive and force individuals into a life of abuse, servitude and inhumane treatment"},{"top":45.4844,"left":304,"annotation":"Discriminatory abuse including forms of:\n\nHarassment\nSlurs or similar treatment because of:\n\nRace\nGender and gender identity\nAge\nDisability\nSexual orientation\nReligion"},{"top":5.5,"left":453,"annotation":"Organisational abuse\n\nIncluding neglect and poor care practice within an institution or specific care setting such as a hospital or care home, for example, or in relation to care provided in one’s own home. This may range from one off incidents to on-going ill-treatment. It can be through neglect or poor professional practice as a result of the structure, policies, processes and practices within an organisation."},{"top":76.4844,"left":118,"annotation":"Neglect and acts of omission including:\n\nIgnoring medical emotional or physical care needs\nFailure to provide access to appropriate health, care and support or educational services\nThe withholding of the necessities of life, such as medication, adequate nutrition and heating"},{"top":71.4844,"left":215,"annotation":"Self-neglect\n\nThis covers a wide range of behaviour neglecting to care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding. It should be noted that self-neglect may not prompt a section 42 enquiry. An assessment should be made on a case by case basis. A decision on whether a response is required under safeguarding will depend on the adult’s ability to protect themselves by controlling their own behaviour. There may come a point when they are no longer able to do this, without external support."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 12 => array(
			'id' => '3422',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => 'Have a look at each scenario and decide what type of abuse it is.',
			'description' => 'Marjorie says that her carer is always showing her indecent pictures. He says he’s just having a laugh but she doesn’t want to see them.',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Physical","Pyhscilogical ","Sexual","Financial and material"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 13 => array(
			'id' => '3423',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'single-choice',
			'field_label' => '',
			'description' => 'Dominic lives in a care home. He is in pain as he has severe arthritis. He is told that he is not allowed any more pain relief as the person who dispenses medicine has gone home.',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Organisational abuse","Discriminatory","Financial and material","Domestic"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 14 => array(
			'id' => '3424',
			'course_id' => '119',
			'course_lesson_id' => '537',
			'field_type' => 'bullet-points',
			'field_label' => 'Multi-Agency Working and Parallel Processes',
			'description' => 'Different agencies and their processes.',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Local Statutory Safeguarding Adult Boards - A  multi-agency statutory board which has responsibility for providing strategic leadership and oversight in preventing, detecting and protecting adults who are at risk from abusive behaviour and practice in all its forms in each local authority area. This includes the implementation and quality assurance of local guidance and procedures for safeguarding adults. Each board should have its own website or web page on the local authority website. Your safeguarding lead will know who your organisations Board member or link is.","Multi-Agency Public Protection Arrangements (MAPPA) - The police have a shared responsibility for the management of sexual offenders and violent offenders when they are released from prison into the community. This is managed in partnership with probation staff and prison staff as well as other agencies such as social services, housing and health. This is known as the Multi-Agency Public Protection Agreements (MAPPA). The statutory MAPPA guidance can be accessed online via the GOV.UK website - see Resources for a link to the website.","Multi-Agency Risk Assessment Conference (MARAC) - Multi-Agency Risk Assessment Conference (MARAC) is a risk-management meeting where professionals share information on high-risk cases of domestic violence and abuse and put in place a risk management plan.  See your safeguarding and/or domestic abuse policy and speak to your safeguarding lead for more information.","Channel Panel - The Channel Panel in each local authority area is part of the Counter Terrorism Prevent strategy. The process is a multi-agency approach to identify and provide support to individuals who are at risk of being drawn into terrorism. ","Community Safety Partnerships - Community Safety Partnerships are made up of representatives from the police, Local Authorities, fire and rescue authorities, health, and probation services (the 'responsible authorities'). The responsible authorities work together to protect their local communities from crime and to help people feel safer.","Local Safeguarding Children Partnership (LSCP) - The Local Safeguarding Children Partnership (LSCP) is the key statutory mechanism for agreeing how the relevant agencies in each local area will co-operate to safeguard and promote the welfare of children in that locality, and for ensuring the effectiveness of what they do."]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:32:50',
			'modified' => '2024-08-07 08:32:50'
		),
		(int) 15 => array(
			'id' => '3425',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'The wellbeing principles from Section 1 of the Care Act [3] are:',
			'description' => '- Personal dignity
- Physical and mental health and emotional wellbeing
- Protection from abuse and neglect
- Control by the individual over their day-to-day life
- Participation in work, education, training or recreation
- Suitability of living accommodation
- Domestic, family and personal relationships
Social and economic wellbeing
- Contribution to society

All work with adults related to care and support has to adhere to these principles.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 16 => array(
			'id' => '3426',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Health Inequalities',
			'description' => 'Health is determined by a complex interaction between individual characteristics, lifestyle and the physical, social and economic environment. Health inequalities are avoidable, unfair and systematic differences in health between different groups of people.

Health inequalities affect people grouped by a range of factors:

Health inequalities affect people grouped by a range of factors:

- Socio-economic factors, for example, income
- Geography, for example, region or whether urban or rural
- Specific characteristics including those protected in law, such as sex, ethnicity or disability
- Socially excluded groups, for example, people experiencing homelessness [4]

These differences have a huge impact because they result in people who are worse off experiencing poorer health and shorter lives [5].

Taking action to reduce health inequalities is a key aim of the NHS Long Term Plan, published in 2019 [6].
',
			'field_order' => '1',
			'attachment_id' => '1604',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 17 => array(
			'id' => '3427',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Safeguarding Case Study Example',
			'description' => 'There are many forms of slavery and trafficking including sexual exploitation, domestic servitude, criminal exploitation and forced labour. In this case study we look at a scenario where modern slavery in the form of forced labour may be occurring. Individuals seeking better employment prospects are being manipulated into exploitative labour practices under false claims. Industries that commonly exploit for labour include agriculture, warehouse and distribution, manufacturing and food processing – sectors that require shift work and can hire through agencies that offer zero-hour contracts.

Anton is a 28-year-old Polish man, he attends the Emergency Department, he does not speak much English and is accompanied by another man who speaks English well and calls himself a friend although he is unable to provide an address for Anton. Anton is very thin, dirty and very subdued with poor eye contact. He is wearing very dirty clothes and cannot weight bear on his right foot. His friend says they work together on a construction site and that Anton got his foot trapped under some heavy equipment and now cannot walk properly.
On examination, Anton is wearing trainers not work boots, his foot is badly damaged, and you note a number of other injuries on his body and can smell alcohol on him.

This scenario should trigger professional curiosity about what is happening to this man.

What are the concerns?  What actions could you take?

Concerns - Anton appears in a poor state of general health as well as the acute foot injury.

He appears weak and confused with a smell of alcohol despite arriving from a construction site yet is not wearing any protective clothing including work boots.

He cannot speak for himself due to the language barrier and his non-verbal interaction is also poor, his friend is speaking for him.

Actions - Anton must be given a chance to speak to health professionals to ensure he gets the correct medical treatment and support and his wishes are known. Do not use any accompanying person as interpreter for the potential victim; if safe to do so, access an independent interpreter, see your local area protocol for access to interpreting.

Anton is showing signs of being a victim of modern slavery which must be explored further. He may be part of a group of people being abused in this way.

If Anton shares information that suggests he is being abused and exploited, a trauma informed approach must be used, and his responses and injuries carefully documented. The usual principles of consent apply to any referrals considered. 

Usual principles of mental capacity apply as set out in the Capacity section; individuals should be presumed to have the capacity to make decisions, including about their care and decisions on whether to agree to, or refuse, an examination, investigation or treatment, unless it is established that they lack capacity.  Speak to your safeguarding lead for advice. You can also contact:

- The Police on 999 if an emergency or 101 if no immediate danger
- The Modern Slavery Helpline on 08000 121 700 providing confidential advice and support whether you are sure or not that someone is a victim
- The Gangmasters and Labour Abuse Authority to report concerns about the mistreatment of workers on 0800 432 0804, or by email intelligence@glaa.gsi.gov.uk
- Report to local authority safeguarding adults and/or children team depending on the ages suspected',
			'field_order' => '2',
			'attachment_id' => '1605',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 18 => array(
			'id' => '3428',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Victims may have had limited or poor access to healthcare services which may exacerbate any medical conditions.',
			'description' => 'Healthcare professionals are in a unique position to help identify victims and to make a difference to their lives by…

Healthcare professionals are in a unique position to help identify victims and to make a difference to their lives by treating their injuries from physical violence or from occupational hazards, their illnesses from poor environmental conditions or from infectious diseases, their sexual health conditions linked to sexual abuse and exploitation, as well as helping to manage the psychological effects of their traumas.',
			'field_order' => '3',
			'attachment_id' => '1606',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 19 => array(
			'id' => '3429',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Making Safeguarding Personal',
			'description' => 'Making Safeguarding Personal (MSP) requires a shift in culture and practice in a response to what we know about what makes safeguarding more or less effective from the perspective of the person being safeguarded. It's about having a conversation with people about how we might respond in safeguarding situations in a way that enables their involvement, choice and control as well as improving quality of life, well-being and safety. It is:

A personalised approach that enables safeguarding to be done with, not to, people
A practice that focuses on achieving meaningful improvement to people's circumstances rather than just on ‘enquiry' and ‘conclusion’
An approach that utilises social work skills rather than just ‘putting people through a process’
An approach that enables practitioners, families, teams and SABs to know what difference has been made

(Safeguarding Adults: Advice and Guidance to Directors of Adult Social Services ADASS; LGA, 2013.)',
			'field_order' => '4',
			'attachment_id' => '1607',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 20 => array(
			'id' => '3430',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'The safeguarding process should be set out in your local multi-agency safeguarding adults with care and support needs procedures. 

This will include the local authority’s assessments that inform the safeguarding plan. For further information please see your local multi-agency safeguarding plan and the national guidance in resources. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 21 => array(
			'id' => '3431',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'The Adult Safeguarding Duty',
			'description' => 'The adult safeguarding duty applies to an adult, aged 18 or over, who:

- Has needs for care and support (whether or not the local authority is meeting any of those needs)
- Is experiencing, or at risk of, abuse or neglect
- As a result of those care and support needs is unable to protect themselves from either the risk, or the experience, of abuse and neglect
- The person’s inability to protect themselves must be the result of their care and support needs




',
			'field_order' => '6',
			'attachment_id' => '1608',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 22 => array(
			'id' => '3432',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'What about the local authority's role in carrying out enquiries?',
			'description' => 'Local authorities must make enquiries, or cause others to do so, if they reasonably suspect an adult who meets the above criteria is at risk of being abused or neglected.

In many cases, a health professional who already knows the adult, or if the enquiry is clinical in nature, may be best placed to begin the enquiry, following discussion with the local authority.

An enquiry could range from a conversation with the adult, representative or advocate (if they lack capacity or have substantial difficulty in understanding the enquiry) prior to initiating a formal enquiry under Section 42, right through to a much more formal multi-agency plan or course of action.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 23 => array(
			'id' => '3433',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'What about the Safeguarding Adults section 42 enquiry?',
			'description' => 'A Section 42 enquiry will:

- Protect the adult from abuse and/or neglect in accordance with their views and wishes (discovered in consultation with relatives, friends or advocate where needed) about the level of risk
- Establish the facts
- Assess the level of risk and needs of the adult for protection, support and redress and consider how they might be met
- Make decisions about what follow-up actions should take place with regards to the person or organisation causing harm
- Enable the adult to achieve resolution and recovery',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 24 => array(
			'id' => '3434',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'When should an enquiry be undertaken without consent?',
			'description' => 'An enquiry should be undertaken without consent when:

- The adult lacks the mental capacity to consent even after all practicable measures to maximise capacity have been carried out
- It would be in the best interests of an adult lacking capacity to carry out enquiries
- There is an overriding public interest due to others being at risk',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 25 => array(
			'id' => '3435',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'What should an enquiry take into account?',
			'description' => '- Providing individuals with information about options for resolution
- The individual's wishes and outcomes
- The individual's need for care and support, the risk of abuse or neglect, and the impact they may have on that individual
- The ability of the individual to safeguard themselves or the ability of their informal networks to increase the support they offer to safeguard the person (asset based)
- The potential impact on important relationships and the potential that action could increase the risk of harm
- Risk of repeated/increasingly serious acts including risks to others (adults/children)
- Supporting the individual to identify and manage risks
- Safeguarding enquiries and interventions must be undertaken within a framework of respect for the person's rights such as the right to liberty, autonomy and rights to private family life',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 26 => array(
			'id' => '3436',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Safeguarding adults is everybody’s business if you identify a concern you have a responsibility to raise and document it. You should be familiar with your organisation's policy and procedures for safeguarding adults which will align to the multi-agency policies and procedures for safeguarding adults that your local Safeguarding Adults Board oversee, facilitate and define the relationships between agencies to safeguard adults appropriately. The local authority is the lead accountable agency for safeguarding adults’ enquiries while the police lead on any criminal element. Health services and staff have a key role to play in identifying, recording, and raising concerns and then working in partnership with the local authorities (and police where necessary) to achieve the best outcome for the adult(s) involved.',
			'field_order' => '11',
			'attachment_id' => '1609',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 27 => array(
			'id' => '3437',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'The Mental Capacity Act',
			'description' => 'The Mental Capacity Act (MCA) [7] is the law which must be followed to assist and support people who may lack capacity and to discourage anyone who is involved in caring for them from being overly restrictive or controlling.

It also aims to balance people’s right to make decisions for themselves, and live as they choose, with their right to be protected from harm if they lack capacity to make decisions to protect themselves.

Anyone paid to work with, or on behalf of, someone who lacks capacity must ‘have regard to’ the MCA statutory code of practice.

In order to assess an individual's capacity, functional and diagnostic tests need to be carried out. Chapter 4 of the MCA code of practice describes how and when assessments of capacity should be carried out.

The MCA set up Independent Mental Capacity Advocates (IMCA) who MUST be instructed, and then consulted, for people lacking capacity who have no one else to support them in situations set out in Chapter 10 of the MCA Code of Practice.

The MCA [7] is based on five statutory principles, which must form the basis of decision making whenever someone aged 16 or above might lack mental capacity for a specific decision at the time it needs to be made. The MCA is fundamental to the Safeguarding Adults agenda.
',
			'field_order' => '12',
			'attachment_id' => '1629',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 28 => array(
			'id' => '3438',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'image-hotspot',
			'field_label' => 'Let's recap on the five principles of the Mental Capacity Act [7].',
			'description' => 'Select each number to find out more information.',
			'field_order' => '13',
			'attachment_id' => '1610',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":102.703,"left":69,"annotation":"1. Assumption of capacity\n\nThis means that nobody has to prove that they have capacity for a certain decision. The responsibility lies with someone who wishes to act under the MCA to show, on the balance of probability, that the person does lack capacity to make the decision."},{"top":48.7031,"left":132,"annotation":"2. Take all practical steps to support a person to make a decision\n\nThis means a person-centred search for what will help this individual to make their own decisions: this could be finding the best time of day, or a quiet place, or the best way to communicate with this individual. Chapter 3 of the MCA code of practice outlines ways to achieve the necessary best practice."},{"top":26.7031,"left":217,"annotation":"3. Unwise decisions\n\nA series of unwise decisions, or a particularly risky, uncharacteristic decision, may alert you to a possible lack of capacity. If this happens, apply the two-stage test of capacity (see MCA code of practice, chapter 4). But remember that we all make, with capacity, what other people might think ‘unwise or eccentric’ decisions."},{"top":40.7031,"left":305,"annotation":"4. Best interests\n\nThe MCA lays out a statutory checklist of factors that must be considered in working out what is in the best interests of the person. Crucial among these factors are the wishes and feelings of the person. These wishes and feelings must sometimes be overruled in their best interests, but they should be honoured wherever possible. See MCA code of practice, chapter 5 [4].\n\nWhen to instruct an Independent Mental Capacity Advocate (IMCA)\n\nAn IMCA must be instructed, via the local authority, and then consulted when a person has no one other than paid staff to support them and:\n\nAn NHS body is proposing serious medical treatment\nAn NHS body or local authority is proposing to arrange accommodation or a change of accommodation, in a hospital or a care home and - the person will stay in the hospital more than 28 days or - they will stay in the care home longer than 8 weeks.\nAn IMCA may be instructed to support someone who lacks capacity to make decisions concerning care reviews where there is no one else to consult - or adult protection cases where family and friends are involved."},{"top":215.703,"left":435,"annotation":"5. Least restrictive option\n\nThis is the ‘golden thread’ that runs through the MCA [4]. Always look for the option, among those available, that is the least restrictive of the person’s freedom of choice, and the closest to what they want."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 29 => array(
			'id' => '3439',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'paragraph',
			'field_label' => 'Advocacy',
			'description' => 'Advocacy means getting support from another person to help a person express their views and wishes, and help stand up for their rights. There are many types of advocacy available where a person requires this support or has no-one to represent them.  An advocate is truly independent and is there to support rights wishes and feelings of the person involved and not to offer their own opinion or persuade a person to a particular decision. 

Statutory Advocacy services that support people in relation to the Care Act, Mental Capacity Act or Mental Health Act, are provided through the local authority who can advise on which type of advocate a person may need.

An advocate can:

- Listen to the person's views and concerns
- Help the person explore their options and rights (without pressuring them)
- Provide information to help the person make informed decisions
- Help the person contact relevant people, or contact them on their behalf
- Accompany and support the person in meetings or appointments

An advocate will not:

- Give their personal opinion
- Solve problems and make decisions for a person
- Make judgements about a person

',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 30 => array(
			'id' => '3440',
			'course_id' => '119',
			'course_lesson_id' => '538',
			'field_type' => 'media-field',
			'field_label' => 'Deprivation of Liberty Safeguards (DoLS)',
			'description' => 'The Deprivation of Liberty Safeguards (DoLS) protect the rights of people aged 18 or over who lack capacity to consent to treatment in care homes, or hospitals, in England in Wales. A DoLS authorisation is required when the way they are cared for, in order to be given necessary care or treatment, deprives them of their liberty. DoLS provide this protection by ensuring that the deprivation of liberty cannot be arbitrary but must follow a process laid down in law, so that anyone can understand it, and the person has a right to challenge the deprivation of liberty in a court.

In settings other than care homes and hospitals, such as supported living or shared lives settings, or for people aged 16 or 17, the commissioner (or, if the care is privately funded, the local authority) must apply directly to the Court of Protection for authority to deprive the person of their liberty.

You can also contact the DoLS team in the adult care department of your local authority.

What is the ‘acid test’?

A Supreme Court ruling in 2014 widened the understanding of what constituted deprivation of liberty in the so-called ‘acid test'. It applies wherever a person lacks capacity to consent to the arrangements needed to provide necessary care or treatment and is not free to leave the care or treatment setting and is under continuous supervision and control in that setting.',
			'field_order' => '15',
			'attachment_id' => '1611',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:31:06',
			'modified' => '2024-08-07 08:31:06'
		),
		(int) 31 => array(
			'id' => '3441',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'media-field',
			'field_label' => 'General Data Protection Regulation (GDPR)',
			'description' => 'The General Data Protection Regulation (GDPR) [8] came into effect on the 25th May 2018 and replaces the Data Protection Directive.

The purpose of GDPR is to harmonise data privacy laws across Europe by standardising definitions and addressing legal uncertainty and the public's perception that their data is at risk.

GDPR protects an individual's fundamental rights and freedoms, in particular, their ‘Right to the Protection of Personal Data’.

It's important to remember that the GDPR is not a barrier to sharing information. Sharing information with the right people can be just as important as not disclosing to the wrong person.
 
You have a legal duty to share the information:
- If it will assist in the care or treatment of an individual and
- It is reasonable to believe that the individual understands the reason for sharing

Safeguarding concerns should always be fully documented, according to your organisation's policies and procedures, by the first person to report the suspected abuse and at all subsequent stages by those involved with the adult. Concerns should be recorded regardless of whether the concern progresses or is not substantiated. The outcome of any concern must be fully documented in the patient record. This may on occasion, also include digital images or recordings, and all health professionals utilising such media must follow current guidance from the Faculty of Forensic and Legal Medicine.

It is important to document concerns contemporaneously (at the time) and avoid personal opinions or speculation, only record the facts relevant to the concern and actions taken.',
			'field_order' => '0',
			'attachment_id' => '1612',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 32 => array(
			'id' => '3442',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'image-hotspot',
			'field_label' => 'Seven Golden Rules of Informatin Sharing',
			'description' => 'Have a look at the seven golden rules of information sharing.

Please ensure that you refer to the latest General Data Protection Regulation and information governance guidelines. See Resources for more information.',
			'field_order' => '1',
			'attachment_id' => '1613',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":58.1406,"left":60,"annotation":"1. Remember that the Data Protection Act is not a barrier to sharing information\n\nBoth the Data Protection Act [9] and GDPR provide a framework to ensure that personal information about living persons is shared appropriately."},{"top":66.1406,"left":185,"annotation":"2. Be open and honest\n\nBe open and honest with the person (and/or their family where appropriate) from the outset about why, what, how and with whom information will, or could, be shared, and seek their agreement, unless it is unsafe or inappropriate to do so."},{"top":56.1406,"left":330,"annotation":"3. Seek advice\n\nIf you are in any doubt, seek advice without disclosing the identity of the person where possible."},{"top":51.1406,"left":436,"annotation":"4. Share with consent where appropriate\n\nShare with consent where appropriate and, where possible, respect the wishes of those who do not consent to share confidential information. You may still share information without consent if, in your judgement, that lack of consent can be overridden in the public interest. You will need to base your judgement on the facts of the case.\n\nThe MCA code of practice, chapter 16 gives guidance on information sharing when a person lacks capacity to consent to it."},{"top":136.141,"left":152,"annotation":"5. Consider safety and well-being\n\nBase your information-sharing decisions on considerations of the safety and well-being of the person and others who may be affected by their actions."},{"top":129.141,"left":248,"annotation":"6. Necessary, proportionate, relevant, accurate, timely and secure\n\nEnsure that the information you share is necessary for the purpose for which you are sharing it, is shared only with those people who need to have it, is accurate and up-to-date, is shared in a timely fashion, and is shared securely."},{"top":144.141,"left":376,"annotation":"7. Keep a record\n\nKeep a record of your decision and the reasons for it – whether it is to share information or not. If you decide to share, then record what you have shared, with whom and for what purpose."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 33 => array(
			'id' => '3443',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'media-field',
			'field_label' => 'Remember that the duty to share is as important as the duty of confidentiality.',
			'description' => 'When sharing information, you should ask yourself the following questions:',
			'field_order' => '2',
			'attachment_id' => '1614',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 34 => array(
			'id' => '3444',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'paragraph',
			'field_label' => 'Exploitation and Safeguarding',
			'description' => 'Adult safeguarding recognises the vulnerability of adults with care and support needs to all forms of exploitation. For example, modern slavery is the recruitment, movement, harbouring or receiving of children, women or men through the use of force, coercion, abuse of vulnerability, deception or other means for the purpose of exploitation. Individuals may be trafficked into, out of, or within the UK, and they may be trafficked for a number of reasons including sexual exploitation, forced labour, domestic servitude and organ harvesting.

Another example is radicalisation which is where an individual comes to support any form of extremism and in some cases join terrorist groups. It has potential to cause significant harm to the individuals and others and is therefore aligned to safeguarding principles.

PREVENT is part of the UK's counter-terrorism strategy to reduce the risk of people (which will include patients and/or staff) becoming involved in or supporting terrorism. The Counter-Terrorism and Security Act (2015) [10] places a duty on statutory bodies including the NHS to have 'regard to the need to prevent people from being drawn into terrorism'.

The key challenge for the healthcare sector is to ensure that, where there are signs that someone has been or is being drawn into terrorism, the healthcare worker is trained to recognise those signs correctly and is aware of and can locate available support, including the Channel programme where necessary. Preventing someone from being drawn into terrorism is substantially comparable to safeguarding in other areas, including child abuse or domestic violence. (Home Office 2019).

Please visit the Statutory and Mandatory Preventing Radicalisation e-learning sessions for more information.',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 35 => array(
			'id' => '3445',
			'course_id' => '119',
			'course_lesson_id' => '539',
			'field_type' => 'single-choice',
			'field_label' => 'When should you share information?',
			'description' => 'Choose one option ',
			'field_order' => '4',
			'attachment_id' => '1615',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["You should share information only with the person\u2019s consent","Information should be shared without consent in circumstances where there are concerns for the safety of an individual","You should share information with other agencies when they ask for it"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:54:50',
			'modified' => '2024-08-06 15:54:50'
		),
		(int) 36 => array(
			'id' => '3448',
			'course_id' => '119',
			'course_lesson_id' => '540',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => '- Remain vigilant to the possibility of abuse and neglect occurring and be prepared to take action
- Protecting adults with care and support needs should be your first priority
- Always listen and believe those who tell you they have been abused. The adult should be involved from the beginning unless there are exceptional circumstances that would increase the risk of abuse. Record what the adult and, as appropriate, carer and/or other person present told you and what you have done in response
- It's important to have a personalised approach that enables safeguarding to be done with, not to, people
- Follow your organisation's safeguarding adults procedures and your local statutory multi-agency policy and procedures
- Never allow abusive behaviour to go unreported and ensure that your concern is escalated appropriately
- Always ensure that appropriate specific decisions are made in the best interests (where the adult has been identified as lacking capacity) of the individual and, where relevant, compliant with the Mental Capacity Act (2005)
- Recognise where and when care can amount to Deprivation of Liberty Safeguards (DoLS) and know what to do
- Remember that the duty to share is as important as the duty of confidentiality; be aware of the latest data protection and GDPR guidance

THINK, ACT and REPORT!  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 15:56:45',
			'modified' => '2024-08-06 15:56:45'
		),
		(int) 37 => array(
			'id' => '3449',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'When would you involve the police in keeping someone safe?',
			'description' => 'Choose three options ',
			'field_order' => '0',
			'attachment_id' => '1618',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The police should always be involved","When the service user consents or requests","When you feel there is immediate danger to yourself or others","When you believe a crime has been committed and the patient lacks the mental capacity to consent to police referral"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 38 => array(
			'id' => '3450',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'There is an allegation of sexual abuse by a carer. Which of the following actions would reduce the risk of further harm to the service user?',
			'description' => 'Choose one or more options ',
			'field_order' => '1',
			'attachment_id' => '1619',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Escalate immediately to senior staff in your own organisation following policy and procedure","Provide necessary information to assist in the enquiry"," Ensure the immediate on-going safety of the service user"]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 39 => array(
			'id' => '3451',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'How do you help adults with care and support needs reduce the risk of harm or abuse from others?',
			'description' => 'Choose three options',
			'field_order' => '2',
			'attachment_id' => '1620',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Tell them what to do","Provide them with choices","Supply them with relevant information","Support them to speak out"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 40 => array(
			'id' => '3452',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'What would you do if a service user who has been subject to abuse declines a referral to safeguarding?',
			'description' => 'Choose four options',
			'field_order' => '3',
			'attachment_id' => '1621',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Document your actions and the rationale for them","Explore reasons for declining"," Consider whether to make a referral without consent"," Do nothing as they have declined referral","Assess whether they have the mental capacity to consent to the referral"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 41 => array(
			'id' => '3453',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Which agency do you refer to about requesting advocacy?',
			'description' => 'Choose the correct option',
			'field_order' => '4',
			'attachment_id' => '1622',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" The NHS","Police","Local authority"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 42 => array(
			'id' => '3454',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'There are different types of advocates.',
			'description' => 'Choose the correct option',
			'field_order' => '5',
			'attachment_id' => '1623',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 43 => array(
			'id' => '3455',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Consideration must always be made for advocacy to support involvement in assessing, planning and reviewing services for someone lacking mental capacity.',
			'description' => 'Choose the correct option',
			'field_order' => '6',
			'attachment_id' => '1624',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 44 => array(
			'id' => '3456',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'You are invited to a safeguarding meeting for a patient you have been supporting, you feel unsure about your role about this. Do you...',
			'description' => 'Choose the correct option ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Attend after speaking to your safeguarding lead for advice and support about what information you contribute","Decline to attend"," Attend but don\u2019t share any information"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 45 => array(
			'id' => '3457',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'A patient on the ward complains that a staff member has stolen £5 from their purse but they do not wish for you to report it further. Do you...',
			'description' => 'Choose the correct option',
			'field_order' => '8',
			'attachment_id' => '1625',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Assess their capacity to make the decision","Explain that you must report this as it could affect other people too","Respect their wishes in making safeguarding personal"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 46 => array(
			'id' => '3458',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where can you find information on the criteria for investigating in response to a safeguarding concern appropriate for your organisation?',
			'description' => 'Choose two options',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Local authority website","Local safeguarding policy and procedure","Nursing and Midwifery Council"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 47 => array(
			'id' => '3459',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Safeguarding enquiries involves coordinating the collection of information about abuse or neglect that is alleged to have occurred or might occur.',
			'description' => 'Choose the correct option ',
			'field_order' => '10',
			'attachment_id' => '1626',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 48 => array(
			'id' => '3460',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'What should be included in an accurate record of safeguarding concerns?',
			'description' => 'Choose six options',
			'field_order' => '11',
			'attachment_id' => '1627',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Details of concern","Date and time"," Actions taken and rationale"," Service users' own words","Your details","Your feelings about the incident"," Service users' details"]',
			'field_correct' => '0,1,2,3,4,6',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 49 => array(
			'id' => '3461',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'Safeguarding records should be disposed of once the case is closed.',
			'description' => 'Choose the correct option ',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 50 => array(
			'id' => '3462',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'multiple-choice',
			'field_label' => 'If you decline to share information in relation to a safeguarding enquiry, should you:',
			'description' => 'Choose one or more options',
			'field_order' => '13',
			'attachment_id' => '1628',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Record your decision with reasons why you are declining to share","Discuss your decision with your line manager and safeguarding lead"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		),
		(int) 51 => array(
			'id' => '3463',
			'course_id' => '119',
			'course_lesson_id' => '541',
			'field_type' => 'single-choice',
			'field_label' => 'If you are concerned a colleague or a member of the public is at risk of being drawn in to extremism you can raise a concern in confidence by following your organisations PREVENT policy and speaking to your PREVENT lead.',
			'description' => 'Choose the correct option ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["False","True"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-07 08:23:52',
			'modified' => '2024-08-07 08:23:52'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3409',
		(int) 1 => '3464',
		(int) 2 => '3411',
		(int) 3 => '3413',
		(int) 4 => '3412',
		(int) 5 => '3414',
		(int) 6 => '3415',
		(int) 7 => '3416',
		(int) 8 => '3417',
		(int) 9 => '3418',
		(int) 10 => '3419',
		(int) 11 => '3420',
		(int) 12 => '3422',
		(int) 13 => '3423',
		(int) 14 => '3424',
		(int) 15 => '3425',
		(int) 16 => '3426',
		(int) 17 => '3427',
		(int) 18 => '3428',
		(int) 19 => '3429',
		(int) 20 => '3430',
		(int) 21 => '3431',
		(int) 22 => '3432',
		(int) 23 => '3433',
		(int) 24 => '3434',
		(int) 25 => '3435',
		(int) 26 => '3436',
		(int) 27 => '3437',
		(int) 28 => '3438',
		(int) 29 => '3439',
		(int) 30 => '3440',
		(int) 31 => '3441',
		(int) 32 => '3442',
		(int) 33 => '3443',
		(int) 34 => '3444',
		(int) 35 => '3445',
		(int) 36 => '3448',
		(int) 37 => '3449',
		(int) 38 => '3450',
		(int) 39 => '3451',
		(int) 40 => '3452',
		(int) 41 => '3453',
		(int) 42 => '3454',
		(int) 43 => '3455',
		(int) 44 => '3456',
		(int) 45 => '3457',
		(int) 46 => '3458',
		(int) 47 => '3459',
		(int) 48 => '3460',
		(int) 49 => '3461',
		(int) 50 => '3462',
		(int) 51 => '3463'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '119'
$k = (int) 5
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:53:24'
		)
	),
	(int) 6 => array(
		'Attachment' => array(
			'id' => '1598',
			'record_id' => '117',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:55:19'
		)
	),
	(int) 7 => array(
		'Attachment' => array(
			'id' => '1617',
			'record_id' => '119',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 15:57:54'
		)
	),
	(int) 8 => array(
		'Attachment' => array(
			'id' => '1648',
			'record_id' => '111',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
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			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3640',
			(int) 1 => '3641',
			(int) 2 => '3642',
			(int) 3 => '3643',
			(int) 4 => '3644',
			(int) 5 => '3645',
			(int) 6 => '3646',
			(int) 7 => '3647',
			(int) 8 => '3648',
			(int) 9 => '3649',
			(int) 10 => '3650',
			(int) 11 => '3651',
			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
		)
	),
	(int) 2 => array(
		'Course' => array(
			'id' => '122',
			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
			'banner_media_id' => '1721',
			'thumbnail_media_id' => '1722',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3561',
			(int) 1 => '3562',
			(int) 2 => '3563',
			(int) 3 => '3564',
			(int) 4 => '3565',
			(int) 5 => '3566',
			(int) 6 => '3567',
			(int) 7 => '3568',
			(int) 8 => '3569',
			(int) 9 => '3570',
			(int) 10 => '3571',
			(int) 11 => '3572',
			(int) 12 => '3573',
			(int) 13 => '3574',
			(int) 14 => '3575',
			(int) 15 => '3576',
			(int) 16 => '3577',
			(int) 17 => '3578',
			(int) 18 => '3580',
			(int) 19 => '3581',
			(int) 20 => '3582',
			(int) 21 => '3583',
			(int) 22 => '3585',
			(int) 23 => '3586',
			(int) 24 => '3584',
			(int) 25 => '3587',
			(int) 26 => '3588',
			(int) 27 => '3589',
			(int) 28 => '3590',
			(int) 29 => '3591',
			(int) 30 => '3592',
			(int) 31 => '3593',
			(int) 32 => '3594',
			(int) 33 => '3595',
			(int) 34 => '3596',
			(int) 35 => '3597',
			(int) 36 => '3598',
			(int) 37 => '3599',
			(int) 38 => '3600',
			(int) 39 => '3601',
			(int) 40 => '3602',
			(int) 41 => '3603',
			(int) 42 => '3604',
			(int) 43 => '3605',
			(int) 44 => '3606',
			(int) 45 => '3607',
			(int) 46 => '3608',
			(int) 47 => '3609',
			(int) 48 => '3610',
			(int) 49 => '3611',
			(int) 50 => '3612',
			(int) 51 => '3613',
			(int) 52 => '3614',
			(int) 53 => '3615',
			(int) 54 => '3619',
			(int) 55 => '3618',
			(int) 56 => '3617',
			(int) 57 => '3616',
			(int) 58 => '3622',
			(int) 59 => '3621',
			(int) 60 => '3620',
			(int) 61 => '3623',
			(int) 62 => '3624',
			(int) 63 => '3625',
			(int) 64 => '3626',
			(int) 65 => '3627',
			(int) 66 => '3628',
			(int) 67 => '3629',
			(int) 68 => '3630',
			(int) 69 => '3631',
			(int) 70 => '3632',
			(int) 71 => '3633',
			(int) 72 => '3634',
			(int) 73 => '3635',
			(int) 74 => '3636',
			(int) 75 => '3637',
			(int) 76 => '3638',
			(int) 77 => '3639'
		)
	),
	(int) 3 => array(
		'Course' => array(
			'id' => '121',
			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'field_count' => (int) 30,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 556 => array(
				[maximum depth reached]
			),
			(int) 557 => array(
				[maximum depth reached]
			),
			(int) 558 => array(
				[maximum depth reached]
			),
			(int) 559 => array(
				[maximum depth reached]
			),
			(int) 560 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3531',
			(int) 1 => '3532',
			(int) 2 => '3533',
			(int) 3 => '3534',
			(int) 4 => '3535',
			(int) 5 => '3536',
			(int) 6 => '3537',
			(int) 7 => '3538',
			(int) 8 => '3539',
			(int) 9 => '3540',
			(int) 10 => '3541',
			(int) 11 => '3542',
			(int) 12 => '3543',
			(int) 13 => '3544',
			(int) 14 => '3545',
			(int) 15 => '3546',
			(int) 16 => '3547',
			(int) 17 => '3548',
			(int) 18 => '3549',
			(int) 19 => '3550',
			(int) 20 => '3551',
			(int) 21 => '3552',
			(int) 22 => '3553',
			(int) 23 => '3554',
			(int) 24 => '3555',
			(int) 25 => '3556',
			(int) 26 => '3557',
			(int) 27 => '3558',
			(int) 28 => '3559',
			(int) 29 => '3560'
		)
	),
	(int) 4 => array(
		'Course' => array(
			'id' => '120',
			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'field_count' => (int) 39,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 549 => array(
				[maximum depth reached]
			),
			(int) 550 => array(
				[maximum depth reached]
			),
			(int) 551 => array(
				[maximum depth reached]
			),
			(int) 552 => array(
				[maximum depth reached]
			),
			(int) 553 => array(
				[maximum depth reached]
			),
			(int) 554 => array(
				[maximum depth reached]
			),
			(int) 555 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
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$course = array(
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		'id' => '118',
		'course_title' => 'Patient Safety Syllabus Training, Level 2 - Part 2',
		'description' => 'Access to practice 2<br />This session&nbsp;provides a basic introduction to the key elements of safety science. The elements of safety science that we focus on and which have underpinned all domains of the syllabus are: systems thinking, risk expertise, human factors and safety culture.',
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		'created' => '2024-08-06 13:20:44',
		'modified' => '2024-08-07 14:26:05'
	),
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		(int) 0 => array(
			'id' => '532',
			'course_id' => '118',
			'lesson_title' => 'Access to Practice',
			'description' => 'Before beginning this session, you will have completed 'Essentials of patient safety for all' or you may have completed 'Essentials of patient safety for senior leadership and boards'.<br /><br />Access to practice comprises 2 sessions:<br /><br />Access to practice 1: systems thinking and risk expertise<br />Access to practice 2: human factors and safety culture<br />You must complete both Access to practice sessions in order to gain your certificate. At the end of Access to practice 2, you will be asked to complete a self-assessment to check that you have understood Essentials of patient safety as well as Access to practice.',
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			'created_user_id' => '8779',
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			'character_id' => '',
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			'created' => '2024-08-06 13:21:55',
			'modified' => '2024-08-06 13:21:55'
		),
		(int) 1 => array(
			'id' => '533',
			'course_id' => '118',
			'lesson_title' => 'Human Factors',
			'description' => 'Looking at the term 'Human Factors' and hwat it means.',
			'lesson_order' => '1',
			'created_user_id' => '8779',
			'session_length' => '12 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 13:27:33',
			'modified' => '2024-08-06 13:44:07'
		),
		(int) 2 => array(
			'id' => '534',
			'course_id' => '118',
			'lesson_title' => 'Safety Culture',
			'description' => 'Insight into what safety culture is.',
			'lesson_order' => '2',
			'created_user_id' => '8779',
			'session_length' => '15 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 13:44:53',
			'modified' => '2024-08-06 13:44:53'
		),
		(int) 3 => array(
			'id' => '535',
			'course_id' => '118',
			'lesson_title' => 'Self-assessment',
			'description' => 'Welcome to the assessment for Patient safety. You should set aside approximately 10&nbsp;minutes to complete this assessment.<br /><br />To successfully complete this assessment, you need to achieve a score of at least 75%.&nbsp;',
			'lesson_order' => '3',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 14:10:26',
			'modified' => '2024-08-06 14:10:26'
		),
		(int) 4 => array(
			'id' => '536',
			'course_id' => '118',
			'lesson_title' => 'Summary and Next Steps',
			'description' => 'Summary of session and next steps to take.',
			'lesson_order' => '4',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 14:46:05',
			'modified' => '2024-08-06 14:46:05'
		)
	),
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			'id' => '3352',
			'course_id' => '118',
			'course_lesson_id' => '532',
			'field_type' => 'paragraph',
			'field_label' => 'About this Session',
			'description' => 'Sector- specific sessions

Once you have successfully completed both Access to practice sessions, we recommend you complete level 2 training for your sector. 

Sector-specific sessions contain:

- examples of incident reporting in each sector which demonstrate where to find key risks and vulnerable processes
- stories of how human factors can help with essential skills and how the local culture supports, or sometimes does not support, patient safety
- illustrations of how systems thinking can support the safe development of your own area or sector
The sectors that are covered are:

- mental health
- primary care
- acute care
- maternity care
- management and  administration',
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			'active' => '1',
			'created' => '2024-08-06 13:25:45',
			'modified' => '2024-08-06 13:25:45'
		),
		(int) 1 => array(
			'id' => '3353',
			'course_id' => '118',
			'course_lesson_id' => '532',
			'field_type' => 'media-field',
			'field_label' => 'Essentials of Patient Safety',
			'description' => 'The session 'Essentials of patient safety for all staff' aimed to highlight key factors in safety as they apply to healthcare.

These factors were drawn from several domains in the NHS Patient Safety Syllabus.

- We work in complex and interconnected systems to deliver safe care for patients and service users.
- When things go wrong for patients, the causes are usually the result of systems (the way we work) rather than individual members of staff.
- In this context, the automatic blaming of individuals is inappropriate and stops people from learning about the system and raising concerns.
- Identifying risks proactively is an essential part of reducing the likelihood of harm to patients.
- Listening to patients and raising concerns with line managers or other appropriate staff helps to identify these risks and ensure that they are recognised and dealt with.',
			'field_order' => '1',
			'attachment_id' => '1565',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'field_correct' => null,
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			'created' => '2024-08-06 13:25:45',
			'modified' => '2024-08-06 13:25:45'
		),
		(int) 2 => array(
			'id' => '3354',
			'course_id' => '118',
			'course_lesson_id' => '532',
			'field_type' => 'paragraph',
			'field_label' => 'Access to Practice',
			'description' => 'The NHS Patient Safety Syllabus provides in-depth training to allow members of staff to become:

practitioners in patient safety
advanced practitioners
or senior experts [1]

It also allows any member of staff to participate in specific course sessions which are appropriate to their role in health and care. For example, later sessions provide the basis for incident investigation training, or in-depth risk management skills for staff with roles in safety and governance.

This module (Access to practice) provides a grounding in key elements of safety science so that whichever further sessions are engaged in, there is a foundation for the participant that forms a basis for all further study of safety.

The elements of safety science that we focus on and which have underpinned all domains of the syllabus are:

- systems thinking
- risk expertise
- human factors
- safety culture

This session covers human factors and safety culture.
',
			'field_order' => '2',
			'attachment_id' => null,
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			'attachment_pos' => null,
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:25:45',
			'modified' => '2024-08-06 13:25:45'
		),
		(int) 3 => array(
			'id' => '3355',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Human Factors',
			'description' => 'What does the term 'human factors' mean to you? Is it something you've heard on a training course or perhaps in relation to a patient safety incident? How about 'ergonomics'?

Take a moment to think about these terms.

- Are they relevant to your job?
- What do they have to do with patient safety?

By the end of this session, you will be able to answer these questions with confidence.

Advances in medical science, an ageing population, changes in public expectations and the impact of things such as COVID-19, all contribute to the significant challenges that we face in health and care every day. 

Despite these challenges, so much of what we do goes well. This is down to the commitment, hard work and adaptability shown by all of us every day; clinical and non-clinical staff, in all roles and at all levels. We can rightly be proud of the good work we do.',
			'field_order' => '0',
			'attachment_id' => '1566',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 4 => array(
			'id' => '3356',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Human Errors',
			'description' => 'However, sometimes things do not go as planned and this may lead to harm to patients. Often this leads to individual staff being blamed for having committed an error, they are retrained and are told to be more careful in the future.

But does punishing the individual do anything to stop the same thing from happening to another patient or another staff member from being blamed?

What do you think?',
			'field_order' => '1',
			'attachment_id' => '1568',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 5 => array(
			'id' => '3357',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'image-hotspot',
			'field_label' => 'Performance Ifluencing Factors',
			'description' => 'Can you think of a time when any of these performance influencing factors, or a combination of several of them, have meant that you have not been able to perform at your best?',
			'field_order' => '2',
			'attachment_id' => '1569',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":46.0938,"left":53,"annotation":"Tools and equipment we use\n\nThe equipment we use: whether our tools and technologies are suited to our needs.\n\nAn example would be a non-clinical staff member struggling to work with a complicated looking IT system."},{"top":90.0938,"left":52,"annotation":"People involved\n\nThe people involved: how we are feeling, our knowledge, skills and attitudes, how our colleagues communicate with us.\n\nAn example would be a busy, tired multitasking staff member stops mid-way through performing a task to answer a phone or question from a colleague."},{"top":142.094,"left":48,"annotation":"Physical work environment\n\nThe physical work environment: the amount of space we have to work in, noise distractions or unsuitable lighting levels.\n\nAn example would be a clinician struggling to perform care activities due to poor access to the patient."},{"top":47.0938,"left":449,"annotation":"Tasks we perform\n\nThe tasks we perform: how difficult they are, whether we are under time pressure, or face distractions and interruptions.\n\nAn example would be a medical emergency on an understaffed ward draws in staff mid-way through caring for patients."},{"top":92.0938,"left":443,"annotation":"External environment\n\nThe external environment: whether guidelines, standards and legal requirements support or hinder us.\n\nAn example would be pressure to meet external targets can influence priorities."},{"top":141.094,"left":446,"annotation":"Social environments we work in\n\nThe social environments we work in: the targets we are set, the shift patterns we work and the capacity of our workplaces to treat patients.\n\nAn example would be a staff member struggles to find a bed for a patient in a full ward, care home or hospital."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
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			'id' => '3358',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Predicting Error',
			'description' => 'Extensive studies have shown that error-prone situations, those where there is a high risk of an error, such as the examples we have just looked at, can often be predicted.

So if errors and their causes can be predicted, does this mean that they can be avoided? 

For decades, other safety-critical industries, such as nuclear and oil and gas, have recognised and sought to avoid the conditions that set people up to fail.',
			'field_order' => '3',
			'attachment_id' => '1570',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 7 => array(
			'id' => '3359',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'What are the 'Human Factors'?',
			'description' => 'Ergonomics, or human factors, they mean the same thing, is 'the science of work'. Human factors is the professional and scientific discipline which aims to improve both the performance of work systems and the wellbeing of those involved in or affected by that work.

Focus of human factors

As a systems discipline, human factors focuses on the interactions between humans and the system and with each other; human factors interventions fundamentally involve improving the design of systems.

Applying human factors

Applying human factors to healthcare, includes making patients safer whilst safeguarding the wellbeing of patients and staff alike.

',
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		),
		(int) 8 => array(
			'id' => '3360',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Non-technical Skills',
			'description' => 'Non-technical skills include things that many people will have come across already with different names, such as 'human performance' or 'crew resource management'. These approaches aim to improve safety by helping individuals and teams work together more effectively.

During challenging situations, aside from our professional training, we all need a variety of non-technical skills to allow us to function as effective teams; skills such as communication, leadership, cooperation and coordination. We need to share a common view of what is happening and feel empowered to raise patient safety concerns.

As with any skill these non-technical skills need to be learned and refined through practise and they should also be promoted and supported across the entire workforce, both clinical and non-clinical teams, and at times when these different groups interact.

Non-technical skills will be discussed in more detail in later levels of the patient safety training. It is important to understand that these skills do not provide a complete human factors solution; individuals and teams need to be supported by well designed systems of work.',
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		),
		(int) 9 => array(
			'id' => '3361',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'User-centred Design',
			'description' => 'Human factors practitioners draw on an understanding of human behaviour and performance at work, but they do not start by teaching people to modify their behaviour. Instead, adopting a human factors approach means putting people at the heart of safe healthcare delivery, by changing the way work is done to better suit the abilities, limitations and needs of those doing the work.

Should training be the first way to optimise the work system?',
			'field_order' => '6',
			'attachment_id' => '1572',
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			'external_thumb_src' => '',
			'attachment_pos' => '1',
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		),
		(int) 10 => array(
			'id' => '3362',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'No. Training should come after we have done all we can to set our staff up for success by redesigning equipment, tasks, procedures and environments for safer and more effective use.

In healthcare, optimising the work system in this way is recognised as something of a long term goal and there will always be a need for all staff to be trained in both technical and non-technical skills.',
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		),
		(int) 11 => array(
			'id' => '3363',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Question',
			'description' => 'Can you think of something that in your opinion is an example of a really good design? What makes the design good? It could be anything, for example a mobile phone, building or vehicle.',
			'field_order' => '8',
			'attachment_id' => '1573',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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		),
		(int) 12 => array(
			'id' => '3364',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'The chances are that, for you, this design:

- is easy to use correctly (or identify and recover from mistakes)
- matches your capabilities and limitations, for example its size, weight, complexity
- helps you to achieve your goals safely and efficiently

These key human factors principles broadly apply to the design of all aspects of work. In order to redesign work, the human factors discipline incorporates knowledge from a number of allied fields, including psychology, anthropometrics, physiology, engineering and industrial design.

- Using anthropometrics (body measurements) to redesign ambulance interiors, hospital beds and personal protective equipment, to make them more usable, comfortable and reduce staff and patient accidents and injuries.
- Analysing intensive care staff cognition (thinking and reasoning) to produce improved ventilator display and control designs.',
			'field_order' => '9',
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			'modified' => '2024-08-06 13:43:50'
		),
		(int) 13 => array(
			'id' => '3365',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'Systems Discipline',
			'description' => 'Whilst it is important to design work to better support individuals, human factors is a systems discipline. From this perspective, patient safety and staff and patient wellbeing are considered emergent properties. This means that they are the outcomes of interactions between all of the elements within and between complex healthcare systems.',
			'field_order' => '10',
			'attachment_id' => null,
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			'attachment_pos' => null,
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			'show_correct' => '0',
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			'active' => '1',
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			'modified' => '2024-08-06 13:43:50'
		),
		(int) 14 => array(
			'id' => '3366',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => '1 of 3: Judgement by others',
			'description' => 'After a patient safety incident, our past actions and decisions may sometimes be judged by others as having been wrong, even though they made perfect sense to us at the time, based on the situation we faced and the information and resources we had available to us.',
			'field_order' => '11',
			'attachment_id' => '1574',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 15 => array(
			'id' => '3367',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => '2 of 3: Support system redesign',
			'description' => 'Applying a human factors approach to incident investigations can help us to understand why individuals behaved as they did, to support system redesign. However, if the only response is to try to change individual behaviours, then system-level patient safety and wellbeing outcomes are unlikely to be affected.',
			'field_order' => '12',
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			'attachment_pos' => '0',
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		),
		(int) 16 => array(
			'id' => '3368',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => '3 of 3: See the bigger picture',
			'description' => 'If we want to make even greater improvements on where we are today, then we should try and see patient safety as much bigger than the sum of each of us working as individuals.',
			'field_order' => '13',
			'attachment_id' => '1576',
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			'attachment_pos' => '0',
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		),
		(int) 17 => array(
			'id' => '3369',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Systems Design',
			'description' => 'Taking a human factors approach to improving patient safety means looking at all of the features of the work system, seeing how well they work together and designing improvements to the whole system to better meet its goals.

This is necessary because of the interactions between system components; changes to one area can affect the performance of the whole system.',
			'field_order' => '14',
			'attachment_id' => '1577',
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			'attachment_pos' => '1',
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		),
		(int) 18 => array(
			'id' => '3370',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Participatory Design',
			'description' => 'A key principle of the human factors approach to designing change is the active involvement of representatives of all those groups who are to use or come into contact with a work system. Including these stakeholders is known as participatory design and it not only ensures that their goals, specific needs, capabilities and limitations are all taken into account, but also that their specialist knowledge and insights improve the design of and support for the resulting work system.',
			'field_order' => '15',
			'attachment_id' => '1578',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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		),
		(int) 19 => array(
			'id' => '3371',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Human Factors Expertise',
			'description' => 'Human factors practitioners are professionally registered specialists with years of training and experience.

Human factors practitioners can add their expertise to work within healthcare, as they have in other safety-critical industries, such as aviation, rail and nuclear power.',
			'field_order' => '16',
			'attachment_id' => '1579',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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		),
		(int) 20 => array(
			'id' => '3372',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Safety Culture',
			'description' => 'Safety culture is something that many will have heard of.

- What is safety culture? 
- Is it important for patient safety? 
- Does having a positive culture make any difference to what happens to our patients and service users?
- How can we find out what our culture is like and start to improve it?

In this section, we will try to answer these important questions.',
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		),
		(int) 21 => array(
			'id' => '3373',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Introduction to Organisational Culture',
			'description' => 'First of all, let's think about the organisations we work in. It's probably true to say that we will all have an intuitive perception of its culture. Perhaps we think of it as its character or even its personality. When we move from one organisation to another, we’ll probably notice some differences. Perhaps some organisations are more open and welcome discussion. Some are instead more focused on achieving their immediate goals and seem to have no time to listen to staff.

There are many types of organisations with many characteristics. They may not be easy to define, but often they are simply recognised and experienced. Though it’s not necessarily a complete or accurate description, organisational culture has often been summarised as "the way we do it here", and as such is immediately obvious to staff.

But why does culture vary so much? Is it merely differences in behaviour (the way we do it here) or are there other factors in play? Most people who have studied this believe that behaviour isn’t the whole story and that the underlying attitudes, values, beliefs and assumptions in the organisation play a major role in its culture.',
			'field_order' => '1',
			'attachment_id' => '1581',
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		),
		(int) 22 => array(
			'id' => '3374',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Long Description of the Culture Pyramid Diagram',
			'description' => 'A pyramid diagram with artefacts at the top, values in the middle and assumptions at the bottom.

Artefacts: The visible elements in a culture including dress code, working practices and structures
Values: Stated values and rules of behaviour, often expressed in official philosophies and public statements of identity
Assumptions: Deeply embedded, taken-for-granted behaviours which are usually unconscious

It is also thought that there isn't a single culture in an organisation. In healthcare organisations, for example, there is sometimes a difference between the culture of managers, whose responsibilities are to the structures and functioning of the organisation, and clinical staff, whose direct responsibilities are always to the patient.

We know the culture of the NHS is not universally perfect. It varies and in some places is not as positive as we would like. Which factors are thought to influence problems with our culture?',
			'field_order' => '2',
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		),
		(int) 23 => array(
			'id' => '3375',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Key Points',
			'description' => 'A very large, multi-method study [1] concluded that creating a positive, supportive environment in NHS organisations was hampered by:

- a lack of clear organisational goals
- a sense of organisations being overwhelmed by regulatory requirements
- poorly designed and variable system that failed to support staff in delivering high-quality care',
			'field_order' => '3',
			'attachment_id' => '1582',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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		),
		(int) 24 => array(
			'id' => '3376',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Set against this, we know that our services can rise to exceptional challenges on local and national levels and that despite these valid perceptions, our staff can carry out frankly heroic programmes for health in the most difficult of circumstances.

We know, therefore, that organisational culture is both important and, to a degree, flexible. It is a property that emerges from an organisation. Something that can't be easily understood but which is nevertheless part of our daily experience.',
			'field_order' => '4',
			'attachment_id' => '1583',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 25 => array(
			'id' => '3377',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'single-choice',
			'field_label' => 'What is Safety Culture?',
			'description' => 'Safety culture is a term used in healthcare since about 2000. It is a part of the overall culture of the organisation and there are many definitions. For example, many people would say that safety culture is the way in which safety is managed in the workplace.

Which of the following statements do you think best describes 'safety culture'?',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It's the way we do things here","It reflects the rules and regulations governing safety","It is the combination of beliefs, perceptions and attitudes staff have toward safety"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
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		),
		(int) 26 => array(
			'id' => '3378',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Does Culture Matter?',
			'description' => 'There has been a great deal of research in this area, trying to answer the question, "Is having a positive culture associated with positive patient outcomes?".

Perhaps our best guide on this issue is a meta-analysis (a review of as many relevant papers as possible that identifies key findings over them all) carried out in many settings [2] and also the large survey of culture in the NHS we referred to earlier.

Is having a positive culture associated with positive outcomes for patients?',
			'field_order' => '6',
			'attachment_id' => '1584',
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		),
		(int) 27 => array(
			'id' => '3379',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'Yes. The answer to this question, based on this work and our current understanding of its significance, is that having a positive culture is associated with positive outcomes for patients.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
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		),
		(int) 28 => array(
			'id' => '3380',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Positive Outcomes and a Positive Culture',
			'description' => 'Positive Outcomes

Some of these outcomes are:

- lower mortality
- better management of the deteriorating patient
- fewer patient safety incidents including fewer medication errors
- fewer readmissions to hospital

In hospitals, having a positive culture is also associated with better outcomes in the areas of:

- patient falls
- hospital-acquired infections
- pressure ulcers
- deep vein thromboses

Positive Culture

Positive cultures are also associated with some aspects of wellbeing, such as:

- mood
- quality of life
- patient satisfaction

It does seem that safety culture is important. Most members of staff will have experienced different cultures with different characteristics; they will recognise how this subtle but pervasive quality affects their own wellbeing and the quality of care that is delivered to patients and service users, together with their families and carers.

In other words, our personal experience supports the key finding that positive cultures are associated with positive outcomes.',
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			'field_label' => 'What does a Positive, Learning Culture look like?',
			'description' => 'Safety culture, which includes the collection of beliefs, attitudes, values and assumptions of the teams, is important for patients. It is not a single thing; it has many different facets or dimensions, all of which are important.

There are many tools which can be used to measure safety culture and its characteristics. One such, which is relevant and useful in health and social care, was developed by Westrum [3] and looked at things closely related to how organisations learn. This is a vital factor in keeping care as safe as possible.

Westrum was able to create a typology of culture demonstrating the maturity of the organisation in learning about safety matters. He called the 3 types of culture: pathological, bureaucratic and generative and described the qualities of each type.
',
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			'field_choices' => '{"width":500,"annotations":[{"top":87.25,"left":90,"annotation":"Pathological\n\nFor example, a pathological organisation might look and behave in this manner:\n\ninformation is hidden\nmessengers are 'shot'\nresponsibilities are shirked\nbridging (connections between different parts of or different organisations and departments) is discouraged\nfailure is covered-up\nnew ideas are actively crushed"},{"top":93.25,"left":250,"annotation":"Bureaucratic\n\nIn practice, we find that most organisations are probably and best represented by bureaucratic and look like this:\n\ninformation may be ignored\nmessengers are tolerated\nresponsibility is compartmentalised\nbridging is allowed but neglected\norganisation is just and merciful\nnew ideas create problems"},{"top":88.25,"left":398,"annotation":"Generative\n\nAt the other end of the scale a generative organisation might have these qualities:\n\ninformation is actively sought\nmessengers are trained\nresponsibilities are shared\nbridging is rewarded\nfailure causes inquiry\nnew ideas are welcomed"}]}',
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		(int) 30 => array(
			'id' => '3382',
			'course_id' => '118',
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			'field_type' => 'paragraph',
			'field_label' => 'At this point, take a few moments to think about the organisation you work in and see where it might best fit into this typology.',
			'description' => 'Are we at the bureaucratic stage or are we moving toward the generative stage?
Would your colleagues share your views?',
			'field_order' => '10',
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		),
		(int) 31 => array(
			'id' => '3383',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'A Just Culture',
			'description' => 'There are many other ways to look at safety culture. For example, we could look specifically at 'reporting culture'; how our organisation encourages staff to raise issues in safe care. Or we could look at 'flexible culture'; one which respects the skills and abilities of frontline staff and which allows control to pass to task experts on the spot. But a critical aspect of safety culture relates to how it treats error.

We know from systems thinking that error is more usefully seen as a consequence of the way we work rather than a cause of problems.

When we understand that no one comes to work to do a bad job, but that errors happen naturally in an imperfect system, blame becomes counterproductive. Telling people to be "more careful" or to "work harder" simply doesn't work. Blaming people, instead of trying to understand why it made sense for them to act the way they did, only discourages them and their colleagues from disclosing errors.

In turn, that closes down channels of communication and therefore makes the system less safe.
',
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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		),
		(int) 32 => array(
			'id' => '3384',
			'course_id' => '118',
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			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'It is important to emphasise, though, that gross negligence or deliberate acts are very rare indeed in our NHS and that systematic tools can be used to distinguish intentional or negligent acts from systems-based issues of care. One such tool is the NHS - A just culture guide [5].

A just culture guide

The NHS - A just culture guide is a tool based on the Incident Decision Tree developed by the National Patient Safety Agency, which was in turn based on the work of James Reason [6].

Using the tool allows us to determine the influence of systems factors, such as training, supervision, equipment and environment and also to assess how other staff would have handled a difficult situation.

It has been designed to be applied where there is good reason to believe that a member of staff has acted inappropriately.

When not to use the tool

The tool should not be routinely used in response to patient safety incidents, as interrogating the actions of an individual where there is no reason to suspect inappropriate behaviour would be counter to promoting a just culture. Just culture means that fairness and transparency after safety incidents is paramount.',
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		(int) 33 => array(
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			'course_id' => '118',
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			'field_label' => '',
			'description' => 'The just culture approach ensures a systematic way to identify systems factors after errors.

In the rare circumstances where someone's actions may have been inappropriate, it also supports a conversation about whether a staff member involved in a patient safety incident requires specific individual support or intervention to work safely.',
			'field_order' => '13',
			'attachment_id' => '1588',
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			'attachment_pos' => '0',
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		),
		(int) 34 => array(
			'id' => '3386',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Starting a Conversation About Safety Culture',
			'description' => 'There are many ways to measure safety culture, many different tools and approaches. In later sessions, we look at more examples and concepts of cultural types and ways of evaluating them. We believe that starting a conversation about the safety culture that you work in is an essential starting point.

To help with that, we recommend that your team or organisation consider using a tool called the Manchester Patient Safety Framework (MaPSaF) or, of course, similar tools which are designed to get a discussion going.

This type of cultural tool is therefore a sort of cultural intervention rather than a measurement tool. 

MaPSaF is based on the Westrum framework we described earlier, but provides a more detailed framework and, importantly, shows us examples of what pathological, bureaucratic and generative cultures look like across several dimensions.

Using MaPSaF in groups, where the local culture is placed somewhere on these dimensions, is a good way of provoking discussion and leading to improvement activity in safety culture.',
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		),
		(int) 35 => array(
			'id' => '3387',
			'course_id' => '118',
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			'field_type' => 'paragraph',
			'field_label' => 'MaPSaF in Practice',
			'description' => 'MaPSaF uses several 'dimensions' of safety culture to help us focus on how the organisation understands patient safety.

The complete dimensions of safety culture that are used here are:

- commitment to overall continuous improvement
- priority given to safety
- system errors and individual responsibility
- recording and evaluating incidents and best practice
- learning and effecting change
- communication about patient safety issues
- personnel management and safety issues
- staff education and training
- team working

During a MaPSaF session, you can choose which dimension(s) you want the team to look at. Teams are then asked to think about their organisation or local area and by looking at the examples provided to place their organisation or area somewhere on the scales.

To make this discussion more concrete MaPSaF provides a summary description of organisational culture at each of 5 levels:

- pathological
- reactive
- bureaucratic
- proactive
- generative
 
This helps to understand the organisation's culture.',
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			'show_correct' => '0',
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		),
		(int) 36 => array(
			'id' => '3388',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'image-hotspot',
			'field_label' => 'Let's take a concrete example. In the dimension 'Priority given to safety', there are the descriptions of each level, on which the teams are asked to place their own organisation.',
			'description' => 'Hover over the icons to see the descriptions of each type of organisation.',
			'field_order' => '16',
			'attachment_id' => '1590',
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			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":26.5312,"left":269,"annotation":"A low priority is given to safety\n\nThere are some risk management systems in place, such as strategies and committees, but nothing is actually delivered.\n\nThis is an organisation unaware of their risk, believing that if a patient safety incident occurs, insurance schemes can be used to bail them out."},{"top":58.5312,"left":314,"annotation":"Safety becomes a priority once an incident occurs\n\nSafety becomes a priority once an incident occurs, but the rest of the time only lip service is paid to the issue apart from meeting legal requirements.\n\nThere is little evidence of any implementation of a risk management strategy. Safety is only discussed by the board in relation to specific incidents. Any measures that are taken are aimed at self-protection and not patient protection.\n\nIn order to meet financial constraints or government set targets, risks are taken."},{"top":90.5312,"left":325,"annotation":"Safety has a fairly high priority\n\nSafety has a fairly high priority and there are numerous systems (including those integrating the patient perspective) in place to protect it. However, these systems are not widely disseminated to staff or reviewed. They also tend to lack the flexibility to respond to unforeseen events and fail to capture the complexity of the issues involved.\n\nResponsibility for risk management is invested in a single individual who does not integrate within the wider organisation. It is an imposed culture."},{"top":135.531,"left":346,"annotation":"Safety is promoted throughout the organisation\n\nSafety is promoted throughout the organisation and staff are actively involved in all safety issues and processes. Patients, the public and other organisations are also involved in risk management systems and their review. Measures taken are aimed at patient protection and not self-protection.\n\nRisks are proactively identified, using prospective risk assessments, and action is taken to manage them. There are clear accountability lines and while one individual takes the lead for patient safety in the organisation, it is a key part of all managers' roles."},{"top":159.531,"left":361,"annotation":"Safety is the top priority of the organisation\n\nSafety is the top priority in the organisation, and responsibility for safety is seen as being part of everyone's role including patients and the public.\n\nStaff constantly assess risks and look for potential improvements. Patient safety is a high profile issue throughout the organisation and is embedded in the activities of all staff, from the board and senior managers through to healthcare teams who have day-to-day contact with patients, including support staff. \n\nPatient involvement in, and review of, patient safety issues is well established."}]}',
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		),
		(int) 37 => array(
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			'course_id' => '118',
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			'field_type' => 'media-field',
			'field_label' => 'When we can think about our organisations and place them on a descriptive scale using this or a similar discussion-based tool, we can begin and continue a conversation about safety culture.',
			'description' => 'What do you think this will eventually lead to?',
			'field_order' => '17',
			'attachment_id' => '1591',
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		),
		(int) 38 => array(
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			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'Importantly, this leads to a:

- shared vocabulary about safety culture
- consensus-based understanding of safety culture in the organisation or the local team
- recognition of where improvements should be targeted',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => null,
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		),
		(int) 39 => array(
			'id' => '3392',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Summary',
			'description' => 'In summary, MaPSaF can be used to:

facilitate self-reflection on safety culture maturity of a given healthcare organisation and team
help a team recognise that patient safety is a complex multidimensional concept
stimulate discussion about the strengths, weaknesses and differences of the patient safety culture in a team, between staff groups or in an organisation
help understand how an organisation and team with a more mature safety culture might look
help evaluate any specific intervention to change the safety culture of your organisation and or team',
			'field_order' => '19',
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		),
		(int) 40 => array(
			'id' => '3393',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Improving Safety Culture',
			'description' => 'Safety culture is usually seen as something that an organisation has, not something it does. This means it's something that is created by many activities and beliefs and that it emerges from the organisation.

Because of this, quality improvements are usually focused on developing safety behaviours and creating shared beliefs about patient safety through consensus. Using discussion tools like MaPSaF, having the involvement of leadership teams and ensuring multiprofessional engagement is a good way forward.

In the additional materials for this session, we have provided guidance and materials for conducting a local session to discuss and evaluate safety culture.
',
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		),
		(int) 41 => array(
			'id' => '3394',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => ''Systems-based' approaches to incident investigations might focus on:',
			'description' => 'Choose 1 or more options',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Understanding how enforcing changes in staff behaviour  could prevent further incidents","How systems affect the way we do our work","Staff performance that adversely affects safety incidents","Contributory factors from the environment, equipment, work systems and human behaviour"]',
			'field_correct' => '1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
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		),
		(int) 42 => array(
			'id' => '3395',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Why is systems thinking important for patient safety?',
			'description' => 'Choose 1 or more options',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Because it is a way of including the whole system rather than separate parts","Because a focus on the actions of individual members of staff is needed to eliminate patient safety incidents","Because it has been successful in other safety-critical industries","Because it identifies where staff are at fault"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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			'modified' => '2024-08-06 14:45:27'
		),
		(int) 43 => array(
			'id' => '3396',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Systems thinking can be described as:',
			'description' => 'Choose 1 or more options ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A way to understand the competence or diligence of staff","A way of avoiding blame for individual failures","A way to understand how things go wrong for patients that includes the way we work, the equipment and the environment","A recognition that individual members of staff work in a greater system that has a major effect on their performance"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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		),
		(int) 44 => array(
			'id' => '3397',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following is an essential part of risk management?',
			'description' => 'Choose 1 or more options',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Disciplining and retraining staff involved in patient safety incidents","Making sure that only incidents which cause actual harm are reported by staff","Taking a proactive approach to identifying and managing risks","Maintaining an up-to-date risk register where each risk has an 'owner' and an evaluation of any contorl measures"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
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		),
		(int) 45 => array(
			'id' => '3398',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'In a proactive approach to safety in an area (for example, a patient pathway or a clinical department) which of the following actions would be most important?',
			'description' => 'Choose 1 or more options',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Understanding the tasks carried out and the risk associated with them","Building a consensus with all the staff regarding risks and how to manage them in this area","Encouraging staff to work more diligently and be aware of risks","Keeping a record of incidents and near-misses"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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			'modified' => '2024-08-06 14:45:27'
		),
		(int) 46 => array(
			'id' => '3399',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements about risk are correct?',
			'description' => 'Choose 1 or more options',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Risks can be prioritised for action by their relative risk score","Relative risk for a hazard is calculated as outcome multiplied by liklihood","Where the likelihood of a risk is very low, it can be ignored","Risk registers do not need to include an evaluation of each risk or be rebviewd regularly"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 47 => array(
			'id' => '3400',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Human factors, or 'ergonomics', can play a major role in safety.  Which of the following is part of a human factors approach?',
			'description' => 'Choose 1 or more options ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Making sure staff follow the rules at all times","Promoting user-centred design of equipment and work flow","Getting rid of wasteful, time-consuming or redundant checks","Developing non-technical skills such as communication, leadership, cooperation and coordination"]',
			'field_correct' => '1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 48 => array(
			'id' => '3401',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements about performance influencing factors (PIFs) are true?',
			'description' => 'Choose 1 or more options',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["PIFs are often created or influenced by management decision distant from the front line of care. For example, these might include decisions about staffing levels, skill mix etcetra","There's no point trying to manage PIFs; there will always be something. We just have to be vigilent all the time.","Decisions by managers don't usually make a difference to how things work at the front line","PIFs include many factors that shape how we do our work; the physical environment, noise and distractions, communications and information and supervision"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 49 => array(
			'id' => '3402',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements about 'human error' are correct?',
			'description' => 'Choose 1 or more options',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Everyone is capable of error","Human error is affected by many factors outside the range of our control, such as equipment. environment and the type of task","Errors can be prevented by punishing staff for commintting an 'error'","Errors are usually due to a lack of care, neglect or negligence","Errors cannot be predicted or avoided"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 50 => array(
			'id' => '3403',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'MaPSaF (The Manchester patient safety framework) is a tool based on Westrum's model.  How would you use it in practice?',
			'description' => 'Choose 1 or more options',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To start a conversation about patient safety in small groups","To rank departments by their safety culture","To help a team recognise that patient safety is a complex multi-dimensional concept","To measure the safety culture of the organisation"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 51 => array(
			'id' => '3404',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'The NHS Patient Safety Strategy includes a commitment to building a 'just culture'.  Which of the following statements describe a just culture?',
			'description' => 'Choose 1 or more options',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
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			'attachment_pos' => null,
			'field_choices' => '["Just culture enables professionals to avoid scrutiny and accountability","Just culture considers wider systemic issues where things go wrong, beyond individual performance","A just culture holds people appropriately to account where there is evidence of gross negligence or deliberate acts","Just culture ignores situations where issues of competence may have affected safety"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
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		),
		(int) 52 => array(
			'id' => '3405',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Why is it important to discourage a 'blame culture' after a patient safety incident or problems with patient care?',
			'description' => 'Choose 1 or more options',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
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			'attachment_pos' => null,
			'field_choices' => '["Because a blame culture discourages staff from disclosing errors and risks to patient safety","Because staff should never be held accountable in matters of competence","Because staff never or rarley make mistakes","Because until a systems-based investigation is concluded, we will not know whether human failures were part of the problem"]',
			'field_correct' => '0,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 53 => array(
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			'course_id' => '118',
			'course_lesson_id' => '536',
			'field_type' => 'paragraph',
			'field_label' => 'Summary ',
			'description' => '- Human factors and ergonomics mean the same thing: 'the science of work'.

- The human factors approach to healthcare can be summarised as:

- focusing on patient safety and staff and patient wellbeing
- looking at each healthcare system as a whole
- driving improvement through the redesign of work

- Human factors can be applied in healthcare to:

- investigate incidents
identify and address error-prone situations
- remove obstacles to the performance of work
- design equipment, information technology, procedures, jobs and work systems

- All of the above factors support improved patient safety and wellbeing outcomes for staff and patients alike.

- Human factors relate to everyone's job. By understanding the fundamentals of human factors, we are better able to support local work system redesign.

- A strong safety culture is important and it is associated with better outcomes for patients in many areas.

- We have referred to a number of dimensions of safety culture and suggested ways of using tools to start a conversation about safety',
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-06 14:52:37',
			'modified' => '2024-08-06 14:52:37'
		),
		(int) 54 => array(
			'id' => '3407',
			'course_id' => '118',
			'course_lesson_id' => '536',
			'field_type' => 'paragraph',
			'field_label' => 'Further Patient Safety Training',
			'description' => 'Now that you have completed the Access to practice training, you can complete further level 2 patient safety training for your specific sector. Sessions have been developed for the following sectors:

- mental health
- primary care
- acute care
- maternity care
- management and administration',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
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			'show_correct' => '0',
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			'active' => '1',
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			'modified' => '2024-08-06 14:52:37'
		),
		(int) 55 => array(
			'id' => '3408',
			'course_id' => '118',
			'course_lesson_id' => '536',
			'field_type' => 'text-links',
			'field_label' => 'Further Information & Refrences',
			'description' => 'This session completes Level 2 of the NHS Patient Safety Syllabus, Access to practice. You will have learnt about 4 key themes in safety science: systems, risk, human factors and safety culture. Levels 3 to 5 continue to expand and develop these themes, leading to the attainment of Practitioner in Patient Safety, Advanced Practitioner in Patient Safety and Senior Expert in Patient Safety.<br><br>References<br><br>Dixon-Woods M, Baker R, Charles K et al. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. BMJ Qual Saf 2014;23:106–115. <a href="https://about:blank">View article</a><br>Braithwaite J, Herkes J, Ludlow K et al. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open 2017;7:e017708. <a href="https://bmjopen.bmj.com/content/7/11/e017708">View article</a><br>Westrum R. A typology of organisational cultures. Qual Saf Health Care 2004;13(Suppl II):ii22–ii27. <a href="https://bmjopen.bmj.com/content/7/11/e017708"></a><a href="https://qualitysafety.bmj.com/content/13/suppl_2/ii22">View article</a><br>GOV.UK. Professor Sir Norman Williams Review. <a href="https://www.gov.uk/government/groups/professor-sir-norman-williams-review">View website</a><br>NHS England. A just culture guide. <a href="https://www.england.nhs.uk/patient-safety/patient-safety-culture/a-just-culture-guide/">View website</a><br>Reason J. Managing the Risks of Organisational Accidents. Farnham: Ashgate Publishing, 1997.<br><br>Further Reading<br><br>Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf 2014;23(3):196-205. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3932984/">View article</a><br>Manchester Patient Safety Framework (MaPSaF).<a href="https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Fportal.e-lfh.org.uk%2FAICC_Content%2FNPST_01_004%2Fcourse%2Fen%2Fassets%2FMaPSaF.docx&amp;wdOrigin=BROWSELINK"> View document</a><br>',
			'field_order' => '2',
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		)
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			'field_label' => 'About this Session',
			'description' => 'Sector- specific sessions

Once you have successfully completed both Access to practice sessions, we recommend you complete level 2 training for your sector. 

Sector-specific sessions contain:

- examples of incident reporting in each sector which demonstrate where to find key risks and vulnerable processes
- stories of how human factors can help with essential skills and how the local culture supports, or sometimes does not support, patient safety
- illustrations of how systems thinking can support the safe development of your own area or sector
The sectors that are covered are:

- mental health
- primary care
- acute care
- maternity care
- management and  administration',
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		(int) 1 => array(
			'id' => '3353',
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			'course_lesson_id' => '532',
			'field_type' => 'media-field',
			'field_label' => 'Essentials of Patient Safety',
			'description' => 'The session 'Essentials of patient safety for all staff' aimed to highlight key factors in safety as they apply to healthcare.

These factors were drawn from several domains in the NHS Patient Safety Syllabus.

- We work in complex and interconnected systems to deliver safe care for patients and service users.
- When things go wrong for patients, the causes are usually the result of systems (the way we work) rather than individual members of staff.
- In this context, the automatic blaming of individuals is inappropriate and stops people from learning about the system and raising concerns.
- Identifying risks proactively is an essential part of reducing the likelihood of harm to patients.
- Listening to patients and raising concerns with line managers or other appropriate staff helps to identify these risks and ensure that they are recognised and dealt with.',
			'field_order' => '1',
			'attachment_id' => '1565',
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		),
		(int) 2 => array(
			'id' => '3354',
			'course_id' => '118',
			'course_lesson_id' => '532',
			'field_type' => 'paragraph',
			'field_label' => 'Access to Practice',
			'description' => 'The NHS Patient Safety Syllabus provides in-depth training to allow members of staff to become:

practitioners in patient safety
advanced practitioners
or senior experts [1]

It also allows any member of staff to participate in specific course sessions which are appropriate to their role in health and care. For example, later sessions provide the basis for incident investigation training, or in-depth risk management skills for staff with roles in safety and governance.

This module (Access to practice) provides a grounding in key elements of safety science so that whichever further sessions are engaged in, there is a foundation for the participant that forms a basis for all further study of safety.

The elements of safety science that we focus on and which have underpinned all domains of the syllabus are:

- systems thinking
- risk expertise
- human factors
- safety culture

This session covers human factors and safety culture.
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			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Human Factors',
			'description' => 'What does the term 'human factors' mean to you? Is it something you've heard on a training course or perhaps in relation to a patient safety incident? How about 'ergonomics'?

Take a moment to think about these terms.

- Are they relevant to your job?
- What do they have to do with patient safety?

By the end of this session, you will be able to answer these questions with confidence.

Advances in medical science, an ageing population, changes in public expectations and the impact of things such as COVID-19, all contribute to the significant challenges that we face in health and care every day. 

Despite these challenges, so much of what we do goes well. This is down to the commitment, hard work and adaptability shown by all of us every day; clinical and non-clinical staff, in all roles and at all levels. We can rightly be proud of the good work we do.',
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			'attachment_id' => '1566',
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			'attachment_pos' => '0',
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		),
		(int) 4 => array(
			'id' => '3356',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Human Errors',
			'description' => 'However, sometimes things do not go as planned and this may lead to harm to patients. Often this leads to individual staff being blamed for having committed an error, they are retrained and are told to be more careful in the future.

But does punishing the individual do anything to stop the same thing from happening to another patient or another staff member from being blamed?

What do you think?',
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			'attachment_id' => '1568',
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			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'field_label' => 'Performance Ifluencing Factors',
			'description' => 'Can you think of a time when any of these performance influencing factors, or a combination of several of them, have meant that you have not been able to perform at your best?',
			'field_order' => '2',
			'attachment_id' => '1569',
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			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":46.0938,"left":53,"annotation":"Tools and equipment we use\n\nThe equipment we use: whether our tools and technologies are suited to our needs.\n\nAn example would be a non-clinical staff member struggling to work with a complicated looking IT system."},{"top":90.0938,"left":52,"annotation":"People involved\n\nThe people involved: how we are feeling, our knowledge, skills and attitudes, how our colleagues communicate with us.\n\nAn example would be a busy, tired multitasking staff member stops mid-way through performing a task to answer a phone or question from a colleague."},{"top":142.094,"left":48,"annotation":"Physical work environment\n\nThe physical work environment: the amount of space we have to work in, noise distractions or unsuitable lighting levels.\n\nAn example would be a clinician struggling to perform care activities due to poor access to the patient."},{"top":47.0938,"left":449,"annotation":"Tasks we perform\n\nThe tasks we perform: how difficult they are, whether we are under time pressure, or face distractions and interruptions.\n\nAn example would be a medical emergency on an understaffed ward draws in staff mid-way through caring for patients."},{"top":92.0938,"left":443,"annotation":"External environment\n\nThe external environment: whether guidelines, standards and legal requirements support or hinder us.\n\nAn example would be pressure to meet external targets can influence priorities."},{"top":141.094,"left":446,"annotation":"Social environments we work in\n\nThe social environments we work in: the targets we are set, the shift patterns we work and the capacity of our workplaces to treat patients.\n\nAn example would be a staff member struggles to find a bed for a patient in a full ward, care home or hospital."}]}',
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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			'modified' => '2024-08-06 13:43:50'
		),
		(int) 6 => array(
			'id' => '3358',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Predicting Error',
			'description' => 'Extensive studies have shown that error-prone situations, those where there is a high risk of an error, such as the examples we have just looked at, can often be predicted.

So if errors and their causes can be predicted, does this mean that they can be avoided? 

For decades, other safety-critical industries, such as nuclear and oil and gas, have recognised and sought to avoid the conditions that set people up to fail.',
			'field_order' => '3',
			'attachment_id' => '1570',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 7 => array(
			'id' => '3359',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'What are the 'Human Factors'?',
			'description' => 'Ergonomics, or human factors, they mean the same thing, is 'the science of work'. Human factors is the professional and scientific discipline which aims to improve both the performance of work systems and the wellbeing of those involved in or affected by that work.

Focus of human factors

As a systems discipline, human factors focuses on the interactions between humans and the system and with each other; human factors interventions fundamentally involve improving the design of systems.

Applying human factors

Applying human factors to healthcare, includes making patients safer whilst safeguarding the wellbeing of patients and staff alike.

',
			'field_order' => '4',
			'attachment_id' => null,
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			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 8 => array(
			'id' => '3360',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Non-technical Skills',
			'description' => 'Non-technical skills include things that many people will have come across already with different names, such as 'human performance' or 'crew resource management'. These approaches aim to improve safety by helping individuals and teams work together more effectively.

During challenging situations, aside from our professional training, we all need a variety of non-technical skills to allow us to function as effective teams; skills such as communication, leadership, cooperation and coordination. We need to share a common view of what is happening and feel empowered to raise patient safety concerns.

As with any skill these non-technical skills need to be learned and refined through practise and they should also be promoted and supported across the entire workforce, both clinical and non-clinical teams, and at times when these different groups interact.

Non-technical skills will be discussed in more detail in later levels of the patient safety training. It is important to understand that these skills do not provide a complete human factors solution; individuals and teams need to be supported by well designed systems of work.',
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			'attachment_id' => '1571',
			'external_media_src' => '',
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			'attachment_pos' => '1',
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			'show_correct' => '0',
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			'modified' => '2024-08-06 13:43:50'
		),
		(int) 9 => array(
			'id' => '3361',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'User-centred Design',
			'description' => 'Human factors practitioners draw on an understanding of human behaviour and performance at work, but they do not start by teaching people to modify their behaviour. Instead, adopting a human factors approach means putting people at the heart of safe healthcare delivery, by changing the way work is done to better suit the abilities, limitations and needs of those doing the work.

Should training be the first way to optimise the work system?',
			'field_order' => '6',
			'attachment_id' => '1572',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 10 => array(
			'id' => '3362',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'No. Training should come after we have done all we can to set our staff up for success by redesigning equipment, tasks, procedures and environments for safer and more effective use.

In healthcare, optimising the work system in this way is recognised as something of a long term goal and there will always be a need for all staff to be trained in both technical and non-technical skills.',
			'field_order' => '7',
			'attachment_id' => null,
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			'attachment_pos' => null,
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			'show_correct' => '0',
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			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 11 => array(
			'id' => '3363',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Question',
			'description' => 'Can you think of something that in your opinion is an example of a really good design? What makes the design good? It could be anything, for example a mobile phone, building or vehicle.',
			'field_order' => '8',
			'attachment_id' => '1573',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
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			'modified' => '2024-08-06 13:43:50'
		),
		(int) 12 => array(
			'id' => '3364',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'The chances are that, for you, this design:

- is easy to use correctly (or identify and recover from mistakes)
- matches your capabilities and limitations, for example its size, weight, complexity
- helps you to achieve your goals safely and efficiently

These key human factors principles broadly apply to the design of all aspects of work. In order to redesign work, the human factors discipline incorporates knowledge from a number of allied fields, including psychology, anthropometrics, physiology, engineering and industrial design.

- Using anthropometrics (body measurements) to redesign ambulance interiors, hospital beds and personal protective equipment, to make them more usable, comfortable and reduce staff and patient accidents and injuries.
- Analysing intensive care staff cognition (thinking and reasoning) to produce improved ventilator display and control designs.',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 13 => array(
			'id' => '3365',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'Systems Discipline',
			'description' => 'Whilst it is important to design work to better support individuals, human factors is a systems discipline. From this perspective, patient safety and staff and patient wellbeing are considered emergent properties. This means that they are the outcomes of interactions between all of the elements within and between complex healthcare systems.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 14 => array(
			'id' => '3366',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => '1 of 3: Judgement by others',
			'description' => 'After a patient safety incident, our past actions and decisions may sometimes be judged by others as having been wrong, even though they made perfect sense to us at the time, based on the situation we faced and the information and resources we had available to us.',
			'field_order' => '11',
			'attachment_id' => '1574',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 15 => array(
			'id' => '3367',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => '2 of 3: Support system redesign',
			'description' => 'Applying a human factors approach to incident investigations can help us to understand why individuals behaved as they did, to support system redesign. However, if the only response is to try to change individual behaviours, then system-level patient safety and wellbeing outcomes are unlikely to be affected.',
			'field_order' => '12',
			'attachment_id' => '1575',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 16 => array(
			'id' => '3368',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => '3 of 3: See the bigger picture',
			'description' => 'If we want to make even greater improvements on where we are today, then we should try and see patient safety as much bigger than the sum of each of us working as individuals.',
			'field_order' => '13',
			'attachment_id' => '1576',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
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		),
		(int) 17 => array(
			'id' => '3369',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Systems Design',
			'description' => 'Taking a human factors approach to improving patient safety means looking at all of the features of the work system, seeing how well they work together and designing improvements to the whole system to better meet its goals.

This is necessary because of the interactions between system components; changes to one area can affect the performance of the whole system.',
			'field_order' => '14',
			'attachment_id' => '1577',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
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			'show_correct' => '0',
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			'active' => '1',
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		),
		(int) 18 => array(
			'id' => '3370',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Participatory Design',
			'description' => 'A key principle of the human factors approach to designing change is the active involvement of representatives of all those groups who are to use or come into contact with a work system. Including these stakeholders is known as participatory design and it not only ensures that their goals, specific needs, capabilities and limitations are all taken into account, but also that their specialist knowledge and insights improve the design of and support for the resulting work system.',
			'field_order' => '15',
			'attachment_id' => '1578',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
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		),
		(int) 19 => array(
			'id' => '3371',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Human Factors Expertise',
			'description' => 'Human factors practitioners are professionally registered specialists with years of training and experience.

Human factors practitioners can add their expertise to work within healthcare, as they have in other safety-critical industries, such as aviation, rail and nuclear power.',
			'field_order' => '16',
			'attachment_id' => '1579',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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		),
		(int) 20 => array(
			'id' => '3372',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Safety Culture',
			'description' => 'Safety culture is something that many will have heard of.

- What is safety culture? 
- Is it important for patient safety? 
- Does having a positive culture make any difference to what happens to our patients and service users?
- How can we find out what our culture is like and start to improve it?

In this section, we will try to answer these important questions.',
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			'attachment_id' => '1580',
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			'attachment_pos' => '0',
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		),
		(int) 21 => array(
			'id' => '3373',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Introduction to Organisational Culture',
			'description' => 'First of all, let's think about the organisations we work in. It's probably true to say that we will all have an intuitive perception of its culture. Perhaps we think of it as its character or even its personality. When we move from one organisation to another, we’ll probably notice some differences. Perhaps some organisations are more open and welcome discussion. Some are instead more focused on achieving their immediate goals and seem to have no time to listen to staff.

There are many types of organisations with many characteristics. They may not be easy to define, but often they are simply recognised and experienced. Though it’s not necessarily a complete or accurate description, organisational culture has often been summarised as "the way we do it here", and as such is immediately obvious to staff.

But why does culture vary so much? Is it merely differences in behaviour (the way we do it here) or are there other factors in play? Most people who have studied this believe that behaviour isn’t the whole story and that the underlying attitudes, values, beliefs and assumptions in the organisation play a major role in its culture.',
			'field_order' => '1',
			'attachment_id' => '1581',
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			'attachment_pos' => '1',
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		),
		(int) 22 => array(
			'id' => '3374',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Long Description of the Culture Pyramid Diagram',
			'description' => 'A pyramid diagram with artefacts at the top, values in the middle and assumptions at the bottom.

Artefacts: The visible elements in a culture including dress code, working practices and structures
Values: Stated values and rules of behaviour, often expressed in official philosophies and public statements of identity
Assumptions: Deeply embedded, taken-for-granted behaviours which are usually unconscious

It is also thought that there isn't a single culture in an organisation. In healthcare organisations, for example, there is sometimes a difference between the culture of managers, whose responsibilities are to the structures and functioning of the organisation, and clinical staff, whose direct responsibilities are always to the patient.

We know the culture of the NHS is not universally perfect. It varies and in some places is not as positive as we would like. Which factors are thought to influence problems with our culture?',
			'field_order' => '2',
			'attachment_id' => null,
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			'attachment_pos' => null,
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			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
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			'modified' => '2024-08-06 14:09:11'
		),
		(int) 23 => array(
			'id' => '3375',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Key Points',
			'description' => 'A very large, multi-method study [1] concluded that creating a positive, supportive environment in NHS organisations was hampered by:

- a lack of clear organisational goals
- a sense of organisations being overwhelmed by regulatory requirements
- poorly designed and variable system that failed to support staff in delivering high-quality care',
			'field_order' => '3',
			'attachment_id' => '1582',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
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			'active' => '1',
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		),
		(int) 24 => array(
			'id' => '3376',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Set against this, we know that our services can rise to exceptional challenges on local and national levels and that despite these valid perceptions, our staff can carry out frankly heroic programmes for health in the most difficult of circumstances.

We know, therefore, that organisational culture is both important and, to a degree, flexible. It is a property that emerges from an organisation. Something that can't be easily understood but which is nevertheless part of our daily experience.',
			'field_order' => '4',
			'attachment_id' => '1583',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'show_correct' => '0',
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		),
		(int) 25 => array(
			'id' => '3377',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'single-choice',
			'field_label' => 'What is Safety Culture?',
			'description' => 'Safety culture is a term used in healthcare since about 2000. It is a part of the overall culture of the organisation and there are many definitions. For example, many people would say that safety culture is the way in which safety is managed in the workplace.

Which of the following statements do you think best describes 'safety culture'?',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It's the way we do things here","It reflects the rules and regulations governing safety","It is the combination of beliefs, perceptions and attitudes staff have toward safety"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:09:11',
			'modified' => '2024-08-06 14:09:11'
		),
		(int) 26 => array(
			'id' => '3378',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Does Culture Matter?',
			'description' => 'There has been a great deal of research in this area, trying to answer the question, "Is having a positive culture associated with positive patient outcomes?".

Perhaps our best guide on this issue is a meta-analysis (a review of as many relevant papers as possible that identifies key findings over them all) carried out in many settings [2] and also the large survey of culture in the NHS we referred to earlier.

Is having a positive culture associated with positive outcomes for patients?',
			'field_order' => '6',
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		),
		(int) 27 => array(
			'id' => '3379',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'Yes. The answer to this question, based on this work and our current understanding of its significance, is that having a positive culture is associated with positive outcomes for patients.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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		),
		(int) 28 => array(
			'id' => '3380',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Positive Outcomes and a Positive Culture',
			'description' => 'Positive Outcomes

Some of these outcomes are:

- lower mortality
- better management of the deteriorating patient
- fewer patient safety incidents including fewer medication errors
- fewer readmissions to hospital

In hospitals, having a positive culture is also associated with better outcomes in the areas of:

- patient falls
- hospital-acquired infections
- pressure ulcers
- deep vein thromboses

Positive Culture

Positive cultures are also associated with some aspects of wellbeing, such as:

- mood
- quality of life
- patient satisfaction

It does seem that safety culture is important. Most members of staff will have experienced different cultures with different characteristics; they will recognise how this subtle but pervasive quality affects their own wellbeing and the quality of care that is delivered to patients and service users, together with their families and carers.

In other words, our personal experience supports the key finding that positive cultures are associated with positive outcomes.',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
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		),
		(int) 29 => array(
			'id' => '3381',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'image-hotspot',
			'field_label' => 'What does a Positive, Learning Culture look like?',
			'description' => 'Safety culture, which includes the collection of beliefs, attitudes, values and assumptions of the teams, is important for patients. It is not a single thing; it has many different facets or dimensions, all of which are important.

There are many tools which can be used to measure safety culture and its characteristics. One such, which is relevant and useful in health and social care, was developed by Westrum [3] and looked at things closely related to how organisations learn. This is a vital factor in keeping care as safe as possible.

Westrum was able to create a typology of culture demonstrating the maturity of the organisation in learning about safety matters. He called the 3 types of culture: pathological, bureaucratic and generative and described the qualities of each type.
',
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			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":87.25,"left":90,"annotation":"Pathological\n\nFor example, a pathological organisation might look and behave in this manner:\n\ninformation is hidden\nmessengers are 'shot'\nresponsibilities are shirked\nbridging (connections between different parts of or different organisations and departments) is discouraged\nfailure is covered-up\nnew ideas are actively crushed"},{"top":93.25,"left":250,"annotation":"Bureaucratic\n\nIn practice, we find that most organisations are probably and best represented by bureaucratic and look like this:\n\ninformation may be ignored\nmessengers are tolerated\nresponsibility is compartmentalised\nbridging is allowed but neglected\norganisation is just and merciful\nnew ideas create problems"},{"top":88.25,"left":398,"annotation":"Generative\n\nAt the other end of the scale a generative organisation might have these qualities:\n\ninformation is actively sought\nmessengers are trained\nresponsibilities are shared\nbridging is rewarded\nfailure causes inquiry\nnew ideas are welcomed"}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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		),
		(int) 30 => array(
			'id' => '3382',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'At this point, take a few moments to think about the organisation you work in and see where it might best fit into this typology.',
			'description' => 'Are we at the bureaucratic stage or are we moving toward the generative stage?
Would your colleagues share your views?',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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		),
		(int) 31 => array(
			'id' => '3383',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'A Just Culture',
			'description' => 'There are many other ways to look at safety culture. For example, we could look specifically at 'reporting culture'; how our organisation encourages staff to raise issues in safe care. Or we could look at 'flexible culture'; one which respects the skills and abilities of frontline staff and which allows control to pass to task experts on the spot. But a critical aspect of safety culture relates to how it treats error.

We know from systems thinking that error is more usefully seen as a consequence of the way we work rather than a cause of problems.

When we understand that no one comes to work to do a bad job, but that errors happen naturally in an imperfect system, blame becomes counterproductive. Telling people to be "more careful" or to "work harder" simply doesn't work. Blaming people, instead of trying to understand why it made sense for them to act the way they did, only discourages them and their colleagues from disclosing errors.

In turn, that closes down channels of communication and therefore makes the system less safe.
',
			'field_order' => '11',
			'attachment_id' => '1586',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:09:11',
			'modified' => '2024-08-06 14:09:11'
		),
		(int) 32 => array(
			'id' => '3384',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'It is important to emphasise, though, that gross negligence or deliberate acts are very rare indeed in our NHS and that systematic tools can be used to distinguish intentional or negligent acts from systems-based issues of care. One such tool is the NHS - A just culture guide [5].

A just culture guide

The NHS - A just culture guide is a tool based on the Incident Decision Tree developed by the National Patient Safety Agency, which was in turn based on the work of James Reason [6].

Using the tool allows us to determine the influence of systems factors, such as training, supervision, equipment and environment and also to assess how other staff would have handled a difficult situation.

It has been designed to be applied where there is good reason to believe that a member of staff has acted inappropriately.

When not to use the tool

The tool should not be routinely used in response to patient safety incidents, as interrogating the actions of an individual where there is no reason to suspect inappropriate behaviour would be counter to promoting a just culture. Just culture means that fairness and transparency after safety incidents is paramount.',
			'field_order' => '12',
			'attachment_id' => '1587',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 33 => array(
			'id' => '3385',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'The just culture approach ensures a systematic way to identify systems factors after errors.

In the rare circumstances where someone's actions may have been inappropriate, it also supports a conversation about whether a staff member involved in a patient safety incident requires specific individual support or intervention to work safely.',
			'field_order' => '13',
			'attachment_id' => '1588',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 34 => array(
			'id' => '3386',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Starting a Conversation About Safety Culture',
			'description' => 'There are many ways to measure safety culture, many different tools and approaches. In later sessions, we look at more examples and concepts of cultural types and ways of evaluating them. We believe that starting a conversation about the safety culture that you work in is an essential starting point.

To help with that, we recommend that your team or organisation consider using a tool called the Manchester Patient Safety Framework (MaPSaF) or, of course, similar tools which are designed to get a discussion going.

This type of cultural tool is therefore a sort of cultural intervention rather than a measurement tool. 

MaPSaF is based on the Westrum framework we described earlier, but provides a more detailed framework and, importantly, shows us examples of what pathological, bureaucratic and generative cultures look like across several dimensions.

Using MaPSaF in groups, where the local culture is placed somewhere on these dimensions, is a good way of provoking discussion and leading to improvement activity in safety culture.',
			'field_order' => '14',
			'attachment_id' => '1589',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
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		),
		(int) 35 => array(
			'id' => '3387',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'MaPSaF in Practice',
			'description' => 'MaPSaF uses several 'dimensions' of safety culture to help us focus on how the organisation understands patient safety.

The complete dimensions of safety culture that are used here are:

- commitment to overall continuous improvement
- priority given to safety
- system errors and individual responsibility
- recording and evaluating incidents and best practice
- learning and effecting change
- communication about patient safety issues
- personnel management and safety issues
- staff education and training
- team working

During a MaPSaF session, you can choose which dimension(s) you want the team to look at. Teams are then asked to think about their organisation or local area and by looking at the examples provided to place their organisation or area somewhere on the scales.

To make this discussion more concrete MaPSaF provides a summary description of organisational culture at each of 5 levels:

- pathological
- reactive
- bureaucratic
- proactive
- generative
 
This helps to understand the organisation's culture.',
			'field_order' => '15',
			'attachment_id' => null,
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			'attachment_pos' => null,
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			'show_correct' => '0',
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		),
		(int) 36 => array(
			'id' => '3388',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'image-hotspot',
			'field_label' => 'Let's take a concrete example. In the dimension 'Priority given to safety', there are the descriptions of each level, on which the teams are asked to place their own organisation.',
			'description' => 'Hover over the icons to see the descriptions of each type of organisation.',
			'field_order' => '16',
			'attachment_id' => '1590',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":26.5312,"left":269,"annotation":"A low priority is given to safety\n\nThere are some risk management systems in place, such as strategies and committees, but nothing is actually delivered.\n\nThis is an organisation unaware of their risk, believing that if a patient safety incident occurs, insurance schemes can be used to bail them out."},{"top":58.5312,"left":314,"annotation":"Safety becomes a priority once an incident occurs\n\nSafety becomes a priority once an incident occurs, but the rest of the time only lip service is paid to the issue apart from meeting legal requirements.\n\nThere is little evidence of any implementation of a risk management strategy. Safety is only discussed by the board in relation to specific incidents. Any measures that are taken are aimed at self-protection and not patient protection.\n\nIn order to meet financial constraints or government set targets, risks are taken."},{"top":90.5312,"left":325,"annotation":"Safety has a fairly high priority\n\nSafety has a fairly high priority and there are numerous systems (including those integrating the patient perspective) in place to protect it. However, these systems are not widely disseminated to staff or reviewed. They also tend to lack the flexibility to respond to unforeseen events and fail to capture the complexity of the issues involved.\n\nResponsibility for risk management is invested in a single individual who does not integrate within the wider organisation. It is an imposed culture."},{"top":135.531,"left":346,"annotation":"Safety is promoted throughout the organisation\n\nSafety is promoted throughout the organisation and staff are actively involved in all safety issues and processes. Patients, the public and other organisations are also involved in risk management systems and their review. Measures taken are aimed at patient protection and not self-protection.\n\nRisks are proactively identified, using prospective risk assessments, and action is taken to manage them. There are clear accountability lines and while one individual takes the lead for patient safety in the organisation, it is a key part of all managers' roles."},{"top":159.531,"left":361,"annotation":"Safety is the top priority of the organisation\n\nSafety is the top priority in the organisation, and responsibility for safety is seen as being part of everyone's role including patients and the public.\n\nStaff constantly assess risks and look for potential improvements. Patient safety is a high profile issue throughout the organisation and is embedded in the activities of all staff, from the board and senior managers through to healthcare teams who have day-to-day contact with patients, including support staff. \n\nPatient involvement in, and review of, patient safety issues is well established."}]}',
			'field_correct' => null,
			'show_correct' => '0',
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		),
		(int) 37 => array(
			'id' => '3390',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'When we can think about our organisations and place them on a descriptive scale using this or a similar discussion-based tool, we can begin and continue a conversation about safety culture.',
			'description' => 'What do you think this will eventually lead to?',
			'field_order' => '17',
			'attachment_id' => '1591',
			'external_media_src' => '',
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			'attachment_pos' => '1',
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		),
		(int) 38 => array(
			'id' => '3391',
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			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'Importantly, this leads to a:

- shared vocabulary about safety culture
- consensus-based understanding of safety culture in the organisation or the local team
- recognition of where improvements should be targeted',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
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		),
		(int) 39 => array(
			'id' => '3392',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Summary',
			'description' => 'In summary, MaPSaF can be used to:

facilitate self-reflection on safety culture maturity of a given healthcare organisation and team
help a team recognise that patient safety is a complex multidimensional concept
stimulate discussion about the strengths, weaknesses and differences of the patient safety culture in a team, between staff groups or in an organisation
help understand how an organisation and team with a more mature safety culture might look
help evaluate any specific intervention to change the safety culture of your organisation and or team',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:09:11',
			'modified' => '2024-08-06 14:09:11'
		),
		(int) 40 => array(
			'id' => '3393',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Improving Safety Culture',
			'description' => 'Safety culture is usually seen as something that an organisation has, not something it does. This means it's something that is created by many activities and beliefs and that it emerges from the organisation.

Because of this, quality improvements are usually focused on developing safety behaviours and creating shared beliefs about patient safety through consensus. Using discussion tools like MaPSaF, having the involvement of leadership teams and ensuring multiprofessional engagement is a good way forward.

In the additional materials for this session, we have provided guidance and materials for conducting a local session to discuss and evaluate safety culture.
',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
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			'modified' => '2024-08-06 14:09:11'
		),
		(int) 41 => array(
			'id' => '3394',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => ''Systems-based' approaches to incident investigations might focus on:',
			'description' => 'Choose 1 or more options',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Understanding how enforcing changes in staff behaviour  could prevent further incidents","How systems affect the way we do our work","Staff performance that adversely affects safety incidents","Contributory factors from the environment, equipment, work systems and human behaviour"]',
			'field_correct' => '1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 42 => array(
			'id' => '3395',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Why is systems thinking important for patient safety?',
			'description' => 'Choose 1 or more options',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Because it is a way of including the whole system rather than separate parts","Because a focus on the actions of individual members of staff is needed to eliminate patient safety incidents","Because it has been successful in other safety-critical industries","Because it identifies where staff are at fault"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 43 => array(
			'id' => '3396',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Systems thinking can be described as:',
			'description' => 'Choose 1 or more options ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A way to understand the competence or diligence of staff","A way of avoiding blame for individual failures","A way to understand how things go wrong for patients that includes the way we work, the equipment and the environment","A recognition that individual members of staff work in a greater system that has a major effect on their performance"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 44 => array(
			'id' => '3397',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following is an essential part of risk management?',
			'description' => 'Choose 1 or more options',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Disciplining and retraining staff involved in patient safety incidents","Making sure that only incidents which cause actual harm are reported by staff","Taking a proactive approach to identifying and managing risks","Maintaining an up-to-date risk register where each risk has an 'owner' and an evaluation of any contorl measures"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'In a proactive approach to safety in an area (for example, a patient pathway or a clinical department) which of the following actions would be most important?',
			'description' => 'Choose 1 or more options',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Understanding the tasks carried out and the risk associated with them","Building a consensus with all the staff regarding risks and how to manage them in this area","Encouraging staff to work more diligently and be aware of risks","Keeping a record of incidents and near-misses"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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		),
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			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements about risk are correct?',
			'description' => 'Choose 1 or more options',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Risks can be prioritised for action by their relative risk score","Relative risk for a hazard is calculated as outcome multiplied by liklihood","Where the likelihood of a risk is very low, it can be ignored","Risk registers do not need to include an evaluation of each risk or be rebviewd regularly"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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			'modified' => '2024-08-06 14:45:27'
		),
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			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Human factors, or 'ergonomics', can play a major role in safety.  Which of the following is part of a human factors approach?',
			'description' => 'Choose 1 or more options ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Making sure staff follow the rules at all times","Promoting user-centred design of equipment and work flow","Getting rid of wasteful, time-consuming or redundant checks","Developing non-technical skills such as communication, leadership, cooperation and coordination"]',
			'field_correct' => '1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
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			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements about performance influencing factors (PIFs) are true?',
			'description' => 'Choose 1 or more options',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["PIFs are often created or influenced by management decision distant from the front line of care. For example, these might include decisions about staffing levels, skill mix etcetra","There's no point trying to manage PIFs; there will always be something. We just have to be vigilent all the time.","Decisions by managers don't usually make a difference to how things work at the front line","PIFs include many factors that shape how we do our work; the physical environment, noise and distractions, communications and information and supervision"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 49 => array(
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			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements about 'human error' are correct?',
			'description' => 'Choose 1 or more options',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Everyone is capable of error","Human error is affected by many factors outside the range of our control, such as equipment. environment and the type of task","Errors can be prevented by punishing staff for commintting an 'error'","Errors are usually due to a lack of care, neglect or negligence","Errors cannot be predicted or avoided"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 50 => array(
			'id' => '3403',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'MaPSaF (The Manchester patient safety framework) is a tool based on Westrum's model.  How would you use it in practice?',
			'description' => 'Choose 1 or more options',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To start a conversation about patient safety in small groups","To rank departments by their safety culture","To help a team recognise that patient safety is a complex multi-dimensional concept","To measure the safety culture of the organisation"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 51 => array(
			'id' => '3404',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'The NHS Patient Safety Strategy includes a commitment to building a 'just culture'.  Which of the following statements describe a just culture?',
			'description' => 'Choose 1 or more options',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Just culture enables professionals to avoid scrutiny and accountability","Just culture considers wider systemic issues where things go wrong, beyond individual performance","A just culture holds people appropriately to account where there is evidence of gross negligence or deliberate acts","Just culture ignores situations where issues of competence may have affected safety"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 52 => array(
			'id' => '3405',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Why is it important to discourage a 'blame culture' after a patient safety incident or problems with patient care?',
			'description' => 'Choose 1 or more options',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Because a blame culture discourages staff from disclosing errors and risks to patient safety","Because staff should never be held accountable in matters of competence","Because staff never or rarley make mistakes","Because until a systems-based investigation is concluded, we will not know whether human failures were part of the problem"]',
			'field_correct' => '0,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 53 => array(
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			'course_id' => '118',
			'course_lesson_id' => '536',
			'field_type' => 'paragraph',
			'field_label' => 'Summary ',
			'description' => '- Human factors and ergonomics mean the same thing: 'the science of work'.

- The human factors approach to healthcare can be summarised as:

- focusing on patient safety and staff and patient wellbeing
- looking at each healthcare system as a whole
- driving improvement through the redesign of work

- Human factors can be applied in healthcare to:

- investigate incidents
identify and address error-prone situations
- remove obstacles to the performance of work
- design equipment, information technology, procedures, jobs and work systems

- All of the above factors support improved patient safety and wellbeing outcomes for staff and patients alike.

- Human factors relate to everyone's job. By understanding the fundamentals of human factors, we are better able to support local work system redesign.

- A strong safety culture is important and it is associated with better outcomes for patients in many areas.

- We have referred to a number of dimensions of safety culture and suggested ways of using tools to start a conversation about safety',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:52:37',
			'modified' => '2024-08-06 14:52:37'
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		(int) 54 => array(
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			'course_id' => '118',
			'course_lesson_id' => '536',
			'field_type' => 'paragraph',
			'field_label' => 'Further Patient Safety Training',
			'description' => 'Now that you have completed the Access to practice training, you can complete further level 2 patient safety training for your specific sector. Sessions have been developed for the following sectors:

- mental health
- primary care
- acute care
- maternity care
- management and administration',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:52:37',
			'modified' => '2024-08-06 14:52:37'
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		(int) 55 => array(
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			'course_id' => '118',
			'course_lesson_id' => '536',
			'field_type' => 'text-links',
			'field_label' => 'Further Information & Refrences',
			'description' => 'This session completes Level 2 of the NHS Patient Safety Syllabus, Access to practice. You will have learnt about 4 key themes in safety science: systems, risk, human factors and safety culture. Levels 3 to 5 continue to expand and develop these themes, leading to the attainment of Practitioner in Patient Safety, Advanced Practitioner in Patient Safety and Senior Expert in Patient Safety.<br><br>References<br><br>Dixon-Woods M, Baker R, Charles K et al. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. BMJ Qual Saf 2014;23:106–115. <a href="https://about:blank">View article</a><br>Braithwaite J, Herkes J, Ludlow K et al. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open 2017;7:e017708. <a href="https://bmjopen.bmj.com/content/7/11/e017708">View article</a><br>Westrum R. A typology of organisational cultures. Qual Saf Health Care 2004;13(Suppl II):ii22–ii27. <a href="https://bmjopen.bmj.com/content/7/11/e017708"></a><a href="https://qualitysafety.bmj.com/content/13/suppl_2/ii22">View article</a><br>GOV.UK. Professor Sir Norman Williams Review. <a href="https://www.gov.uk/government/groups/professor-sir-norman-williams-review">View website</a><br>NHS England. A just culture guide. <a href="https://www.england.nhs.uk/patient-safety/patient-safety-culture/a-just-culture-guide/">View website</a><br>Reason J. Managing the Risks of Organisational Accidents. Farnham: Ashgate Publishing, 1997.<br><br>Further Reading<br><br>Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf 2014;23(3):196-205. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3932984/">View article</a><br>Manchester Patient Safety Framework (MaPSaF).<a href="https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Fportal.e-lfh.org.uk%2FAICC_Content%2FNPST_01_004%2Fcourse%2Fen%2Fassets%2FMaPSaF.docx&amp;wdOrigin=BROWSELINK"> View document</a><br>',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
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			'attachment_pos' => null,
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$bannerSrc = false
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$courseId = '118'
$k = (int) 6
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


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		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
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		(int) 8 => '12',
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		(int) 10 => '6'
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		(int) 5 => '62',
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		(int) 8 => '12',
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		(int) 10 => '6'
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	(int) 123 => array(
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		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
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)
$mainTermData = array(
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		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
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		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
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			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
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		'CourseLesson' => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
				[maximum depth reached]
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			(int) 6 => array(
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			(int) 7 => array(
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			),
			(int) 8 => array(
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			(int) 9 => array(
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			)
		),
		'CourseLessonField' => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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			(int) 6 => array(
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			(int) 7 => array(
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			(int) 8 => array(
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			(int) 9 => array(
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			(int) 10 => array(
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			(int) 11 => array(
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			(int) 13 => array(
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			(int) 15 => array(
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			(int) 16 => array(
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			(int) 17 => array(
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			(int) 18 => array(
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			(int) 24 => array(
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			(int) 25 => array(
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			(int) 26 => array(
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			(int) 27 => array(
				[maximum depth reached]
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			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
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			),
			(int) 31 => array(
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			(int) 32 => array(
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			(int) 33 => array(
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			(int) 35 => array(
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			(int) 36 => array(
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			),
			(int) 37 => array(
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			),
			(int) 38 => array(
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			(int) 39 => array(
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			(int) 41 => array(
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			),
			(int) 42 => array(
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			(int) 43 => array(
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			(int) 44 => array(
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			(int) 45 => array(
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			(int) 46 => array(
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			(int) 47 => array(
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			(int) 48 => array(
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			(int) 49 => array(
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			(int) 50 => array(
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			(int) 51 => array(
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			(int) 52 => array(
				[maximum depth reached]
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			(int) 53 => array(
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			(int) 54 => array(
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			(int) 55 => array(
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			(int) 56 => array(
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			(int) 57 => array(
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			(int) 58 => array(
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			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
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		'LessonFieldList' => array(
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			(int) 576 => array(
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			(int) 577 => array(
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			(int) 583 => array(
				[maximum depth reached]
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			(int) 584 => array(
				[maximum depth reached]
			)
		),
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				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
				[maximum depth reached]
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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			(int) 6 => array(
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			(int) 7 => array(
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			(int) 8 => array(
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			(int) 9 => array(
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			(int) 10 => array(
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			(int) 11 => array(
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			(int) 12 => array(
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			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
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			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
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			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
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		),
		'LessonFieldIds' => array(
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			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
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			(int) 11 => '3671',
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			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
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	),
	(int) 1 => array(
		'Course' => array(
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			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
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			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
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		'CourseLesson' => array(
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			(int) 2 => array(
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			(int) 3 => array(
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		'CourseLessonField' => array(
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			(int) 2 => array(
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			(int) 3 => array(
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			(int) 14 => array(
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			(int) 15 => array(
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			),
			(int) 16 => array(
				[maximum depth reached]
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			(int) 573 => array(
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			(int) 1 => array(
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			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
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			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3561',
			(int) 1 => '3562',
			(int) 2 => '3563',
			(int) 3 => '3564',
			(int) 4 => '3565',
			(int) 5 => '3566',
			(int) 6 => '3567',
			(int) 7 => '3568',
			(int) 8 => '3569',
			(int) 9 => '3570',
			(int) 10 => '3571',
			(int) 11 => '3572',
			(int) 12 => '3573',
			(int) 13 => '3574',
			(int) 14 => '3575',
			(int) 15 => '3576',
			(int) 16 => '3577',
			(int) 17 => '3578',
			(int) 18 => '3580',
			(int) 19 => '3581',
			(int) 20 => '3582',
			(int) 21 => '3583',
			(int) 22 => '3585',
			(int) 23 => '3586',
			(int) 24 => '3584',
			(int) 25 => '3587',
			(int) 26 => '3588',
			(int) 27 => '3589',
			(int) 28 => '3590',
			(int) 29 => '3591',
			(int) 30 => '3592',
			(int) 31 => '3593',
			(int) 32 => '3594',
			(int) 33 => '3595',
			(int) 34 => '3596',
			(int) 35 => '3597',
			(int) 36 => '3598',
			(int) 37 => '3599',
			(int) 38 => '3600',
			(int) 39 => '3601',
			(int) 40 => '3602',
			(int) 41 => '3603',
			(int) 42 => '3604',
			(int) 43 => '3605',
			(int) 44 => '3606',
			(int) 45 => '3607',
			(int) 46 => '3608',
			(int) 47 => '3609',
			(int) 48 => '3610',
			(int) 49 => '3611',
			(int) 50 => '3612',
			(int) 51 => '3613',
			(int) 52 => '3614',
			(int) 53 => '3615',
			(int) 54 => '3619',
			(int) 55 => '3618',
			(int) 56 => '3617',
			(int) 57 => '3616',
			(int) 58 => '3622',
			(int) 59 => '3621',
			(int) 60 => '3620',
			(int) 61 => '3623',
			(int) 62 => '3624',
			(int) 63 => '3625',
			(int) 64 => '3626',
			(int) 65 => '3627',
			(int) 66 => '3628',
			(int) 67 => '3629',
			(int) 68 => '3630',
			(int) 69 => '3631',
			(int) 70 => '3632',
			(int) 71 => '3633',
			(int) 72 => '3634',
			(int) 73 => '3635',
			(int) 74 => '3636',
			(int) 75 => '3637',
			(int) 76 => '3638',
			(int) 77 => '3639'
		)
	),
	(int) 3 => array(
		'Course' => array(
			'id' => '121',
			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'field_count' => (int) 30,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 556 => array(
				[maximum depth reached]
			),
			(int) 557 => array(
				[maximum depth reached]
			),
			(int) 558 => array(
				[maximum depth reached]
			),
			(int) 559 => array(
				[maximum depth reached]
			),
			(int) 560 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3531',
			(int) 1 => '3532',
			(int) 2 => '3533',
			(int) 3 => '3534',
			(int) 4 => '3535',
			(int) 5 => '3536',
			(int) 6 => '3537',
			(int) 7 => '3538',
			(int) 8 => '3539',
			(int) 9 => '3540',
			(int) 10 => '3541',
			(int) 11 => '3542',
			(int) 12 => '3543',
			(int) 13 => '3544',
			(int) 14 => '3545',
			(int) 15 => '3546',
			(int) 16 => '3547',
			(int) 17 => '3548',
			(int) 18 => '3549',
			(int) 19 => '3550',
			(int) 20 => '3551',
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			'course_title' => 'Patient Safety Syllabus Training, Level 2 - Part 2',
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			'created' => '2024-08-06 13:20:44',
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$course = array(
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		'id' => '118',
		'course_title' => 'Patient Safety Syllabus Training, Level 2 - Part 2',
		'description' => 'Access to practice 2<br />This session&nbsp;provides a basic introduction to the key elements of safety science. The elements of safety science that we focus on and which have underpinned all domains of the syllabus are: systems thinking, risk expertise, human factors and safety culture.',
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		'thumbnail_media_id' => '1594',
		'logo_media_id' => null,
		'banner_align_id' => '2',
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		'course_length' => '40 minutes',
		'expiry_date' => null,
		'expired' => '0',
		'active' => '1',
		'created' => '2024-08-06 13:20:44',
		'modified' => '2024-08-07 14:26:05'
	),
	'CourseLesson' => array(
		(int) 0 => array(
			'id' => '532',
			'course_id' => '118',
			'lesson_title' => 'Access to Practice',
			'description' => 'Before beginning this session, you will have completed 'Essentials of patient safety for all' or you may have completed 'Essentials of patient safety for senior leadership and boards'.<br /><br />Access to practice comprises 2 sessions:<br /><br />Access to practice 1: systems thinking and risk expertise<br />Access to practice 2: human factors and safety culture<br />You must complete both Access to practice sessions in order to gain your certificate. At the end of Access to practice 2, you will be asked to complete a self-assessment to check that you have understood Essentials of patient safety as well as Access to practice.',
			'lesson_order' => '0',
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			'session_length' => '3 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 13:21:55',
			'modified' => '2024-08-06 13:21:55'
		),
		(int) 1 => array(
			'id' => '533',
			'course_id' => '118',
			'lesson_title' => 'Human Factors',
			'description' => 'Looking at the term 'Human Factors' and hwat it means.',
			'lesson_order' => '1',
			'created_user_id' => '8779',
			'session_length' => '12 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 13:27:33',
			'modified' => '2024-08-06 13:44:07'
		),
		(int) 2 => array(
			'id' => '534',
			'course_id' => '118',
			'lesson_title' => 'Safety Culture',
			'description' => 'Insight into what safety culture is.',
			'lesson_order' => '2',
			'created_user_id' => '8779',
			'session_length' => '15 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 13:44:53',
			'modified' => '2024-08-06 13:44:53'
		),
		(int) 3 => array(
			'id' => '535',
			'course_id' => '118',
			'lesson_title' => 'Self-assessment',
			'description' => 'Welcome to the assessment for Patient safety. You should set aside approximately 10&nbsp;minutes to complete this assessment.<br /><br />To successfully complete this assessment, you need to achieve a score of at least 75%.&nbsp;',
			'lesson_order' => '3',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 14:10:26',
			'modified' => '2024-08-06 14:10:26'
		),
		(int) 4 => array(
			'id' => '536',
			'course_id' => '118',
			'lesson_title' => 'Summary and Next Steps',
			'description' => 'Summary of session and next steps to take.',
			'lesson_order' => '4',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 14:46:05',
			'modified' => '2024-08-06 14:46:05'
		)
	),
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			'id' => '3352',
			'course_id' => '118',
			'course_lesson_id' => '532',
			'field_type' => 'paragraph',
			'field_label' => 'About this Session',
			'description' => 'Sector- specific sessions

Once you have successfully completed both Access to practice sessions, we recommend you complete level 2 training for your sector. 

Sector-specific sessions contain:

- examples of incident reporting in each sector which demonstrate where to find key risks and vulnerable processes
- stories of how human factors can help with essential skills and how the local culture supports, or sometimes does not support, patient safety
- illustrations of how systems thinking can support the safe development of your own area or sector
The sectors that are covered are:

- mental health
- primary care
- acute care
- maternity care
- management and  administration',
			'field_order' => '0',
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			'created' => '2024-08-06 13:25:45',
			'modified' => '2024-08-06 13:25:45'
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			'course_lesson_id' => '532',
			'field_type' => 'media-field',
			'field_label' => 'Essentials of Patient Safety',
			'description' => 'The session 'Essentials of patient safety for all staff' aimed to highlight key factors in safety as they apply to healthcare.

These factors were drawn from several domains in the NHS Patient Safety Syllabus.

- We work in complex and interconnected systems to deliver safe care for patients and service users.
- When things go wrong for patients, the causes are usually the result of systems (the way we work) rather than individual members of staff.
- In this context, the automatic blaming of individuals is inappropriate and stops people from learning about the system and raising concerns.
- Identifying risks proactively is an essential part of reducing the likelihood of harm to patients.
- Listening to patients and raising concerns with line managers or other appropriate staff helps to identify these risks and ensure that they are recognised and dealt with.',
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			'course_id' => '118',
			'course_lesson_id' => '532',
			'field_type' => 'paragraph',
			'field_label' => 'Access to Practice',
			'description' => 'The NHS Patient Safety Syllabus provides in-depth training to allow members of staff to become:

practitioners in patient safety
advanced practitioners
or senior experts [1]

It also allows any member of staff to participate in specific course sessions which are appropriate to their role in health and care. For example, later sessions provide the basis for incident investigation training, or in-depth risk management skills for staff with roles in safety and governance.

This module (Access to practice) provides a grounding in key elements of safety science so that whichever further sessions are engaged in, there is a foundation for the participant that forms a basis for all further study of safety.

The elements of safety science that we focus on and which have underpinned all domains of the syllabus are:

- systems thinking
- risk expertise
- human factors
- safety culture

This session covers human factors and safety culture.
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		),
		(int) 3 => array(
			'id' => '3355',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Human Factors',
			'description' => 'What does the term 'human factors' mean to you? Is it something you've heard on a training course or perhaps in relation to a patient safety incident? How about 'ergonomics'?

Take a moment to think about these terms.

- Are they relevant to your job?
- What do they have to do with patient safety?

By the end of this session, you will be able to answer these questions with confidence.

Advances in medical science, an ageing population, changes in public expectations and the impact of things such as COVID-19, all contribute to the significant challenges that we face in health and care every day. 

Despite these challenges, so much of what we do goes well. This is down to the commitment, hard work and adaptability shown by all of us every day; clinical and non-clinical staff, in all roles and at all levels. We can rightly be proud of the good work we do.',
			'field_order' => '0',
			'attachment_id' => '1566',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 4 => array(
			'id' => '3356',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Human Errors',
			'description' => 'However, sometimes things do not go as planned and this may lead to harm to patients. Often this leads to individual staff being blamed for having committed an error, they are retrained and are told to be more careful in the future.

But does punishing the individual do anything to stop the same thing from happening to another patient or another staff member from being blamed?

What do you think?',
			'field_order' => '1',
			'attachment_id' => '1568',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 5 => array(
			'id' => '3357',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'image-hotspot',
			'field_label' => 'Performance Ifluencing Factors',
			'description' => 'Can you think of a time when any of these performance influencing factors, or a combination of several of them, have meant that you have not been able to perform at your best?',
			'field_order' => '2',
			'attachment_id' => '1569',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":46.0938,"left":53,"annotation":"Tools and equipment we use\n\nThe equipment we use: whether our tools and technologies are suited to our needs.\n\nAn example would be a non-clinical staff member struggling to work with a complicated looking IT system."},{"top":90.0938,"left":52,"annotation":"People involved\n\nThe people involved: how we are feeling, our knowledge, skills and attitudes, how our colleagues communicate with us.\n\nAn example would be a busy, tired multitasking staff member stops mid-way through performing a task to answer a phone or question from a colleague."},{"top":142.094,"left":48,"annotation":"Physical work environment\n\nThe physical work environment: the amount of space we have to work in, noise distractions or unsuitable lighting levels.\n\nAn example would be a clinician struggling to perform care activities due to poor access to the patient."},{"top":47.0938,"left":449,"annotation":"Tasks we perform\n\nThe tasks we perform: how difficult they are, whether we are under time pressure, or face distractions and interruptions.\n\nAn example would be a medical emergency on an understaffed ward draws in staff mid-way through caring for patients."},{"top":92.0938,"left":443,"annotation":"External environment\n\nThe external environment: whether guidelines, standards and legal requirements support or hinder us.\n\nAn example would be pressure to meet external targets can influence priorities."},{"top":141.094,"left":446,"annotation":"Social environments we work in\n\nThe social environments we work in: the targets we are set, the shift patterns we work and the capacity of our workplaces to treat patients.\n\nAn example would be a staff member struggles to find a bed for a patient in a full ward, care home or hospital."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 6 => array(
			'id' => '3358',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Predicting Error',
			'description' => 'Extensive studies have shown that error-prone situations, those where there is a high risk of an error, such as the examples we have just looked at, can often be predicted.

So if errors and their causes can be predicted, does this mean that they can be avoided? 

For decades, other safety-critical industries, such as nuclear and oil and gas, have recognised and sought to avoid the conditions that set people up to fail.',
			'field_order' => '3',
			'attachment_id' => '1570',
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			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 7 => array(
			'id' => '3359',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'What are the 'Human Factors'?',
			'description' => 'Ergonomics, or human factors, they mean the same thing, is 'the science of work'. Human factors is the professional and scientific discipline which aims to improve both the performance of work systems and the wellbeing of those involved in or affected by that work.

Focus of human factors

As a systems discipline, human factors focuses on the interactions between humans and the system and with each other; human factors interventions fundamentally involve improving the design of systems.

Applying human factors

Applying human factors to healthcare, includes making patients safer whilst safeguarding the wellbeing of patients and staff alike.

',
			'field_order' => '4',
			'attachment_id' => null,
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			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
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		),
		(int) 8 => array(
			'id' => '3360',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Non-technical Skills',
			'description' => 'Non-technical skills include things that many people will have come across already with different names, such as 'human performance' or 'crew resource management'. These approaches aim to improve safety by helping individuals and teams work together more effectively.

During challenging situations, aside from our professional training, we all need a variety of non-technical skills to allow us to function as effective teams; skills such as communication, leadership, cooperation and coordination. We need to share a common view of what is happening and feel empowered to raise patient safety concerns.

As with any skill these non-technical skills need to be learned and refined through practise and they should also be promoted and supported across the entire workforce, both clinical and non-clinical teams, and at times when these different groups interact.

Non-technical skills will be discussed in more detail in later levels of the patient safety training. It is important to understand that these skills do not provide a complete human factors solution; individuals and teams need to be supported by well designed systems of work.',
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			'attachment_id' => '1571',
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			'attachment_pos' => '1',
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			'show_correct' => '0',
			'allow_retry' => '0',
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		),
		(int) 9 => array(
			'id' => '3361',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'User-centred Design',
			'description' => 'Human factors practitioners draw on an understanding of human behaviour and performance at work, but they do not start by teaching people to modify their behaviour. Instead, adopting a human factors approach means putting people at the heart of safe healthcare delivery, by changing the way work is done to better suit the abilities, limitations and needs of those doing the work.

Should training be the first way to optimise the work system?',
			'field_order' => '6',
			'attachment_id' => '1572',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
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			'modified' => '2024-08-06 13:43:50'
		),
		(int) 10 => array(
			'id' => '3362',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'No. Training should come after we have done all we can to set our staff up for success by redesigning equipment, tasks, procedures and environments for safer and more effective use.

In healthcare, optimising the work system in this way is recognised as something of a long term goal and there will always be a need for all staff to be trained in both technical and non-technical skills.',
			'field_order' => '7',
			'attachment_id' => null,
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		),
		(int) 11 => array(
			'id' => '3363',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Question',
			'description' => 'Can you think of something that in your opinion is an example of a really good design? What makes the design good? It could be anything, for example a mobile phone, building or vehicle.',
			'field_order' => '8',
			'attachment_id' => '1573',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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		),
		(int) 12 => array(
			'id' => '3364',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'The chances are that, for you, this design:

- is easy to use correctly (or identify and recover from mistakes)
- matches your capabilities and limitations, for example its size, weight, complexity
- helps you to achieve your goals safely and efficiently

These key human factors principles broadly apply to the design of all aspects of work. In order to redesign work, the human factors discipline incorporates knowledge from a number of allied fields, including psychology, anthropometrics, physiology, engineering and industrial design.

- Using anthropometrics (body measurements) to redesign ambulance interiors, hospital beds and personal protective equipment, to make them more usable, comfortable and reduce staff and patient accidents and injuries.
- Analysing intensive care staff cognition (thinking and reasoning) to produce improved ventilator display and control designs.',
			'field_order' => '9',
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		),
		(int) 13 => array(
			'id' => '3365',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'Systems Discipline',
			'description' => 'Whilst it is important to design work to better support individuals, human factors is a systems discipline. From this perspective, patient safety and staff and patient wellbeing are considered emergent properties. This means that they are the outcomes of interactions between all of the elements within and between complex healthcare systems.',
			'field_order' => '10',
			'attachment_id' => null,
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		),
		(int) 14 => array(
			'id' => '3366',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => '1 of 3: Judgement by others',
			'description' => 'After a patient safety incident, our past actions and decisions may sometimes be judged by others as having been wrong, even though they made perfect sense to us at the time, based on the situation we faced and the information and resources we had available to us.',
			'field_order' => '11',
			'attachment_id' => '1574',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 15 => array(
			'id' => '3367',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => '2 of 3: Support system redesign',
			'description' => 'Applying a human factors approach to incident investigations can help us to understand why individuals behaved as they did, to support system redesign. However, if the only response is to try to change individual behaviours, then system-level patient safety and wellbeing outcomes are unlikely to be affected.',
			'field_order' => '12',
			'attachment_id' => '1575',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'show_correct' => '0',
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			'modified' => '2024-08-06 13:43:50'
		),
		(int) 16 => array(
			'id' => '3368',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => '3 of 3: See the bigger picture',
			'description' => 'If we want to make even greater improvements on where we are today, then we should try and see patient safety as much bigger than the sum of each of us working as individuals.',
			'field_order' => '13',
			'attachment_id' => '1576',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 17 => array(
			'id' => '3369',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Systems Design',
			'description' => 'Taking a human factors approach to improving patient safety means looking at all of the features of the work system, seeing how well they work together and designing improvements to the whole system to better meet its goals.

This is necessary because of the interactions between system components; changes to one area can affect the performance of the whole system.',
			'field_order' => '14',
			'attachment_id' => '1577',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
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		),
		(int) 18 => array(
			'id' => '3370',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Participatory Design',
			'description' => 'A key principle of the human factors approach to designing change is the active involvement of representatives of all those groups who are to use or come into contact with a work system. Including these stakeholders is known as participatory design and it not only ensures that their goals, specific needs, capabilities and limitations are all taken into account, but also that their specialist knowledge and insights improve the design of and support for the resulting work system.',
			'field_order' => '15',
			'attachment_id' => '1578',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
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		),
		(int) 19 => array(
			'id' => '3371',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Human Factors Expertise',
			'description' => 'Human factors practitioners are professionally registered specialists with years of training and experience.

Human factors practitioners can add their expertise to work within healthcare, as they have in other safety-critical industries, such as aviation, rail and nuclear power.',
			'field_order' => '16',
			'attachment_id' => '1579',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
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		),
		(int) 20 => array(
			'id' => '3372',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Safety Culture',
			'description' => 'Safety culture is something that many will have heard of.

- What is safety culture? 
- Is it important for patient safety? 
- Does having a positive culture make any difference to what happens to our patients and service users?
- How can we find out what our culture is like and start to improve it?

In this section, we will try to answer these important questions.',
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			'attachment_id' => '1580',
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			'attachment_pos' => '0',
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		),
		(int) 21 => array(
			'id' => '3373',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Introduction to Organisational Culture',
			'description' => 'First of all, let's think about the organisations we work in. It's probably true to say that we will all have an intuitive perception of its culture. Perhaps we think of it as its character or even its personality. When we move from one organisation to another, we’ll probably notice some differences. Perhaps some organisations are more open and welcome discussion. Some are instead more focused on achieving their immediate goals and seem to have no time to listen to staff.

There are many types of organisations with many characteristics. They may not be easy to define, but often they are simply recognised and experienced. Though it’s not necessarily a complete or accurate description, organisational culture has often been summarised as "the way we do it here", and as such is immediately obvious to staff.

But why does culture vary so much? Is it merely differences in behaviour (the way we do it here) or are there other factors in play? Most people who have studied this believe that behaviour isn’t the whole story and that the underlying attitudes, values, beliefs and assumptions in the organisation play a major role in its culture.',
			'field_order' => '1',
			'attachment_id' => '1581',
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			'attachment_pos' => '1',
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		),
		(int) 22 => array(
			'id' => '3374',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Long Description of the Culture Pyramid Diagram',
			'description' => 'A pyramid diagram with artefacts at the top, values in the middle and assumptions at the bottom.

Artefacts: The visible elements in a culture including dress code, working practices and structures
Values: Stated values and rules of behaviour, often expressed in official philosophies and public statements of identity
Assumptions: Deeply embedded, taken-for-granted behaviours which are usually unconscious

It is also thought that there isn't a single culture in an organisation. In healthcare organisations, for example, there is sometimes a difference between the culture of managers, whose responsibilities are to the structures and functioning of the organisation, and clinical staff, whose direct responsibilities are always to the patient.

We know the culture of the NHS is not universally perfect. It varies and in some places is not as positive as we would like. Which factors are thought to influence problems with our culture?',
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			'field_label' => 'Key Points',
			'description' => 'A very large, multi-method study [1] concluded that creating a positive, supportive environment in NHS organisations was hampered by:

- a lack of clear organisational goals
- a sense of organisations being overwhelmed by regulatory requirements
- poorly designed and variable system that failed to support staff in delivering high-quality care',
			'field_order' => '3',
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		(int) 24 => array(
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			'field_label' => '',
			'description' => 'Set against this, we know that our services can rise to exceptional challenges on local and national levels and that despite these valid perceptions, our staff can carry out frankly heroic programmes for health in the most difficult of circumstances.

We know, therefore, that organisational culture is both important and, to a degree, flexible. It is a property that emerges from an organisation. Something that can't be easily understood but which is nevertheless part of our daily experience.',
			'field_order' => '4',
			'attachment_id' => '1583',
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		(int) 25 => array(
			'id' => '3377',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'single-choice',
			'field_label' => 'What is Safety Culture?',
			'description' => 'Safety culture is a term used in healthcare since about 2000. It is a part of the overall culture of the organisation and there are many definitions. For example, many people would say that safety culture is the way in which safety is managed in the workplace.

Which of the following statements do you think best describes 'safety culture'?',
			'field_order' => '5',
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			'attachment_pos' => null,
			'field_choices' => '["It's the way we do things here","It reflects the rules and regulations governing safety","It is the combination of beliefs, perceptions and attitudes staff have toward safety"]',
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			'show_correct' => '1',
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		),
		(int) 26 => array(
			'id' => '3378',
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			'field_type' => 'media-field',
			'field_label' => 'Does Culture Matter?',
			'description' => 'There has been a great deal of research in this area, trying to answer the question, "Is having a positive culture associated with positive patient outcomes?".

Perhaps our best guide on this issue is a meta-analysis (a review of as many relevant papers as possible that identifies key findings over them all) carried out in many settings [2] and also the large survey of culture in the NHS we referred to earlier.

Is having a positive culture associated with positive outcomes for patients?',
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		),
		(int) 27 => array(
			'id' => '3379',
			'course_id' => '118',
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			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'Yes. The answer to this question, based on this work and our current understanding of its significance, is that having a positive culture is associated with positive outcomes for patients.',
			'field_order' => '7',
			'attachment_id' => null,
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		),
		(int) 28 => array(
			'id' => '3380',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Positive Outcomes and a Positive Culture',
			'description' => 'Positive Outcomes

Some of these outcomes are:

- lower mortality
- better management of the deteriorating patient
- fewer patient safety incidents including fewer medication errors
- fewer readmissions to hospital

In hospitals, having a positive culture is also associated with better outcomes in the areas of:

- patient falls
- hospital-acquired infections
- pressure ulcers
- deep vein thromboses

Positive Culture

Positive cultures are also associated with some aspects of wellbeing, such as:

- mood
- quality of life
- patient satisfaction

It does seem that safety culture is important. Most members of staff will have experienced different cultures with different characteristics; they will recognise how this subtle but pervasive quality affects their own wellbeing and the quality of care that is delivered to patients and service users, together with their families and carers.

In other words, our personal experience supports the key finding that positive cultures are associated with positive outcomes.',
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		),
		(int) 29 => array(
			'id' => '3381',
			'course_id' => '118',
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			'field_type' => 'image-hotspot',
			'field_label' => 'What does a Positive, Learning Culture look like?',
			'description' => 'Safety culture, which includes the collection of beliefs, attitudes, values and assumptions of the teams, is important for patients. It is not a single thing; it has many different facets or dimensions, all of which are important.

There are many tools which can be used to measure safety culture and its characteristics. One such, which is relevant and useful in health and social care, was developed by Westrum [3] and looked at things closely related to how organisations learn. This is a vital factor in keeping care as safe as possible.

Westrum was able to create a typology of culture demonstrating the maturity of the organisation in learning about safety matters. He called the 3 types of culture: pathological, bureaucratic and generative and described the qualities of each type.
',
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			'field_choices' => '{"width":500,"annotations":[{"top":87.25,"left":90,"annotation":"Pathological\n\nFor example, a pathological organisation might look and behave in this manner:\n\ninformation is hidden\nmessengers are 'shot'\nresponsibilities are shirked\nbridging (connections between different parts of or different organisations and departments) is discouraged\nfailure is covered-up\nnew ideas are actively crushed"},{"top":93.25,"left":250,"annotation":"Bureaucratic\n\nIn practice, we find that most organisations are probably and best represented by bureaucratic and look like this:\n\ninformation may be ignored\nmessengers are tolerated\nresponsibility is compartmentalised\nbridging is allowed but neglected\norganisation is just and merciful\nnew ideas create problems"},{"top":88.25,"left":398,"annotation":"Generative\n\nAt the other end of the scale a generative organisation might have these qualities:\n\ninformation is actively sought\nmessengers are trained\nresponsibilities are shared\nbridging is rewarded\nfailure causes inquiry\nnew ideas are welcomed"}]}',
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		(int) 30 => array(
			'id' => '3382',
			'course_id' => '118',
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			'field_type' => 'paragraph',
			'field_label' => 'At this point, take a few moments to think about the organisation you work in and see where it might best fit into this typology.',
			'description' => 'Are we at the bureaucratic stage or are we moving toward the generative stage?
Would your colleagues share your views?',
			'field_order' => '10',
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		),
		(int) 31 => array(
			'id' => '3383',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'A Just Culture',
			'description' => 'There are many other ways to look at safety culture. For example, we could look specifically at 'reporting culture'; how our organisation encourages staff to raise issues in safe care. Or we could look at 'flexible culture'; one which respects the skills and abilities of frontline staff and which allows control to pass to task experts on the spot. But a critical aspect of safety culture relates to how it treats error.

We know from systems thinking that error is more usefully seen as a consequence of the way we work rather than a cause of problems.

When we understand that no one comes to work to do a bad job, but that errors happen naturally in an imperfect system, blame becomes counterproductive. Telling people to be "more careful" or to "work harder" simply doesn't work. Blaming people, instead of trying to understand why it made sense for them to act the way they did, only discourages them and their colleagues from disclosing errors.

In turn, that closes down channels of communication and therefore makes the system less safe.
',
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			'attachment_id' => '1586',
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		),
		(int) 32 => array(
			'id' => '3384',
			'course_id' => '118',
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			'field_label' => '',
			'description' => 'It is important to emphasise, though, that gross negligence or deliberate acts are very rare indeed in our NHS and that systematic tools can be used to distinguish intentional or negligent acts from systems-based issues of care. One such tool is the NHS - A just culture guide [5].

A just culture guide

The NHS - A just culture guide is a tool based on the Incident Decision Tree developed by the National Patient Safety Agency, which was in turn based on the work of James Reason [6].

Using the tool allows us to determine the influence of systems factors, such as training, supervision, equipment and environment and also to assess how other staff would have handled a difficult situation.

It has been designed to be applied where there is good reason to believe that a member of staff has acted inappropriately.

When not to use the tool

The tool should not be routinely used in response to patient safety incidents, as interrogating the actions of an individual where there is no reason to suspect inappropriate behaviour would be counter to promoting a just culture. Just culture means that fairness and transparency after safety incidents is paramount.',
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		(int) 33 => array(
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			'description' => 'The just culture approach ensures a systematic way to identify systems factors after errors.

In the rare circumstances where someone's actions may have been inappropriate, it also supports a conversation about whether a staff member involved in a patient safety incident requires specific individual support or intervention to work safely.',
			'field_order' => '13',
			'attachment_id' => '1588',
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		(int) 34 => array(
			'id' => '3386',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Starting a Conversation About Safety Culture',
			'description' => 'There are many ways to measure safety culture, many different tools and approaches. In later sessions, we look at more examples and concepts of cultural types and ways of evaluating them. We believe that starting a conversation about the safety culture that you work in is an essential starting point.

To help with that, we recommend that your team or organisation consider using a tool called the Manchester Patient Safety Framework (MaPSaF) or, of course, similar tools which are designed to get a discussion going.

This type of cultural tool is therefore a sort of cultural intervention rather than a measurement tool. 

MaPSaF is based on the Westrum framework we described earlier, but provides a more detailed framework and, importantly, shows us examples of what pathological, bureaucratic and generative cultures look like across several dimensions.

Using MaPSaF in groups, where the local culture is placed somewhere on these dimensions, is a good way of provoking discussion and leading to improvement activity in safety culture.',
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			'attachment_id' => '1589',
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		(int) 35 => array(
			'id' => '3387',
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			'field_type' => 'paragraph',
			'field_label' => 'MaPSaF in Practice',
			'description' => 'MaPSaF uses several 'dimensions' of safety culture to help us focus on how the organisation understands patient safety.

The complete dimensions of safety culture that are used here are:

- commitment to overall continuous improvement
- priority given to safety
- system errors and individual responsibility
- recording and evaluating incidents and best practice
- learning and effecting change
- communication about patient safety issues
- personnel management and safety issues
- staff education and training
- team working

During a MaPSaF session, you can choose which dimension(s) you want the team to look at. Teams are then asked to think about their organisation or local area and by looking at the examples provided to place their organisation or area somewhere on the scales.

To make this discussion more concrete MaPSaF provides a summary description of organisational culture at each of 5 levels:

- pathological
- reactive
- bureaucratic
- proactive
- generative
 
This helps to understand the organisation's culture.',
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		(int) 36 => array(
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			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'image-hotspot',
			'field_label' => 'Let's take a concrete example. In the dimension 'Priority given to safety', there are the descriptions of each level, on which the teams are asked to place their own organisation.',
			'description' => 'Hover over the icons to see the descriptions of each type of organisation.',
			'field_order' => '16',
			'attachment_id' => '1590',
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			'field_choices' => '{"width":500,"annotations":[{"top":26.5312,"left":269,"annotation":"A low priority is given to safety\n\nThere are some risk management systems in place, such as strategies and committees, but nothing is actually delivered.\n\nThis is an organisation unaware of their risk, believing that if a patient safety incident occurs, insurance schemes can be used to bail them out."},{"top":58.5312,"left":314,"annotation":"Safety becomes a priority once an incident occurs\n\nSafety becomes a priority once an incident occurs, but the rest of the time only lip service is paid to the issue apart from meeting legal requirements.\n\nThere is little evidence of any implementation of a risk management strategy. Safety is only discussed by the board in relation to specific incidents. Any measures that are taken are aimed at self-protection and not patient protection.\n\nIn order to meet financial constraints or government set targets, risks are taken."},{"top":90.5312,"left":325,"annotation":"Safety has a fairly high priority\n\nSafety has a fairly high priority and there are numerous systems (including those integrating the patient perspective) in place to protect it. However, these systems are not widely disseminated to staff or reviewed. They also tend to lack the flexibility to respond to unforeseen events and fail to capture the complexity of the issues involved.\n\nResponsibility for risk management is invested in a single individual who does not integrate within the wider organisation. It is an imposed culture."},{"top":135.531,"left":346,"annotation":"Safety is promoted throughout the organisation\n\nSafety is promoted throughout the organisation and staff are actively involved in all safety issues and processes. Patients, the public and other organisations are also involved in risk management systems and their review. Measures taken are aimed at patient protection and not self-protection.\n\nRisks are proactively identified, using prospective risk assessments, and action is taken to manage them. There are clear accountability lines and while one individual takes the lead for patient safety in the organisation, it is a key part of all managers' roles."},{"top":159.531,"left":361,"annotation":"Safety is the top priority of the organisation\n\nSafety is the top priority in the organisation, and responsibility for safety is seen as being part of everyone's role including patients and the public.\n\nStaff constantly assess risks and look for potential improvements. Patient safety is a high profile issue throughout the organisation and is embedded in the activities of all staff, from the board and senior managers through to healthcare teams who have day-to-day contact with patients, including support staff. \n\nPatient involvement in, and review of, patient safety issues is well established."}]}',
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			'field_type' => 'media-field',
			'field_label' => 'When we can think about our organisations and place them on a descriptive scale using this or a similar discussion-based tool, we can begin and continue a conversation about safety culture.',
			'description' => 'What do you think this will eventually lead to?',
			'field_order' => '17',
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			'field_label' => 'Answer',
			'description' => 'Importantly, this leads to a:

- shared vocabulary about safety culture
- consensus-based understanding of safety culture in the organisation or the local team
- recognition of where improvements should be targeted',
			'field_order' => '18',
			'attachment_id' => null,
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		),
		(int) 39 => array(
			'id' => '3392',
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			'field_type' => 'paragraph',
			'field_label' => 'Summary',
			'description' => 'In summary, MaPSaF can be used to:

facilitate self-reflection on safety culture maturity of a given healthcare organisation and team
help a team recognise that patient safety is a complex multidimensional concept
stimulate discussion about the strengths, weaknesses and differences of the patient safety culture in a team, between staff groups or in an organisation
help understand how an organisation and team with a more mature safety culture might look
help evaluate any specific intervention to change the safety culture of your organisation and or team',
			'field_order' => '19',
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		),
		(int) 40 => array(
			'id' => '3393',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Improving Safety Culture',
			'description' => 'Safety culture is usually seen as something that an organisation has, not something it does. This means it's something that is created by many activities and beliefs and that it emerges from the organisation.

Because of this, quality improvements are usually focused on developing safety behaviours and creating shared beliefs about patient safety through consensus. Using discussion tools like MaPSaF, having the involvement of leadership teams and ensuring multiprofessional engagement is a good way forward.

In the additional materials for this session, we have provided guidance and materials for conducting a local session to discuss and evaluate safety culture.
',
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			'attachment_id' => '1592',
			'external_media_src' => '',
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			'attachment_pos' => '0',
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			'show_correct' => '0',
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			'modified' => '2024-08-06 14:09:11'
		),
		(int) 41 => array(
			'id' => '3394',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => ''Systems-based' approaches to incident investigations might focus on:',
			'description' => 'Choose 1 or more options',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Understanding how enforcing changes in staff behaviour  could prevent further incidents","How systems affect the way we do our work","Staff performance that adversely affects safety incidents","Contributory factors from the environment, equipment, work systems and human behaviour"]',
			'field_correct' => '1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 42 => array(
			'id' => '3395',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Why is systems thinking important for patient safety?',
			'description' => 'Choose 1 or more options',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Because it is a way of including the whole system rather than separate parts","Because a focus on the actions of individual members of staff is needed to eliminate patient safety incidents","Because it has been successful in other safety-critical industries","Because it identifies where staff are at fault"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 43 => array(
			'id' => '3396',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Systems thinking can be described as:',
			'description' => 'Choose 1 or more options ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A way to understand the competence or diligence of staff","A way of avoiding blame for individual failures","A way to understand how things go wrong for patients that includes the way we work, the equipment and the environment","A recognition that individual members of staff work in a greater system that has a major effect on their performance"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 44 => array(
			'id' => '3397',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following is an essential part of risk management?',
			'description' => 'Choose 1 or more options',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Disciplining and retraining staff involved in patient safety incidents","Making sure that only incidents which cause actual harm are reported by staff","Taking a proactive approach to identifying and managing risks","Maintaining an up-to-date risk register where each risk has an 'owner' and an evaluation of any contorl measures"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 45 => array(
			'id' => '3398',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'In a proactive approach to safety in an area (for example, a patient pathway or a clinical department) which of the following actions would be most important?',
			'description' => 'Choose 1 or more options',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Understanding the tasks carried out and the risk associated with them","Building a consensus with all the staff regarding risks and how to manage them in this area","Encouraging staff to work more diligently and be aware of risks","Keeping a record of incidents and near-misses"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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			'modified' => '2024-08-06 14:45:27'
		),
		(int) 46 => array(
			'id' => '3399',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements about risk are correct?',
			'description' => 'Choose 1 or more options',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Risks can be prioritised for action by their relative risk score","Relative risk for a hazard is calculated as outcome multiplied by liklihood","Where the likelihood of a risk is very low, it can be ignored","Risk registers do not need to include an evaluation of each risk or be rebviewd regularly"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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			'modified' => '2024-08-06 14:45:27'
		),
		(int) 47 => array(
			'id' => '3400',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Human factors, or 'ergonomics', can play a major role in safety.  Which of the following is part of a human factors approach?',
			'description' => 'Choose 1 or more options ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Making sure staff follow the rules at all times","Promoting user-centred design of equipment and work flow","Getting rid of wasteful, time-consuming or redundant checks","Developing non-technical skills such as communication, leadership, cooperation and coordination"]',
			'field_correct' => '1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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			'modified' => '2024-08-06 14:45:27'
		),
		(int) 48 => array(
			'id' => '3401',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements about performance influencing factors (PIFs) are true?',
			'description' => 'Choose 1 or more options',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["PIFs are often created or influenced by management decision distant from the front line of care. For example, these might include decisions about staffing levels, skill mix etcetra","There's no point trying to manage PIFs; there will always be something. We just have to be vigilent all the time.","Decisions by managers don't usually make a difference to how things work at the front line","PIFs include many factors that shape how we do our work; the physical environment, noise and distractions, communications and information and supervision"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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		(int) 49 => array(
			'id' => '3402',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements about 'human error' are correct?',
			'description' => 'Choose 1 or more options',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Everyone is capable of error","Human error is affected by many factors outside the range of our control, such as equipment. environment and the type of task","Errors can be prevented by punishing staff for commintting an 'error'","Errors are usually due to a lack of care, neglect or negligence","Errors cannot be predicted or avoided"]',
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			'show_correct' => '1',
			'allow_retry' => '1',
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			'active' => '1',
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		),
		(int) 50 => array(
			'id' => '3403',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'MaPSaF (The Manchester patient safety framework) is a tool based on Westrum's model.  How would you use it in practice?',
			'description' => 'Choose 1 or more options',
			'field_order' => '9',
			'attachment_id' => null,
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			'field_choices' => '["To start a conversation about patient safety in small groups","To rank departments by their safety culture","To help a team recognise that patient safety is a complex multi-dimensional concept","To measure the safety culture of the organisation"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
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		(int) 51 => array(
			'id' => '3404',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'The NHS Patient Safety Strategy includes a commitment to building a 'just culture'.  Which of the following statements describe a just culture?',
			'description' => 'Choose 1 or more options',
			'field_order' => '10',
			'attachment_id' => null,
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			'field_choices' => '["Just culture enables professionals to avoid scrutiny and accountability","Just culture considers wider systemic issues where things go wrong, beyond individual performance","A just culture holds people appropriately to account where there is evidence of gross negligence or deliberate acts","Just culture ignores situations where issues of competence may have affected safety"]',
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		(int) 52 => array(
			'id' => '3405',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Why is it important to discourage a 'blame culture' after a patient safety incident or problems with patient care?',
			'description' => 'Choose 1 or more options',
			'field_order' => '11',
			'attachment_id' => null,
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			'field_choices' => '["Because a blame culture discourages staff from disclosing errors and risks to patient safety","Because staff should never be held accountable in matters of competence","Because staff never or rarley make mistakes","Because until a systems-based investigation is concluded, we will not know whether human failures were part of the problem"]',
			'field_correct' => '0,3',
			'show_correct' => '1',
			'allow_retry' => '1',
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		(int) 53 => array(
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			'field_type' => 'paragraph',
			'field_label' => 'Summary ',
			'description' => '- Human factors and ergonomics mean the same thing: 'the science of work'.

- The human factors approach to healthcare can be summarised as:

- focusing on patient safety and staff and patient wellbeing
- looking at each healthcare system as a whole
- driving improvement through the redesign of work

- Human factors can be applied in healthcare to:

- investigate incidents
identify and address error-prone situations
- remove obstacles to the performance of work
- design equipment, information technology, procedures, jobs and work systems

- All of the above factors support improved patient safety and wellbeing outcomes for staff and patients alike.

- Human factors relate to everyone's job. By understanding the fundamentals of human factors, we are better able to support local work system redesign.

- A strong safety culture is important and it is associated with better outcomes for patients in many areas.

- We have referred to a number of dimensions of safety culture and suggested ways of using tools to start a conversation about safety',
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			'created' => '2024-08-06 14:52:37',
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		(int) 54 => array(
			'id' => '3407',
			'course_id' => '118',
			'course_lesson_id' => '536',
			'field_type' => 'paragraph',
			'field_label' => 'Further Patient Safety Training',
			'description' => 'Now that you have completed the Access to practice training, you can complete further level 2 patient safety training for your specific sector. Sessions have been developed for the following sectors:

- mental health
- primary care
- acute care
- maternity care
- management and administration',
			'field_order' => '1',
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		),
		(int) 55 => array(
			'id' => '3408',
			'course_id' => '118',
			'course_lesson_id' => '536',
			'field_type' => 'text-links',
			'field_label' => 'Further Information & Refrences',
			'description' => 'This session completes Level 2 of the NHS Patient Safety Syllabus, Access to practice. You will have learnt about 4 key themes in safety science: systems, risk, human factors and safety culture. Levels 3 to 5 continue to expand and develop these themes, leading to the attainment of Practitioner in Patient Safety, Advanced Practitioner in Patient Safety and Senior Expert in Patient Safety.<br><br>References<br><br>Dixon-Woods M, Baker R, Charles K et al. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. BMJ Qual Saf 2014;23:106–115. <a href="https://about:blank">View article</a><br>Braithwaite J, Herkes J, Ludlow K et al. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open 2017;7:e017708. <a href="https://bmjopen.bmj.com/content/7/11/e017708">View article</a><br>Westrum R. A typology of organisational cultures. Qual Saf Health Care 2004;13(Suppl II):ii22–ii27. <a href="https://bmjopen.bmj.com/content/7/11/e017708"></a><a href="https://qualitysafety.bmj.com/content/13/suppl_2/ii22">View article</a><br>GOV.UK. Professor Sir Norman Williams Review. <a href="https://www.gov.uk/government/groups/professor-sir-norman-williams-review">View website</a><br>NHS England. A just culture guide. <a href="https://www.england.nhs.uk/patient-safety/patient-safety-culture/a-just-culture-guide/">View website</a><br>Reason J. Managing the Risks of Organisational Accidents. Farnham: Ashgate Publishing, 1997.<br><br>Further Reading<br><br>Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf 2014;23(3):196-205. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3932984/">View article</a><br>Manchester Patient Safety Framework (MaPSaF).<a href="https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Fportal.e-lfh.org.uk%2FAICC_Content%2FNPST_01_004%2Fcourse%2Fen%2Fassets%2FMaPSaF.docx&amp;wdOrigin=BROWSELINK"> View document</a><br>',
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			'field_label' => 'About this Session',
			'description' => 'Sector- specific sessions

Once you have successfully completed both Access to practice sessions, we recommend you complete level 2 training for your sector. 

Sector-specific sessions contain:

- examples of incident reporting in each sector which demonstrate where to find key risks and vulnerable processes
- stories of how human factors can help with essential skills and how the local culture supports, or sometimes does not support, patient safety
- illustrations of how systems thinking can support the safe development of your own area or sector
The sectors that are covered are:

- mental health
- primary care
- acute care
- maternity care
- management and  administration',
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:25:45',
			'modified' => '2024-08-06 13:25:45'
		),
		(int) 1 => array(
			'id' => '3353',
			'course_id' => '118',
			'course_lesson_id' => '532',
			'field_type' => 'media-field',
			'field_label' => 'Essentials of Patient Safety',
			'description' => 'The session 'Essentials of patient safety for all staff' aimed to highlight key factors in safety as they apply to healthcare.

These factors were drawn from several domains in the NHS Patient Safety Syllabus.

- We work in complex and interconnected systems to deliver safe care for patients and service users.
- When things go wrong for patients, the causes are usually the result of systems (the way we work) rather than individual members of staff.
- In this context, the automatic blaming of individuals is inappropriate and stops people from learning about the system and raising concerns.
- Identifying risks proactively is an essential part of reducing the likelihood of harm to patients.
- Listening to patients and raising concerns with line managers or other appropriate staff helps to identify these risks and ensure that they are recognised and dealt with.',
			'field_order' => '1',
			'attachment_id' => '1565',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:25:45',
			'modified' => '2024-08-06 13:25:45'
		),
		(int) 2 => array(
			'id' => '3354',
			'course_id' => '118',
			'course_lesson_id' => '532',
			'field_type' => 'paragraph',
			'field_label' => 'Access to Practice',
			'description' => 'The NHS Patient Safety Syllabus provides in-depth training to allow members of staff to become:

practitioners in patient safety
advanced practitioners
or senior experts [1]

It also allows any member of staff to participate in specific course sessions which are appropriate to their role in health and care. For example, later sessions provide the basis for incident investigation training, or in-depth risk management skills for staff with roles in safety and governance.

This module (Access to practice) provides a grounding in key elements of safety science so that whichever further sessions are engaged in, there is a foundation for the participant that forms a basis for all further study of safety.

The elements of safety science that we focus on and which have underpinned all domains of the syllabus are:

- systems thinking
- risk expertise
- human factors
- safety culture

This session covers human factors and safety culture.
',
			'field_order' => '2',
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			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:25:45',
			'modified' => '2024-08-06 13:25:45'
		),
		(int) 3 => array(
			'id' => '3355',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Human Factors',
			'description' => 'What does the term 'human factors' mean to you? Is it something you've heard on a training course or perhaps in relation to a patient safety incident? How about 'ergonomics'?

Take a moment to think about these terms.

- Are they relevant to your job?
- What do they have to do with patient safety?

By the end of this session, you will be able to answer these questions with confidence.

Advances in medical science, an ageing population, changes in public expectations and the impact of things such as COVID-19, all contribute to the significant challenges that we face in health and care every day. 

Despite these challenges, so much of what we do goes well. This is down to the commitment, hard work and adaptability shown by all of us every day; clinical and non-clinical staff, in all roles and at all levels. We can rightly be proud of the good work we do.',
			'field_order' => '0',
			'attachment_id' => '1566',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 4 => array(
			'id' => '3356',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Human Errors',
			'description' => 'However, sometimes things do not go as planned and this may lead to harm to patients. Often this leads to individual staff being blamed for having committed an error, they are retrained and are told to be more careful in the future.

But does punishing the individual do anything to stop the same thing from happening to another patient or another staff member from being blamed?

What do you think?',
			'field_order' => '1',
			'attachment_id' => '1568',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 5 => array(
			'id' => '3357',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'image-hotspot',
			'field_label' => 'Performance Ifluencing Factors',
			'description' => 'Can you think of a time when any of these performance influencing factors, or a combination of several of them, have meant that you have not been able to perform at your best?',
			'field_order' => '2',
			'attachment_id' => '1569',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":46.0938,"left":53,"annotation":"Tools and equipment we use\n\nThe equipment we use: whether our tools and technologies are suited to our needs.\n\nAn example would be a non-clinical staff member struggling to work with a complicated looking IT system."},{"top":90.0938,"left":52,"annotation":"People involved\n\nThe people involved: how we are feeling, our knowledge, skills and attitudes, how our colleagues communicate with us.\n\nAn example would be a busy, tired multitasking staff member stops mid-way through performing a task to answer a phone or question from a colleague."},{"top":142.094,"left":48,"annotation":"Physical work environment\n\nThe physical work environment: the amount of space we have to work in, noise distractions or unsuitable lighting levels.\n\nAn example would be a clinician struggling to perform care activities due to poor access to the patient."},{"top":47.0938,"left":449,"annotation":"Tasks we perform\n\nThe tasks we perform: how difficult they are, whether we are under time pressure, or face distractions and interruptions.\n\nAn example would be a medical emergency on an understaffed ward draws in staff mid-way through caring for patients."},{"top":92.0938,"left":443,"annotation":"External environment\n\nThe external environment: whether guidelines, standards and legal requirements support or hinder us.\n\nAn example would be pressure to meet external targets can influence priorities."},{"top":141.094,"left":446,"annotation":"Social environments we work in\n\nThe social environments we work in: the targets we are set, the shift patterns we work and the capacity of our workplaces to treat patients.\n\nAn example would be a staff member struggles to find a bed for a patient in a full ward, care home or hospital."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 6 => array(
			'id' => '3358',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Predicting Error',
			'description' => 'Extensive studies have shown that error-prone situations, those where there is a high risk of an error, such as the examples we have just looked at, can often be predicted.

So if errors and their causes can be predicted, does this mean that they can be avoided? 

For decades, other safety-critical industries, such as nuclear and oil and gas, have recognised and sought to avoid the conditions that set people up to fail.',
			'field_order' => '3',
			'attachment_id' => '1570',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 7 => array(
			'id' => '3359',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'What are the 'Human Factors'?',
			'description' => 'Ergonomics, or human factors, they mean the same thing, is 'the science of work'. Human factors is the professional and scientific discipline which aims to improve both the performance of work systems and the wellbeing of those involved in or affected by that work.

Focus of human factors

As a systems discipline, human factors focuses on the interactions between humans and the system and with each other; human factors interventions fundamentally involve improving the design of systems.

Applying human factors

Applying human factors to healthcare, includes making patients safer whilst safeguarding the wellbeing of patients and staff alike.

',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 8 => array(
			'id' => '3360',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Non-technical Skills',
			'description' => 'Non-technical skills include things that many people will have come across already with different names, such as 'human performance' or 'crew resource management'. These approaches aim to improve safety by helping individuals and teams work together more effectively.

During challenging situations, aside from our professional training, we all need a variety of non-technical skills to allow us to function as effective teams; skills such as communication, leadership, cooperation and coordination. We need to share a common view of what is happening and feel empowered to raise patient safety concerns.

As with any skill these non-technical skills need to be learned and refined through practise and they should also be promoted and supported across the entire workforce, both clinical and non-clinical teams, and at times when these different groups interact.

Non-technical skills will be discussed in more detail in later levels of the patient safety training. It is important to understand that these skills do not provide a complete human factors solution; individuals and teams need to be supported by well designed systems of work.',
			'field_order' => '5',
			'attachment_id' => '1571',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 9 => array(
			'id' => '3361',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'User-centred Design',
			'description' => 'Human factors practitioners draw on an understanding of human behaviour and performance at work, but they do not start by teaching people to modify their behaviour. Instead, adopting a human factors approach means putting people at the heart of safe healthcare delivery, by changing the way work is done to better suit the abilities, limitations and needs of those doing the work.

Should training be the first way to optimise the work system?',
			'field_order' => '6',
			'attachment_id' => '1572',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 10 => array(
			'id' => '3362',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'No. Training should come after we have done all we can to set our staff up for success by redesigning equipment, tasks, procedures and environments for safer and more effective use.

In healthcare, optimising the work system in this way is recognised as something of a long term goal and there will always be a need for all staff to be trained in both technical and non-technical skills.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 11 => array(
			'id' => '3363',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Question',
			'description' => 'Can you think of something that in your opinion is an example of a really good design? What makes the design good? It could be anything, for example a mobile phone, building or vehicle.',
			'field_order' => '8',
			'attachment_id' => '1573',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 12 => array(
			'id' => '3364',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'The chances are that, for you, this design:

- is easy to use correctly (or identify and recover from mistakes)
- matches your capabilities and limitations, for example its size, weight, complexity
- helps you to achieve your goals safely and efficiently

These key human factors principles broadly apply to the design of all aspects of work. In order to redesign work, the human factors discipline incorporates knowledge from a number of allied fields, including psychology, anthropometrics, physiology, engineering and industrial design.

- Using anthropometrics (body measurements) to redesign ambulance interiors, hospital beds and personal protective equipment, to make them more usable, comfortable and reduce staff and patient accidents and injuries.
- Analysing intensive care staff cognition (thinking and reasoning) to produce improved ventilator display and control designs.',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'show_correct' => '0',
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			'active' => '1',
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			'modified' => '2024-08-06 13:43:50'
		),
		(int) 13 => array(
			'id' => '3365',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'paragraph',
			'field_label' => 'Systems Discipline',
			'description' => 'Whilst it is important to design work to better support individuals, human factors is a systems discipline. From this perspective, patient safety and staff and patient wellbeing are considered emergent properties. This means that they are the outcomes of interactions between all of the elements within and between complex healthcare systems.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 14 => array(
			'id' => '3366',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => '1 of 3: Judgement by others',
			'description' => 'After a patient safety incident, our past actions and decisions may sometimes be judged by others as having been wrong, even though they made perfect sense to us at the time, based on the situation we faced and the information and resources we had available to us.',
			'field_order' => '11',
			'attachment_id' => '1574',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 15 => array(
			'id' => '3367',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => '2 of 3: Support system redesign',
			'description' => 'Applying a human factors approach to incident investigations can help us to understand why individuals behaved as they did, to support system redesign. However, if the only response is to try to change individual behaviours, then system-level patient safety and wellbeing outcomes are unlikely to be affected.',
			'field_order' => '12',
			'attachment_id' => '1575',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 16 => array(
			'id' => '3368',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => '3 of 3: See the bigger picture',
			'description' => 'If we want to make even greater improvements on where we are today, then we should try and see patient safety as much bigger than the sum of each of us working as individuals.',
			'field_order' => '13',
			'attachment_id' => '1576',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 17 => array(
			'id' => '3369',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Systems Design',
			'description' => 'Taking a human factors approach to improving patient safety means looking at all of the features of the work system, seeing how well they work together and designing improvements to the whole system to better meet its goals.

This is necessary because of the interactions between system components; changes to one area can affect the performance of the whole system.',
			'field_order' => '14',
			'attachment_id' => '1577',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 18 => array(
			'id' => '3370',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Participatory Design',
			'description' => 'A key principle of the human factors approach to designing change is the active involvement of representatives of all those groups who are to use or come into contact with a work system. Including these stakeholders is known as participatory design and it not only ensures that their goals, specific needs, capabilities and limitations are all taken into account, but also that their specialist knowledge and insights improve the design of and support for the resulting work system.',
			'field_order' => '15',
			'attachment_id' => '1578',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 19 => array(
			'id' => '3371',
			'course_id' => '118',
			'course_lesson_id' => '533',
			'field_type' => 'media-field',
			'field_label' => 'Human Factors Expertise',
			'description' => 'Human factors practitioners are professionally registered specialists with years of training and experience.

Human factors practitioners can add their expertise to work within healthcare, as they have in other safety-critical industries, such as aviation, rail and nuclear power.',
			'field_order' => '16',
			'attachment_id' => '1579',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:43:50',
			'modified' => '2024-08-06 13:43:50'
		),
		(int) 20 => array(
			'id' => '3372',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Safety Culture',
			'description' => 'Safety culture is something that many will have heard of.

- What is safety culture? 
- Is it important for patient safety? 
- Does having a positive culture make any difference to what happens to our patients and service users?
- How can we find out what our culture is like and start to improve it?

In this section, we will try to answer these important questions.',
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			'attachment_id' => '1580',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
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		),
		(int) 21 => array(
			'id' => '3373',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Introduction to Organisational Culture',
			'description' => 'First of all, let's think about the organisations we work in. It's probably true to say that we will all have an intuitive perception of its culture. Perhaps we think of it as its character or even its personality. When we move from one organisation to another, we’ll probably notice some differences. Perhaps some organisations are more open and welcome discussion. Some are instead more focused on achieving their immediate goals and seem to have no time to listen to staff.

There are many types of organisations with many characteristics. They may not be easy to define, but often they are simply recognised and experienced. Though it’s not necessarily a complete or accurate description, organisational culture has often been summarised as "the way we do it here", and as such is immediately obvious to staff.

But why does culture vary so much? Is it merely differences in behaviour (the way we do it here) or are there other factors in play? Most people who have studied this believe that behaviour isn’t the whole story and that the underlying attitudes, values, beliefs and assumptions in the organisation play a major role in its culture.',
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		(int) 22 => array(
			'id' => '3374',
			'course_id' => '118',
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			'field_type' => 'paragraph',
			'field_label' => 'Long Description of the Culture Pyramid Diagram',
			'description' => 'A pyramid diagram with artefacts at the top, values in the middle and assumptions at the bottom.

Artefacts: The visible elements in a culture including dress code, working practices and structures
Values: Stated values and rules of behaviour, often expressed in official philosophies and public statements of identity
Assumptions: Deeply embedded, taken-for-granted behaviours which are usually unconscious

It is also thought that there isn't a single culture in an organisation. In healthcare organisations, for example, there is sometimes a difference between the culture of managers, whose responsibilities are to the structures and functioning of the organisation, and clinical staff, whose direct responsibilities are always to the patient.

We know the culture of the NHS is not universally perfect. It varies and in some places is not as positive as we would like. Which factors are thought to influence problems with our culture?',
			'field_order' => '2',
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		(int) 23 => array(
			'id' => '3375',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Key Points',
			'description' => 'A very large, multi-method study [1] concluded that creating a positive, supportive environment in NHS organisations was hampered by:

- a lack of clear organisational goals
- a sense of organisations being overwhelmed by regulatory requirements
- poorly designed and variable system that failed to support staff in delivering high-quality care',
			'field_order' => '3',
			'attachment_id' => '1582',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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		),
		(int) 24 => array(
			'id' => '3376',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'Set against this, we know that our services can rise to exceptional challenges on local and national levels and that despite these valid perceptions, our staff can carry out frankly heroic programmes for health in the most difficult of circumstances.

We know, therefore, that organisational culture is both important and, to a degree, flexible. It is a property that emerges from an organisation. Something that can't be easily understood but which is nevertheless part of our daily experience.',
			'field_order' => '4',
			'attachment_id' => '1583',
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			'attachment_pos' => '0',
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		(int) 25 => array(
			'id' => '3377',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'single-choice',
			'field_label' => 'What is Safety Culture?',
			'description' => 'Safety culture is a term used in healthcare since about 2000. It is a part of the overall culture of the organisation and there are many definitions. For example, many people would say that safety culture is the way in which safety is managed in the workplace.

Which of the following statements do you think best describes 'safety culture'?',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It's the way we do things here","It reflects the rules and regulations governing safety","It is the combination of beliefs, perceptions and attitudes staff have toward safety"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '0',
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		),
		(int) 26 => array(
			'id' => '3378',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Does Culture Matter?',
			'description' => 'There has been a great deal of research in this area, trying to answer the question, "Is having a positive culture associated with positive patient outcomes?".

Perhaps our best guide on this issue is a meta-analysis (a review of as many relevant papers as possible that identifies key findings over them all) carried out in many settings [2] and also the large survey of culture in the NHS we referred to earlier.

Is having a positive culture associated with positive outcomes for patients?',
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		),
		(int) 27 => array(
			'id' => '3379',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'Yes. The answer to this question, based on this work and our current understanding of its significance, is that having a positive culture is associated with positive outcomes for patients.',
			'field_order' => '7',
			'attachment_id' => null,
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		),
		(int) 28 => array(
			'id' => '3380',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Positive Outcomes and a Positive Culture',
			'description' => 'Positive Outcomes

Some of these outcomes are:

- lower mortality
- better management of the deteriorating patient
- fewer patient safety incidents including fewer medication errors
- fewer readmissions to hospital

In hospitals, having a positive culture is also associated with better outcomes in the areas of:

- patient falls
- hospital-acquired infections
- pressure ulcers
- deep vein thromboses

Positive Culture

Positive cultures are also associated with some aspects of wellbeing, such as:

- mood
- quality of life
- patient satisfaction

It does seem that safety culture is important. Most members of staff will have experienced different cultures with different characteristics; they will recognise how this subtle but pervasive quality affects their own wellbeing and the quality of care that is delivered to patients and service users, together with their families and carers.

In other words, our personal experience supports the key finding that positive cultures are associated with positive outcomes.',
			'field_order' => '8',
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		),
		(int) 29 => array(
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			'course_id' => '118',
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			'field_type' => 'image-hotspot',
			'field_label' => 'What does a Positive, Learning Culture look like?',
			'description' => 'Safety culture, which includes the collection of beliefs, attitudes, values and assumptions of the teams, is important for patients. It is not a single thing; it has many different facets or dimensions, all of which are important.

There are many tools which can be used to measure safety culture and its characteristics. One such, which is relevant and useful in health and social care, was developed by Westrum [3] and looked at things closely related to how organisations learn. This is a vital factor in keeping care as safe as possible.

Westrum was able to create a typology of culture demonstrating the maturity of the organisation in learning about safety matters. He called the 3 types of culture: pathological, bureaucratic and generative and described the qualities of each type.
',
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			'field_choices' => '{"width":500,"annotations":[{"top":87.25,"left":90,"annotation":"Pathological\n\nFor example, a pathological organisation might look and behave in this manner:\n\ninformation is hidden\nmessengers are 'shot'\nresponsibilities are shirked\nbridging (connections between different parts of or different organisations and departments) is discouraged\nfailure is covered-up\nnew ideas are actively crushed"},{"top":93.25,"left":250,"annotation":"Bureaucratic\n\nIn practice, we find that most organisations are probably and best represented by bureaucratic and look like this:\n\ninformation may be ignored\nmessengers are tolerated\nresponsibility is compartmentalised\nbridging is allowed but neglected\norganisation is just and merciful\nnew ideas create problems"},{"top":88.25,"left":398,"annotation":"Generative\n\nAt the other end of the scale a generative organisation might have these qualities:\n\ninformation is actively sought\nmessengers are trained\nresponsibilities are shared\nbridging is rewarded\nfailure causes inquiry\nnew ideas are welcomed"}]}',
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		),
		(int) 30 => array(
			'id' => '3382',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'At this point, take a few moments to think about the organisation you work in and see where it might best fit into this typology.',
			'description' => 'Are we at the bureaucratic stage or are we moving toward the generative stage?
Would your colleagues share your views?',
			'field_order' => '10',
			'attachment_id' => null,
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		),
		(int) 31 => array(
			'id' => '3383',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'A Just Culture',
			'description' => 'There are many other ways to look at safety culture. For example, we could look specifically at 'reporting culture'; how our organisation encourages staff to raise issues in safe care. Or we could look at 'flexible culture'; one which respects the skills and abilities of frontline staff and which allows control to pass to task experts on the spot. But a critical aspect of safety culture relates to how it treats error.

We know from systems thinking that error is more usefully seen as a consequence of the way we work rather than a cause of problems.

When we understand that no one comes to work to do a bad job, but that errors happen naturally in an imperfect system, blame becomes counterproductive. Telling people to be "more careful" or to "work harder" simply doesn't work. Blaming people, instead of trying to understand why it made sense for them to act the way they did, only discourages them and their colleagues from disclosing errors.

In turn, that closes down channels of communication and therefore makes the system less safe.
',
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			'attachment_id' => '1586',
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			'attachment_pos' => '1',
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			'field_correct' => null,
			'show_correct' => '0',
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		),
		(int) 32 => array(
			'id' => '3384',
			'course_id' => '118',
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			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'It is important to emphasise, though, that gross negligence or deliberate acts are very rare indeed in our NHS and that systematic tools can be used to distinguish intentional or negligent acts from systems-based issues of care. One such tool is the NHS - A just culture guide [5].

A just culture guide

The NHS - A just culture guide is a tool based on the Incident Decision Tree developed by the National Patient Safety Agency, which was in turn based on the work of James Reason [6].

Using the tool allows us to determine the influence of systems factors, such as training, supervision, equipment and environment and also to assess how other staff would have handled a difficult situation.

It has been designed to be applied where there is good reason to believe that a member of staff has acted inappropriately.

When not to use the tool

The tool should not be routinely used in response to patient safety incidents, as interrogating the actions of an individual where there is no reason to suspect inappropriate behaviour would be counter to promoting a just culture. Just culture means that fairness and transparency after safety incidents is paramount.',
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			'attachment_id' => '1587',
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			'attachment_pos' => '0',
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		(int) 33 => array(
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			'description' => 'The just culture approach ensures a systematic way to identify systems factors after errors.

In the rare circumstances where someone's actions may have been inappropriate, it also supports a conversation about whether a staff member involved in a patient safety incident requires specific individual support or intervention to work safely.',
			'field_order' => '13',
			'attachment_id' => '1588',
			'external_media_src' => '',
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			'attachment_pos' => '0',
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		(int) 34 => array(
			'id' => '3386',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Starting a Conversation About Safety Culture',
			'description' => 'There are many ways to measure safety culture, many different tools and approaches. In later sessions, we look at more examples and concepts of cultural types and ways of evaluating them. We believe that starting a conversation about the safety culture that you work in is an essential starting point.

To help with that, we recommend that your team or organisation consider using a tool called the Manchester Patient Safety Framework (MaPSaF) or, of course, similar tools which are designed to get a discussion going.

This type of cultural tool is therefore a sort of cultural intervention rather than a measurement tool. 

MaPSaF is based on the Westrum framework we described earlier, but provides a more detailed framework and, importantly, shows us examples of what pathological, bureaucratic and generative cultures look like across several dimensions.

Using MaPSaF in groups, where the local culture is placed somewhere on these dimensions, is a good way of provoking discussion and leading to improvement activity in safety culture.',
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			'field_type' => 'paragraph',
			'field_label' => 'MaPSaF in Practice',
			'description' => 'MaPSaF uses several 'dimensions' of safety culture to help us focus on how the organisation understands patient safety.

The complete dimensions of safety culture that are used here are:

- commitment to overall continuous improvement
- priority given to safety
- system errors and individual responsibility
- recording and evaluating incidents and best practice
- learning and effecting change
- communication about patient safety issues
- personnel management and safety issues
- staff education and training
- team working

During a MaPSaF session, you can choose which dimension(s) you want the team to look at. Teams are then asked to think about their organisation or local area and by looking at the examples provided to place their organisation or area somewhere on the scales.

To make this discussion more concrete MaPSaF provides a summary description of organisational culture at each of 5 levels:

- pathological
- reactive
- bureaucratic
- proactive
- generative
 
This helps to understand the organisation's culture.',
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		(int) 36 => array(
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			'field_type' => 'image-hotspot',
			'field_label' => 'Let's take a concrete example. In the dimension 'Priority given to safety', there are the descriptions of each level, on which the teams are asked to place their own organisation.',
			'description' => 'Hover over the icons to see the descriptions of each type of organisation.',
			'field_order' => '16',
			'attachment_id' => '1590',
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			'field_choices' => '{"width":500,"annotations":[{"top":26.5312,"left":269,"annotation":"A low priority is given to safety\n\nThere are some risk management systems in place, such as strategies and committees, but nothing is actually delivered.\n\nThis is an organisation unaware of their risk, believing that if a patient safety incident occurs, insurance schemes can be used to bail them out."},{"top":58.5312,"left":314,"annotation":"Safety becomes a priority once an incident occurs\n\nSafety becomes a priority once an incident occurs, but the rest of the time only lip service is paid to the issue apart from meeting legal requirements.\n\nThere is little evidence of any implementation of a risk management strategy. Safety is only discussed by the board in relation to specific incidents. Any measures that are taken are aimed at self-protection and not patient protection.\n\nIn order to meet financial constraints or government set targets, risks are taken."},{"top":90.5312,"left":325,"annotation":"Safety has a fairly high priority\n\nSafety has a fairly high priority and there are numerous systems (including those integrating the patient perspective) in place to protect it. However, these systems are not widely disseminated to staff or reviewed. They also tend to lack the flexibility to respond to unforeseen events and fail to capture the complexity of the issues involved.\n\nResponsibility for risk management is invested in a single individual who does not integrate within the wider organisation. It is an imposed culture."},{"top":135.531,"left":346,"annotation":"Safety is promoted throughout the organisation\n\nSafety is promoted throughout the organisation and staff are actively involved in all safety issues and processes. Patients, the public and other organisations are also involved in risk management systems and their review. Measures taken are aimed at patient protection and not self-protection.\n\nRisks are proactively identified, using prospective risk assessments, and action is taken to manage them. There are clear accountability lines and while one individual takes the lead for patient safety in the organisation, it is a key part of all managers' roles."},{"top":159.531,"left":361,"annotation":"Safety is the top priority of the organisation\n\nSafety is the top priority in the organisation, and responsibility for safety is seen as being part of everyone's role including patients and the public.\n\nStaff constantly assess risks and look for potential improvements. Patient safety is a high profile issue throughout the organisation and is embedded in the activities of all staff, from the board and senior managers through to healthcare teams who have day-to-day contact with patients, including support staff. \n\nPatient involvement in, and review of, patient safety issues is well established."}]}',
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			'field_type' => 'media-field',
			'field_label' => 'When we can think about our organisations and place them on a descriptive scale using this or a similar discussion-based tool, we can begin and continue a conversation about safety culture.',
			'description' => 'What do you think this will eventually lead to?',
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			'description' => 'Importantly, this leads to a:

- shared vocabulary about safety culture
- consensus-based understanding of safety culture in the organisation or the local team
- recognition of where improvements should be targeted',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:09:11',
			'modified' => '2024-08-06 14:09:11'
		),
		(int) 39 => array(
			'id' => '3392',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'paragraph',
			'field_label' => 'Summary',
			'description' => 'In summary, MaPSaF can be used to:

facilitate self-reflection on safety culture maturity of a given healthcare organisation and team
help a team recognise that patient safety is a complex multidimensional concept
stimulate discussion about the strengths, weaknesses and differences of the patient safety culture in a team, between staff groups or in an organisation
help understand how an organisation and team with a more mature safety culture might look
help evaluate any specific intervention to change the safety culture of your organisation and or team',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:09:11',
			'modified' => '2024-08-06 14:09:11'
		),
		(int) 40 => array(
			'id' => '3393',
			'course_id' => '118',
			'course_lesson_id' => '534',
			'field_type' => 'media-field',
			'field_label' => 'Improving Safety Culture',
			'description' => 'Safety culture is usually seen as something that an organisation has, not something it does. This means it's something that is created by many activities and beliefs and that it emerges from the organisation.

Because of this, quality improvements are usually focused on developing safety behaviours and creating shared beliefs about patient safety through consensus. Using discussion tools like MaPSaF, having the involvement of leadership teams and ensuring multiprofessional engagement is a good way forward.

In the additional materials for this session, we have provided guidance and materials for conducting a local session to discuss and evaluate safety culture.
',
			'field_order' => '20',
			'attachment_id' => '1592',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:09:11',
			'modified' => '2024-08-06 14:09:11'
		),
		(int) 41 => array(
			'id' => '3394',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => ''Systems-based' approaches to incident investigations might focus on:',
			'description' => 'Choose 1 or more options',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Understanding how enforcing changes in staff behaviour  could prevent further incidents","How systems affect the way we do our work","Staff performance that adversely affects safety incidents","Contributory factors from the environment, equipment, work systems and human behaviour"]',
			'field_correct' => '1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 42 => array(
			'id' => '3395',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Why is systems thinking important for patient safety?',
			'description' => 'Choose 1 or more options',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Because it is a way of including the whole system rather than separate parts","Because a focus on the actions of individual members of staff is needed to eliminate patient safety incidents","Because it has been successful in other safety-critical industries","Because it identifies where staff are at fault"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 43 => array(
			'id' => '3396',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Systems thinking can be described as:',
			'description' => 'Choose 1 or more options ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A way to understand the competence or diligence of staff","A way of avoiding blame for individual failures","A way to understand how things go wrong for patients that includes the way we work, the equipment and the environment","A recognition that individual members of staff work in a greater system that has a major effect on their performance"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 44 => array(
			'id' => '3397',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following is an essential part of risk management?',
			'description' => 'Choose 1 or more options',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Disciplining and retraining staff involved in patient safety incidents","Making sure that only incidents which cause actual harm are reported by staff","Taking a proactive approach to identifying and managing risks","Maintaining an up-to-date risk register where each risk has an 'owner' and an evaluation of any contorl measures"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 45 => array(
			'id' => '3398',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'In a proactive approach to safety in an area (for example, a patient pathway or a clinical department) which of the following actions would be most important?',
			'description' => 'Choose 1 or more options',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Understanding the tasks carried out and the risk associated with them","Building a consensus with all the staff regarding risks and how to manage them in this area","Encouraging staff to work more diligently and be aware of risks","Keeping a record of incidents and near-misses"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 46 => array(
			'id' => '3399',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements about risk are correct?',
			'description' => 'Choose 1 or more options',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Risks can be prioritised for action by their relative risk score","Relative risk for a hazard is calculated as outcome multiplied by liklihood","Where the likelihood of a risk is very low, it can be ignored","Risk registers do not need to include an evaluation of each risk or be rebviewd regularly"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 47 => array(
			'id' => '3400',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Human factors, or 'ergonomics', can play a major role in safety.  Which of the following is part of a human factors approach?',
			'description' => 'Choose 1 or more options ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Making sure staff follow the rules at all times","Promoting user-centred design of equipment and work flow","Getting rid of wasteful, time-consuming or redundant checks","Developing non-technical skills such as communication, leadership, cooperation and coordination"]',
			'field_correct' => '1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 48 => array(
			'id' => '3401',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements about performance influencing factors (PIFs) are true?',
			'description' => 'Choose 1 or more options',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["PIFs are often created or influenced by management decision distant from the front line of care. For example, these might include decisions about staffing levels, skill mix etcetra","There's no point trying to manage PIFs; there will always be something. We just have to be vigilent all the time.","Decisions by managers don't usually make a difference to how things work at the front line","PIFs include many factors that shape how we do our work; the physical environment, noise and distractions, communications and information and supervision"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 49 => array(
			'id' => '3402',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements about 'human error' are correct?',
			'description' => 'Choose 1 or more options',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Everyone is capable of error","Human error is affected by many factors outside the range of our control, such as equipment. environment and the type of task","Errors can be prevented by punishing staff for commintting an 'error'","Errors are usually due to a lack of care, neglect or negligence","Errors cannot be predicted or avoided"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 50 => array(
			'id' => '3403',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'MaPSaF (The Manchester patient safety framework) is a tool based on Westrum's model.  How would you use it in practice?',
			'description' => 'Choose 1 or more options',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To start a conversation about patient safety in small groups","To rank departments by their safety culture","To help a team recognise that patient safety is a complex multi-dimensional concept","To measure the safety culture of the organisation"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 51 => array(
			'id' => '3404',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'The NHS Patient Safety Strategy includes a commitment to building a 'just culture'.  Which of the following statements describe a just culture?',
			'description' => 'Choose 1 or more options',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Just culture enables professionals to avoid scrutiny and accountability","Just culture considers wider systemic issues where things go wrong, beyond individual performance","A just culture holds people appropriately to account where there is evidence of gross negligence or deliberate acts","Just culture ignores situations where issues of competence may have affected safety"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 52 => array(
			'id' => '3405',
			'course_id' => '118',
			'course_lesson_id' => '535',
			'field_type' => 'multiple-choice',
			'field_label' => 'Why is it important to discourage a 'blame culture' after a patient safety incident or problems with patient care?',
			'description' => 'Choose 1 or more options',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Because a blame culture discourages staff from disclosing errors and risks to patient safety","Because staff should never be held accountable in matters of competence","Because staff never or rarley make mistakes","Because until a systems-based investigation is concluded, we will not know whether human failures were part of the problem"]',
			'field_correct' => '0,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:45:27',
			'modified' => '2024-08-06 14:45:27'
		),
		(int) 53 => array(
			'id' => '3406',
			'course_id' => '118',
			'course_lesson_id' => '536',
			'field_type' => 'paragraph',
			'field_label' => 'Summary ',
			'description' => '- Human factors and ergonomics mean the same thing: 'the science of work'.

- The human factors approach to healthcare can be summarised as:

- focusing on patient safety and staff and patient wellbeing
- looking at each healthcare system as a whole
- driving improvement through the redesign of work

- Human factors can be applied in healthcare to:

- investigate incidents
identify and address error-prone situations
- remove obstacles to the performance of work
- design equipment, information technology, procedures, jobs and work systems

- All of the above factors support improved patient safety and wellbeing outcomes for staff and patients alike.

- Human factors relate to everyone's job. By understanding the fundamentals of human factors, we are better able to support local work system redesign.

- A strong safety culture is important and it is associated with better outcomes for patients in many areas.

- We have referred to a number of dimensions of safety culture and suggested ways of using tools to start a conversation about safety',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:52:37',
			'modified' => '2024-08-06 14:52:37'
		),
		(int) 54 => array(
			'id' => '3407',
			'course_id' => '118',
			'course_lesson_id' => '536',
			'field_type' => 'paragraph',
			'field_label' => 'Further Patient Safety Training',
			'description' => 'Now that you have completed the Access to practice training, you can complete further level 2 patient safety training for your specific sector. Sessions have been developed for the following sectors:

- mental health
- primary care
- acute care
- maternity care
- management and administration',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:52:37',
			'modified' => '2024-08-06 14:52:37'
		),
		(int) 55 => array(
			'id' => '3408',
			'course_id' => '118',
			'course_lesson_id' => '536',
			'field_type' => 'text-links',
			'field_label' => 'Further Information & Refrences',
			'description' => 'This session completes Level 2 of the NHS Patient Safety Syllabus, Access to practice. You will have learnt about 4 key themes in safety science: systems, risk, human factors and safety culture. Levels 3 to 5 continue to expand and develop these themes, leading to the attainment of Practitioner in Patient Safety, Advanced Practitioner in Patient Safety and Senior Expert in Patient Safety.<br><br>References<br><br>Dixon-Woods M, Baker R, Charles K et al. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. BMJ Qual Saf 2014;23:106–115. <a href="https://about:blank">View article</a><br>Braithwaite J, Herkes J, Ludlow K et al. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open 2017;7:e017708. <a href="https://bmjopen.bmj.com/content/7/11/e017708">View article</a><br>Westrum R. A typology of organisational cultures. Qual Saf Health Care 2004;13(Suppl II):ii22–ii27. <a href="https://bmjopen.bmj.com/content/7/11/e017708"></a><a href="https://qualitysafety.bmj.com/content/13/suppl_2/ii22">View article</a><br>GOV.UK. Professor Sir Norman Williams Review. <a href="https://www.gov.uk/government/groups/professor-sir-norman-williams-review">View website</a><br>NHS England. A just culture guide. <a href="https://www.england.nhs.uk/patient-safety/patient-safety-culture/a-just-culture-guide/">View website</a><br>Reason J. Managing the Risks of Organisational Accidents. Farnham: Ashgate Publishing, 1997.<br><br>Further Reading<br><br>Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf 2014;23(3):196-205. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3932984/">View article</a><br>Manchester Patient Safety Framework (MaPSaF).<a href="https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Fportal.e-lfh.org.uk%2FAICC_Content%2FNPST_01_004%2Fcourse%2Fen%2Fassets%2FMaPSaF.docx&amp;wdOrigin=BROWSELINK"> View document</a><br>',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 14:52:37',
			'modified' => '2024-08-06 14:52:37'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3352',
		(int) 1 => '3353',
		(int) 2 => '3354',
		(int) 3 => '3355',
		(int) 4 => '3356',
		(int) 5 => '3357',
		(int) 6 => '3358',
		(int) 7 => '3359',
		(int) 8 => '3360',
		(int) 9 => '3361',
		(int) 10 => '3362',
		(int) 11 => '3363',
		(int) 12 => '3364',
		(int) 13 => '3365',
		(int) 14 => '3366',
		(int) 15 => '3367',
		(int) 16 => '3368',
		(int) 17 => '3369',
		(int) 18 => '3370',
		(int) 19 => '3371',
		(int) 20 => '3372',
		(int) 21 => '3373',
		(int) 22 => '3374',
		(int) 23 => '3375',
		(int) 24 => '3376',
		(int) 25 => '3377',
		(int) 26 => '3378',
		(int) 27 => '3379',
		(int) 28 => '3380',
		(int) 29 => '3381',
		(int) 30 => '3382',
		(int) 31 => '3383',
		(int) 32 => '3384',
		(int) 33 => '3385',
		(int) 34 => '3386',
		(int) 35 => '3387',
		(int) 36 => '3388',
		(int) 37 => '3390',
		(int) 38 => '3391',
		(int) 39 => '3392',
		(int) 40 => '3393',
		(int) 41 => '3394',
		(int) 42 => '3395',
		(int) 43 => '3396',
		(int) 44 => '3397',
		(int) 45 => '3398',
		(int) 46 => '3399',
		(int) 47 => '3400',
		(int) 48 => '3401',
		(int) 49 => '3402',
		(int) 50 => '3403',
		(int) 51 => '3404',
		(int) 52 => '3405',
		(int) 53 => '3406',
		(int) 54 => '3407',
		(int) 55 => '3408'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '118'
$k = (int) 6
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
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	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
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			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
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			'alt_text' => '',
			'description' => '',
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			'mime_type' => 'image/jpeg',
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			'alt_text' => '',
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			'mime_type' => 'image/jpeg',
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			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
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			'mime_type' => 'image/jpeg',
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			'mime_type' => 'image/jpeg',
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$termId = (int) 6
$taxTerms = array(
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		(int) 2 => 'KS3 (11-14)',
		(int) 1 => 'KS4 (14-16)',
		(int) 13 => 'KS5 (16-18)',
		(int) 5 => 'Young people not in education or work',
		(int) 18 => 'Graduates',
		(int) 19 => 'Employability programmes',
		(int) 20 => 'Career change',
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	'Course Type' => array(
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		(int) 63 => 'Work Experience',
		(int) 61 => 'Careers',
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		(int) 10 => 'Live Sessions',
		(int) 22 => 'Non-accredited programme',
		(int) 11 => 'Podcasts',
		(int) 60 => 'Skills in the Workplace',
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	'Age Bracket' => array(
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		(int) 58 => '12 - 13',
		(int) 17 => '14 - 16',
		(int) 7 => '16 - 18',
		(int) 6 => '18+'
	)
)
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	(int) 244 => '3',
	(int) 199 => '4',
	(int) 285 => '5',
	(int) 201 => '6',
	(int) 200 => '7',
	(int) 198 => '8',
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	(int) 203 => '10',
	(int) 204 => '11',
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	(int) 247 => '13',
	(int) 248 => '17',
	(int) 278 => '18',
	(int) 279 => '19',
	(int) 280 => '20',
	(int) 739 => '21',
	(int) 740 => '22',
	(int) 744 => '24',
	(int) 679 => '25',
	(int) 944 => '26',
	(int) 1405 => '27',
	(int) 945 => '28',
	(int) 680 => '29',
	(int) 681 => '30',
	(int) 1933 => '35',
	(int) 1403 => '36',
	(int) 1420 => '37',
	(int) 1520 => '38',
	(int) 1521 => '39',
	(int) 1533 => '40',
	(int) 1539 => '41',
	(int) 1550 => '42',
	(int) 1551 => '43',
	(int) 1573 => '44',
	(int) 1585 => '45',
	(int) 1595 => '46',
	(int) 1766 => '47',
	(int) 1748 => '48',
	(int) 1754 => '49',
	(int) 1760 => '50',
	(int) 1778 => '51',
	(int) 1736 => '52',
	(int) 1772 => '53',
	(int) 1943 => '54',
	(int) 1941 => '55',
	(int) 2035 => '56',
	(int) 2181 => '57',
	(int) 3043 => '58',
	(int) 4314 => '59',
	(int) 5264 => '60',
	(int) 6359 => '61',
	(int) 6357 => '62',
	(int) 5774 => '63',
	(int) 6356 => '64'
)
$terms = array(
	(int) 0 => '64'
)
$termName = 'Age Bracket'
$name = '18+'
$selectedTerms = array()
$termGroups = array(
	(int) 0 => array(
		(int) 0 => '64'
	)
)
$searchTerm = false
$termIds = array(
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		(int) 0 => '13',
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		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 121 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 122 => array(
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		(int) 2 => '18',
		(int) 3 => '19',
		(int) 4 => '64',
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		(int) 6 => '63',
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	(int) 110 => array(
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		(int) 6 => '63',
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		(int) 10 => '6'
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	(int) 109 => array(
		(int) 0 => '13',
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		(int) 10 => '6'
	),
	(int) 111 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 113 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 112 => array(
		(int) 0 => '13',
		(int) 1 => '64',
		(int) 2 => '62',
		(int) 3 => '63',
		(int) 4 => '61',
		(int) 5 => '60',
		(int) 6 => '7',
		(int) 7 => '6'
	),
	(int) 114 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
	),
	(int) 115 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 118 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 116 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
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			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
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			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
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			(int) 30 => '3440',
			(int) 31 => '3441',
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			(int) 33 => '3443',
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			(int) 35 => '3445',
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			(int) 40 => '3452',
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 54 => array(
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			(int) 55 => array(
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			),
			(int) 535 => array(
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 41 => array(
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			(int) 42 => array(
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			),
			(int) 43 => array(
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			),
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			(int) 51 => '3404',
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			'expired' => '0',
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			'created' => '2024-08-06 11:46:11',
			'modified' => '2024-08-07 14:22:11'
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			'description' => 'Welcome to this e-Learning package, Manual Handling.&nbsp;&nbsp;<br />This is for all staff including contractors, unpaid and voluntary.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
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			'created' => '2024-08-06 09:47:13',
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			'created' => '2024-08-05 14:33:41',
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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			),
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			'created' => '2024-08-05 09:12:40',
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			'created' => '2024-07-31 13:04:44',
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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				[maximum depth reached]
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			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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			),
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			),
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		'course_title' => 'Patient Safety Syllabus Training, Level 2 -  Part 1',
		'description' => 'Access to practice 1<br />This session provides a basic introduction to the key elements of safety science. These elements underpin all domains of the syllabus, and are: systems thinking, risk expertise, human factors and safety culture.',
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			'description' => 'The session 'Essentials of patient safety for all staff' aimed to highlight key factors in safety as they apply to healthcare.<br /><br />These factors were drawn from several domains in the NHS Patient Safety Syllabus.<br /><br />Access to Practice.',
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			'description' => 'Access to practice comprises 2 sessions:

Access to practice 1: systems thinking and risk expertise
Access to practice 2: human factors and safety culture
You must complete both Access to practice sessions in order to gain your certificate. At the end of Access to practice 2, you will be asked to complete a self-assessment to check that you have understood Essentials of patient safety as well as Access to practice.',
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			'description' => 'The session 'Essentials of patient safety for all staff' aimed to highlight key factors in safety as they apply to healthcare.

These factors were drawn from several domains in the NHS Patient Safety Syllabus.

We work in complex and interconnected systems to deliver safe care for patients and service users.
When things go wrong for patients, the causes are usually the result of systems, the way we work, rather than individual members of staff.
In this context, the automatic blaming of individuals is inappropriate and stops people from learning about the system and raising concerns.
Identifying risks proactively is an essential part of reducing the likelihood of harm to patients.
Listening to patients and raising concerns with line managers or other appropriate staff helps to identify these risks and ensure that they are recognised and dealt with.',
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			'description' => 'The NHS Patient Safety Syllabus provides in-depth training to allow members of staff to become:

- practitioners in patient safety

- advanced practitioners

- or senior experts [1]

It also allows any member of staff to participate in specific course sessions which are appropriate to their role in healthcare. For example, later sessions provide the basis for incident investigation training or in-depth risk management skills for staff with roles in safety and governance.

This session (Access to practice) provides a grounding in key elements of safety science so that whichever further sessions are engaged in, there is a foundation for the participant that forms a basis for all further study of safety.

The elements of safety science that we focus on and which have underpinned all domains of the syllabus are [1]:

- systems thinking

- risk expertise

- human factors

-  safety culture

Access to practice comprises 2 sessions each covering 2 of the key themes above. This session covers systems thinking and risk expertise.
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			'field_label' => 'We begin with systems thinking and ask 2 questions:',
			'description' => 'What is systems thinking?
Why is it important in healthcare?
We learned in the previous session (Essentials) that despite a focus on safety over many decades, despite the hard work of clinicians, managers and of professionals in patient safety, things sometimes go wrong for patients and service users. These events are comparatively rare but can cause short-term problems for patients, long-term disabilities and even death.

A great deal of progress in safety science has been made in the NHS. It is now recognised, for example, that we can gain insight into patient safety by understanding systems. We can also gain understanding by evaluating how systems thinking has been applied in other safety-critical industries to make and keep them safer.

A great deal of progress in safety science has been made in the NHS. It is now recognised, for example, that we can gain insight into patient safety by understanding systems. We can also gain understanding by evaluating how systems thinking has been applied in other safety-critical industries to make and keep them safer.

Perhaps the most important insight in safety has been the recognition that individual members of staff work in an overall system that has a major effect on their performance. It is not possible to fully understand human behaviour in isolation. We have to understand the context in which we work. For healthcare, this includes the nature of the task being carried out, the team, their equipment and environment and also the wider organisational context.

This session provides an introduction to systems thinking where we develop this theme. Further sessions in this syllabus will cover some advanced models of systems, including models of highly complex systems and other theoretical models such as resilience in healthcare or Safety-II [2].
',
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			'description' => 'There are many approaches to systems thinking in healthcare. All of them recognise the role that systems play in building safety. At its most basic, systems thinking is a way of exploring and developing actions by looking at connected wholes rather than separate parts.',
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			'field_label' => '1 of 4: Complex systems',
			'description' => 'In healthcare, we work within complex systems, which include our workplace, its environment, equipment and people, its protocols and policies and the larger organisation in which our own organisation sits.

A recent description of a systems model, similar to the model shown here, is found at SEIPS 3.0: Human-Centered Design of the Patient Journey for Patient Safety [3].

This system may be a GP practice, for example. Here, a team of clinicians and administrative staff try to make sure that patients receive the care they need for many complicated and interacting conditions. Situations and environments we can often take for granted may actually be highly complex and interdependent. ',
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			'description' => 'Of course, a GP practice does not exist in isolation. It is connected to the patients and their lives and lifestyles, to organisations providing additional care including hospitals and community care, to social care, to pharmacies and to many other organisations and systems.',
			'field_order' => '3',
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			'field_label' => '3 of 4: Influences',
			'description' => 'Systems thinking recognises that there are many systems which are interconnected and that each influences the others. This creates an often complex interplay of different factors that impact on work and performance.',
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			'field_label' => '4 of 4: The Whole System',
			'description' => 'To create safety within these interconnected systems requires us to approach safety as a property of the whole system, not just one part of it. We need to understand something about what a system is and how it can sometimes affect the actions and performance of the people, who are themselves part of the system.

In the following sections, we look at some ways we can begin to understand the system and how this relates to patient safety and safe clinical practice.',
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			'field_type' => 'media-field',
			'field_label' => 'Organisational accidents model',
			'description' => 'There are many systems-based approaches to safety. In general, we try to make sense of systems by using models which illustrate systems. There are many such models, some of which are developed fully in later sessions of this syllabus. We begin with an influential model developed by James Reason to describe the influence of organisational processes and systems on safety at the frontline of practice [4].

We highlighted earlier that incidents and accidents in healthcare need to be viewed from a wide perspective to be properly understood and in order to prevent further harmful events. While the actions of individual members of staff often seem to play a central role, the behaviour and thinking of staff is constrained by the system they work in. The key factors in this view of systems are illustrated by James Reason's 'Model of Organizational Accidents'.



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			'field_type' => 'image-hotspot',
			'field_label' => 'Select the icons to find out more information.',
			'description' => 'The figure below shows the elements of this model. It shows how decisions taken at some distance from the frontline of care can affect staff and patients. Reading the graphic from left to right, Reason described 'latent failures' or 'latent conditions' produced by management decisions and organisational processes. Then in the centre, we can see the work carried out by staff and some of the things that influence the work; the environment, the team and so on. Finally on the right, we illustrate problems in caring for our patients. Note that these problems have their origin in the system: the conditions created by the organisation, its decisions and its culture. 
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			'field_choices' => '{"width":500,"annotations":[{"top":135.797,"left":63,"annotation":"Latent failures\n\nThese show how decisions taken at some distance from the frontline of care can affect staff and patients. Reason described 'latent failures' or 'latent conditions' produced by management decisions and organisational processes."},{"top":136.797,"left":143,"annotation":"Management decisions\n\nManagement decisions are many and varied. They are taken in order to achieve the goals of the organisation and are also made in response to the economic and political context in which the organisations carry out their work.\n\nDecisions relating to training, staffing levels, supervision, budgets and accountability, for example, can have a significant impact on frontline work."},{"top":167.797,"left":309,"annotation":"Patient safety impact\n\nSometimes these decisions can have a direct negative impact or can create the conditions for things going wrong later. These latent conditions are factors that are present, not necessarily observed directly, but which have effects on other activity.\n\nAn example of a latent condition might be a reduction in the safe number of staff (or the safe mix of staff) looking after patients, leading to pressure at the frontline and an increased probability of staff being unable to manage their work or deliver care to high standards. In other words, patient safety incidents."},{"top":30.7969,"left":318,"annotation":"Contributory factors\n\nIn the centre of the graphic is a description of contributory factors [5] (conditions that may lead to suboptimal care). These include staff and task factors, for example, and we return to these in the next section where we describe more about performance influencing factors."},{"top":131.797,"left":440,"annotation":"Active failures\n\nThe final element of the model shown in the graphic is captioned 'active failures'. \n\nWe can illustrate an active failure here by thinking about medication rounds. A drug administration error could be where a clinician misreads a drug chart, not identifying one of several medications that they are supposed to administer to a patient when they first read the chart. This, along with the latent condition of short staffing means the clinician may be under pressure, and, without enough time to methodically check the drug chart again, contributes to the patient missing a dose of their medication."}]}',
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			'description' => 'Reason described  [4]  how unsafe acts at the 'sharp end' can result in harm. These active failures might be delays in care, omissions, errors or short cuts. But viewed from the systems perspective, the people at the 'sharp end' have inherited the conditions for failure rather than created them.

For a patient safety incident to occur, however, many further defences may have to be breached. We will expand on this as we describe the Swiss cheese model in the next section.m dolor sit amet.',
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		(int) 12 => array(
			'id' => '3320',
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			'course_lesson_id' => '529',
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			'field_label' => 'Swiss Cheese Model',
			'description' => 'The Model of Organizational Accidents provides an insight into how safety depends not only on the skills of the team directly caring for patients but on the decisions and processes taken at other levels of the organisation.

We show a further element of the model (see image below) to illustrate a final point. In order to cause harm, there are other defences or barriers which must be breached.',
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		(int) 13 => array(
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			'field_label' => 'Swiss Cheese Model',
			'description' => 'Many unsafe acts may take place in an organisation, but only some will penetrate the barriers and defences. How this occurs is illustrated by the 'Swiss cheese model' (below).

This model is a way of understanding 'defences in depth'; the many ways that a system can protect patients from incidents or accidents. In the illustration, you will see that in between the hazards (the things that can go wrong) and the patient or service user are a number of defences, presented here as slices of cheese. Because no defence is completely reliable, Reason chose to use Swiss cheese (which is notable for having holes in it) to represent defences that may sometimes fail. This is simply a way of showing that any defence, any way of protecting patients from harm, can be breached.',
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		),
		(int) 14 => array(
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			'field_type' => 'media-field',
			'field_label' => 'Swiss Cheese Model',
			'description' => 'Many unsafe acts may take place in an organisation, but only some will penetrate the barriers and defences. How this occurs is illustrated by the 'Swiss cheese model' [4](below). 

This model is a way of understanding 'defences in depth'; the many ways that a system can protect patients from incidents or accidents. In the illustration, you will see that in between the hazards (the things that can go wrong) and the patient or service user are a number of defences, presented here as slices of cheese. Because no defence is completely reliable, Reason chose to use Swiss cheese (which is notable for having holes in it) to represent defences that may sometimes fail. This is simply a way of showing that any defence, any way of protecting patients from harm, can be breached.',
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			'field_label' => 'Swiss Cheese Model in Practice',
			'description' => 'We can make this easier to understand by putting some names to each of the slices of Swiss cheese in a real example.

1 of 3: Medication safety

Let's use an example of administering medication and see how that fits into the wider picture of delivering safe medicines to patients.

There are many ways of keeping this process safe. Think about when a patient is admitted to hospital and the steps taken to ensure medication safety. 
',
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			'field_label' => 'Swiss Cheese Model in Practice',
			'description' => 'These steps will include:

- medicines reconciliation: checking what medication the patient is already taking

- prescription: setting a medication regime for the patient after admission

- medication checking: checking the suitability of the medication for the patient by clinical pharmacists or pharmacy technicians

- administration: the nurse (usually) who conducts the drug round checks the patient's identification, medication, dose and route for each drug prescribed

- patient observations: checking the safety and efficacy of medications for the patient',
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			'field_label' => 'Swiss Cheese Model in Practice',
			'description' => '3 of 3: Defences in depth

Each of these can be thought of as a defence against medication error and will also be addressed through systems factors more widely as well; through ensuring that training, revalidation and technical reliability is also considered. In this way, it is clear that the design of the systems is a major factor in creating safety.

A failure in any of these defences represents an increased risk to the patient. Where all of them fail, then the patient is at risk of harm from their medications.

This is a very specific example to illustrate a systems approach to safety. But it is also possible to identify more general organisational or cultural factors which could be associated with the slices in the Swiss cheese model. We could illustrate latent factors in this way; things that might create difficult conditions in the workplace and affect safety.

',
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		(int) 18 => array(
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			'field_label' => 'Latent Conditions',
			'description' => 'These would include:

- suboptimal communication
- fatigue and stress
- inadequate training
- distractions
- task design and task support needs
- environment problems
- equipment problems
- problems in leadership, 
- teamwork and non-technical skills

It is through understanding of systems (the way we work) that we can really address safety and develop better ways to care for our patients and service users.

Only by understanding the elements of the system and its defences against failure can we begin to build safety. For example, at each point (slice) in the Swiss cheese model, there is an opportunity for the reliability of the process to be evaluated and monitored.',
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		(int) 19 => array(
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			'field_type' => 'text-links',
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			'description' => 'It should be understood that the Swiss cheese model is one of many approaches to understanding systems and has been criticised for being simplistic and linear, when in reality our working systems in healthcare are complex. However, the model continues to be applied in healthcare and forms a basis for understanding both overall systems and the way they influence safety.<br><br>The additional material for this session includes a short<a href="https://www.bbc.co.uk/news/resources/idt-40ac92b1-1750-4e86-9936-2cda6b0acb3f"> graphic example</a> where the Swiss cheese model is used to show how we manage protection against COVID-19.',
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		(int) 20 => array(
			'id' => '3328',
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			'field_type' => 'paragraph',
			'field_label' => 'Performance influencing factors',
			'description' => 'Understanding how people work within systems and how they are affected by the system leads us to think about performance influencing factors (PIFs). These are things in our workplace that affect how we can do our jobs; contextual factors such as noise, distractions, communications or work instructions. PIFs are present everywhere and can materially affect our ability to carry out tasks.

Distractions during safety-critical work

A good example of how PIFs can affect our work is in the area of distractions during safety-critical work. Administering medications in all settings, primary, acute or mental health, is an example of a safety-critical process. Medication is one of the most common procedures that goes wrong for patients and services, sometimes with very serious consequences.

Example of safety-critical process

Administering medications is an example of a safety-critical process, as we described earlier. It includes these critical tasks:

- checking patient - observations
- checking the name of the patient
- checking the name of the medication
- checking the correct dose for the medication
- observing the patient take the medication
- recording all of this on the drug chart

',
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		),
		(int) 21 => array(
			'id' => '3329',
			'course_id' => '117',
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			'field_label' => 'All the tasks in administering medications are essential for safety, but all are vulnerable to error. When a member of staff is interrupted in this process, the potential for mistakes increases because distractions are significant PIFs during drug rounds.',
			'description' => 'In some environments now, in an attempt to manage distractions, the administering person might try wearing a tabard intended to discourage interruptions during drug rounds or they will try other strategies to support safe practice. In the real world, there is rarely a magic bullet that can entirely eliminate risk and many approaches to building safety will be needed.

PIFs may relate to external factors such as training, distractions, supervisions and so on, but may also be internal factors such as stress or fatigue.

There are many taxonomies of PIFs, contributory factors and human factors. All have the potential to develop our understanding of working environments, human performance and safety.

In the additional materials for this session, we provide information on:

- The London Protocol (used in incident analysis) [6]
- Human Factors Analysis and Classification System for Healthcare (HFACS) [7]',
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		(int) 22 => array(
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			'field_type' => 'paragraph',
			'field_label' => 'Systems thinking and investigations',
			'description' => 'Systems thinking recognises that the relationships within and between systems are often not easy to explain, or obvious. This is especially true when things go wrong. Factors can affect safe working in ways which are not directly causal or straightforward in the way that simple processes may be.

When you start a car or switch on a laptop, there is a direct causal connection between the simple action and its results. The actions are linked to outcomes in a predictable, easily understandable way. 

How are healthcare systems different to the simple systems described above?

They are unlike the complex, often interconnected systems of health and social care.

Systems here are known as sociotechnical systems because they include the interaction between people and technology in the workplace. There is unseen complexity which gives rise to unpredictability and uncertainty in these systems and there are systems within systems.

When we investigate an incident or near miss, we need to try to understand systems and how they affected the staff and patients involved. This means that investigations should not simply focus on people and their actions, but on the design of the work, on the context and the underlying culture of the workplace.

In the example we looked at earlier, where we saw many safety 'defences' in medication safety, we could see each of the slices as systems in themselves. Each of the tasks (medicine reconciliation, prescribing, checking, administering) has its own teams, their own policies and procedures, tools and techniques and their own particular way of doing things. These are sometimes called clinical microsystems and they exist throughout healthcare as sub-systems within the overall systems of the organisation. This example illustrates how systems can be layered and how they act together. An important element of systems thinking.

Why should we take a systems approach to investigating what went wrong?

',
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		(int) 23 => array(
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			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'In investigations we need to find out how things might have gone wrong for a patient so that we can reduce the risk of similar incidents. So, we need to understand how systems affect the way individual members of staff work. We need to understand how staffing, training, workflow and task design, storage and management of medication, supervision, wellbeing and so on can influence practice.

Therefore, when we carry out investigations with a systems view, rather than trying to identify and correct individual mistakes, we seek these understandings. Our investigations are therefore more effective, because we are able to recognise system factors that affect many people, many processes across the organisation and in addressing those, we make things safer overall.',
			'field_order' => '20',
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		),
		(int) 24 => array(
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			'course_id' => '117',
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			'field_type' => 'media-field',
			'field_label' => 'To illustrate this, we can return to medication safety. There may be a case where a clinician selected an incorrect medication from several similar looking medications during a busy period. This can take place in any setting and can lead to patient harm.',
			'description' => 'Organisations often wish to hold that clinician to account through a disciplinary process, or try to help them with further training. This is a common response to situations like this. But if we were able to address the context, the PIFs, distractions and interruptions, or we were able to help manufacturers to use more distinctive labelling, we would be able to prevent similar mistakes made in many places: overall, more patients would be protected.

Only by taking systems into account can we achieve the best outcomes in investigating incidents.',
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			'field_type' => 'media-field',
			'field_label' => 'Risk',
			'description' => 'As a starting point, let's think about what we mean by risk and how we might assess it. In simple terms, risk is the probability of something 'bad' happening. We are using the word 'bad' here to mean something undesirable, harmful or unsafe.

Risk is present in all systems. In understanding how a system works we must also understand how risk is manifested in the system; its origins, how we measure and manage risk and the likely effect on patients and staff. In later sessions, we provide tools and techniques that can identify risks in systems proactively and help to reduce any harmful effects on patients.',
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		),
		(int) 26 => array(
			'id' => '3334',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'Risk and Hazards',
			'description' => 'Now for some technical terms. This simple description (the probability of something 'bad' happening) is built upon a more formal definition where risk is related to hazards and the likelihood of the hazards giving rise to harm.

Now for some technical terms. This simple description (the probability of something 'bad' happening) is built upon a more formal definition where risk is related to hazards and the likelihood of the hazards giving rise to harm.',
			'field_order' => '1',
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		),
		(int) 27 => array(
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			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'They might include:

- an electrical cable left across a corridor where patients and staff may trip and fall over
- a medicine which becomes harmful above a certain dose
- important information relating to a patient. Perhaps an allergy to a medication which may not be highlighted',
			'field_order' => '2',
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		(int) 28 => array(
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			'field_type' => 'single-choice',
			'field_label' => 'Single Choice Field',
			'description' => 'Does a hazard always give rise to harm?',
			'field_order' => '3',
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			'field_choices' => '["Yes","No"]',
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		(int) 29 => array(
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			'field_type' => 'media-field',
			'field_label' => 'Risk is therefore defined as the product of the harmful outcome and its likelihood.  Risk equals outcome times likelihood.',
			'description' => 'Generally speaking, risks in healthcare are not absolute measurements, as they might be in engineering, for example. Instead, they are relative measures based on rule of thumb approaches. For example, a harmful outcome may be hard to quantify except in general terms such as low, medium or high.

In the same way, the likelihood of this occurring often cannot be stated with numerical accuracy, but also only considered as low, medium or high. Usually, both outcomes and likelihoods are stated as the numbers 1, 2 or 3, where 1 is low, 2 is medium and 3 is high.',
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		(int) 30 => array(
			'id' => '3338',
			'course_id' => '117',
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			'field_type' => 'single-choice',
			'field_label' => 'What is the relative risk where a hazard can lead to a medium undesired outcome (2) with a high likelihood (3)? Remember, risk equals outcome times likelihood.',
			'description' => 'Choose the correct option',
			'field_order' => '5',
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			'description' => 'There are formal systems of risk management in most large organisations, including the NHS. Risks where control measures are insufficient such that a residual risk is present can be placed on a risk register so that they are recorded and can be evaluated and reviewed. Typically, they are owned by a member of staff with the responsibility to make sure that the risk is controlled within agreed limits.

Incident Management

Most resource in risk management is devoted to incident management: the reporting and analysis of incidents to prevent future harm to patients. These essential functions are covered in later sessions in the syllabus. 

Risk Register

Having an up-to-date risk register, for a department, a directorate or an entire organisation, is a requirement of regulators and reflects a professional approach to risk management, given the following factors: 

- risks should be up-to-date
- risks should be owned by named staff or duty holders
- risks should be evaluated
- the risk register should include current risk control measures and an assessment of their effectiveness

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			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'paragraph',
			'field_label' => 'Proactive and reactive approaches to risk',
			'description' => 'Many patient safety programmes take place outside the risk management system and many staff are engaged in improving safety. However, much of the overall risk management system applied across the NHS is reactive.',
			'field_order' => '7',
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			'field_label' => '1 of 4: Reactive risk management',
			'description' => 'The system reacts to things going wrong, as it should, when they are reported through the risk management system. At that point, an incident report would be made, assessed for significance by a senior team and an investigation begun.',
			'field_order' => '8',
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			'field_type' => 'media-field',
			'field_label' => '2 of 4: Risks in our systems',
			'description' => 'Although evaluating and managing clinical risks are at the heart of good medical practice, few organisations map, evaluate and manage systems risks; the risks embedded in the way we work, the systems in which clinical practice takes place. And yet, when a safety incident is investigated thoroughly, systems are almost always implicated in the events. In fact, in many or even most incidents, it is found that failures in systems (that is, when systems do not deliver as we would wish them to) are the key factors in patient safety incidents.',
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			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => '3 of 4: Proactive risk management',
			'description' => 'Many industries with a strong safety record have taken a different approach to risk. As well as investigating past harm, safe systems routinely assess and manage risks proactively. Risks are anticipated and actively managed to improve safety. This focus on risk rather than harm is an essential part of safety management systems in other safety-critical industries.

',
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			'field_type' => 'media-field',
			'field_label' => '4 of 4: Some proactive approaches',
			'description' => 'In the NHS, some governance teams carry out proactive risk analysis in this way; some clinicians have focused on building skills proactively through simulation, or on the design of equipment, where a proactive risk approach aimed at managing user error is essential for safety.

',
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		(int) 37 => array(
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			'field_type' => 'text-image',
			'field_label' => 'Risk Identification',
			'description' => 'No single group, no single profession and no single individual can see the whole picture where safety is concerned.

Who should carry out risk identification? ',
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			'attachment_id' => '1562',
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			'description' => 'Risk identification is best carried out:

- in multiprofessional groups
- in local areas where frontline expertise is high 
- through consensus',
			'field_order' => '13',
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		(int) 39 => array(
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			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'The identification of risk through consensus groups is an essential part of safety management. Sometimes this can begin with a simple inventory of risks in the area and the level of risk associated. Risks identified in this way will include the clinical risks involved in patient care by the clinician but also the risks created by the system itself.',
			'description' => 'Some examples of systems factors carrying risk are:

communication
information
environmental factors (layout, orderliness, noise)
equipment use and reliability
staffing levels
staff skill profiles and mix
management practices
organisational culture
The additional material accompanying the session provides examples of checklists for risk based on accepted protocols and on systems and human factors.',
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		(int) 40 => array(
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			'field_type' => 'paragraph',
			'field_label' => 'Risk evaluation and Prioritisation ',
			'description' => 'It's clearly sensible to know where the key risks to patients are in the area we work in. It is also clear that, where staff believe the risks to be significant, awareness is shared and safety improvement programmes are initiated.

But not all risks are equal. When risks are evaluated using the simple rules of thumb described earlier, it often becomes obvious that some risks have a trivial outcome compared with others or that some will have very low likelihoods of occurrence. In this way, a risk inventory can be prioritised with the key risks highlighted.

1. Add to risk register

Firstly, the risks can be added to the risk register for systematic management.

2. Prioritise risks

Secondly, the risks can be prioritised for improvement programmes. Busy staff and busy teams need to know where their risks are and which ones they need to manage most carefully.',
			'field_order' => '15',
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		(int) 41 => array(
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			'course_lesson_id' => '531',
			'field_type' => 'paragraph',
			'field_label' => 'Summary and Next Steps',
			'description' => 'Systems thinking shows how there are complex structures in health and care, and how the interactions within and between them affect safety and affect individual members of staff.

Just as in the case study we described in the session 'Essentials of patient safety for all staff', our healthcare systems comprise many individual elements and many microsystems.

When we work to improve any aspect of patient care, including patient safety, getting these systems right gives us the best opportunities for success.

Risks can be managed both proactively and reactively. Reactive risk management is based upon the reporting and analysis of incidents and near misses. Proactive risk management is based upon systematic identification and management of risk through consensus groups. 

Safety-critical industries with good safety records have applied both proactive and reactive risk management approaches. ',
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		(int) 42 => array(
			'id' => '3350',
			'course_id' => '117',
			'course_lesson_id' => '531',
			'field_type' => 'text-links',
			'field_label' => 'Further Information',
			'description' => 'References<br><br>References<br>Health Education England. NHS Patient Safety Syllabus. <a href="https://www.hee.nhs.uk/our-work/patient-safety">View website</a><br>Hollnagel E, Wears R, Braithwaite J. From Safety-I to Safety-II: A White Paper, 2015.<a href="https://www.england.nhs.uk/signuptosafety/wp-content/uploads/sites/16/2015/10/safety-1-safety-2-whte-papr.pdf"> View document</a><br>Carayon P, Wooldridge A, Hoonakker P et al. SEIPS 3.0: Human-centered design of the patient journey for patient safety. Appl Ergon 2020;84:103033.<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152782/"> View article</a><br>Reason J. Managing the Risks of Organizational Accidents. Fareham: Ashgate Publishing, 1997.<br>Vincent C. Patient Safety. 2nd edn. Chichester: John Wiley &amp; Sons, 2010.<br>Taylor-Adams S, Vincent C. Systems analysis of clinical incidents: The London protocol. London: Imperial College London, 2004. <a href="https://www.imperial.ac.uk/media/imperial-college/medicine/surgery-cancer/pstrc/londonprotocol_e.pdf">View document</a><br>Human Factors Analysis and Classification System for Healthcare HFACS. The HFACS Framework. <a href="https://hfacs.com/hfacs-framework.html">View website</a><br><br>Further Reading<br><br>Vaccines alone will not stop Covid spreading - here's why. The Swiss cheese model. <a href="https://www.bbc.co.uk/news/resources/idt-40ac92b1-1750-4e86-9936-2cda6b0acb3f">View website</a><br>',
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			'field_type' => 'paragraph',
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			'description' => 'Thank you. You have now completed session 1 of Access to practice.

Please continue to the Access to practice session 2 which focuses on human factors and safety culture. You will be asked to complete a self-assessment at the end of session 2 in order to gain your certificate for both Access to practice sessions.',
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			'field_label' => 'Before beginning this session, you will have completed 'Essentials of patient safety for all' or you may have completed 'Essentials of patient safety for senior leadership and boards'.',
			'description' => 'Access to practice comprises 2 sessions:

Access to practice 1: systems thinking and risk expertise
Access to practice 2: human factors and safety culture
You must complete both Access to practice sessions in order to gain your certificate. At the end of Access to practice 2, you will be asked to complete a self-assessment to check that you have understood Essentials of patient safety as well as Access to practice.',
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			'description' => 'The session 'Essentials of patient safety for all staff' aimed to highlight key factors in safety as they apply to healthcare.

These factors were drawn from several domains in the NHS Patient Safety Syllabus.

We work in complex and interconnected systems to deliver safe care for patients and service users.
When things go wrong for patients, the causes are usually the result of systems, the way we work, rather than individual members of staff.
In this context, the automatic blaming of individuals is inappropriate and stops people from learning about the system and raising concerns.
Identifying risks proactively is an essential part of reducing the likelihood of harm to patients.
Listening to patients and raising concerns with line managers or other appropriate staff helps to identify these risks and ensure that they are recognised and dealt with.',
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			'description' => 'The NHS Patient Safety Syllabus provides in-depth training to allow members of staff to become:

- practitioners in patient safety

- advanced practitioners

- or senior experts [1]

It also allows any member of staff to participate in specific course sessions which are appropriate to their role in healthcare. For example, later sessions provide the basis for incident investigation training or in-depth risk management skills for staff with roles in safety and governance.

This session (Access to practice) provides a grounding in key elements of safety science so that whichever further sessions are engaged in, there is a foundation for the participant that forms a basis for all further study of safety.

The elements of safety science that we focus on and which have underpinned all domains of the syllabus are [1]:

- systems thinking

- risk expertise

- human factors

-  safety culture

Access to practice comprises 2 sessions each covering 2 of the key themes above. This session covers systems thinking and risk expertise.
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			'field_label' => 'We begin with systems thinking and ask 2 questions:',
			'description' => 'What is systems thinking?
Why is it important in healthcare?
We learned in the previous session (Essentials) that despite a focus on safety over many decades, despite the hard work of clinicians, managers and of professionals in patient safety, things sometimes go wrong for patients and service users. These events are comparatively rare but can cause short-term problems for patients, long-term disabilities and even death.

A great deal of progress in safety science has been made in the NHS. It is now recognised, for example, that we can gain insight into patient safety by understanding systems. We can also gain understanding by evaluating how systems thinking has been applied in other safety-critical industries to make and keep them safer.

A great deal of progress in safety science has been made in the NHS. It is now recognised, for example, that we can gain insight into patient safety by understanding systems. We can also gain understanding by evaluating how systems thinking has been applied in other safety-critical industries to make and keep them safer.

Perhaps the most important insight in safety has been the recognition that individual members of staff work in an overall system that has a major effect on their performance. It is not possible to fully understand human behaviour in isolation. We have to understand the context in which we work. For healthcare, this includes the nature of the task being carried out, the team, their equipment and environment and also the wider organisational context.

This session provides an introduction to systems thinking where we develop this theme. Further sessions in this syllabus will cover some advanced models of systems, including models of highly complex systems and other theoretical models such as resilience in healthcare or Safety-II [2].
',
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			'course_id' => '117',
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			'field_type' => 'paragraph',
			'field_label' => 'Approaches to Systems Thinking',
			'description' => 'There are many approaches to systems thinking in healthcare. All of them recognise the role that systems play in building safety. At its most basic, systems thinking is a way of exploring and developing actions by looking at connected wholes rather than separate parts.',
			'field_order' => '1',
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			'course_id' => '117',
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			'field_type' => 'media-field',
			'field_label' => '1 of 4: Complex systems',
			'description' => 'In healthcare, we work within complex systems, which include our workplace, its environment, equipment and people, its protocols and policies and the larger organisation in which our own organisation sits.

A recent description of a systems model, similar to the model shown here, is found at SEIPS 3.0: Human-Centered Design of the Patient Journey for Patient Safety [3].

This system may be a GP practice, for example. Here, a team of clinicians and administrative staff try to make sure that patients receive the care they need for many complicated and interacting conditions. Situations and environments we can often take for granted may actually be highly complex and interdependent. ',
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			'course_lesson_id' => '529',
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			'field_label' => '2 of 4: Connections',
			'description' => 'Of course, a GP practice does not exist in isolation. It is connected to the patients and their lives and lifestyles, to organisations providing additional care including hospitals and community care, to social care, to pharmacies and to many other organisations and systems.',
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			'field_label' => '3 of 4: Influences',
			'description' => 'Systems thinking recognises that there are many systems which are interconnected and that each influences the others. This creates an often complex interplay of different factors that impact on work and performance.',
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			'field_label' => '4 of 4: The Whole System',
			'description' => 'To create safety within these interconnected systems requires us to approach safety as a property of the whole system, not just one part of it. We need to understand something about what a system is and how it can sometimes affect the actions and performance of the people, who are themselves part of the system.

In the following sections, we look at some ways we can begin to understand the system and how this relates to patient safety and safe clinical practice.',
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			'field_label' => 'Organisational accidents model',
			'description' => 'There are many systems-based approaches to safety. In general, we try to make sense of systems by using models which illustrate systems. There are many such models, some of which are developed fully in later sessions of this syllabus. We begin with an influential model developed by James Reason to describe the influence of organisational processes and systems on safety at the frontline of practice [4].

We highlighted earlier that incidents and accidents in healthcare need to be viewed from a wide perspective to be properly understood and in order to prevent further harmful events. While the actions of individual members of staff often seem to play a central role, the behaviour and thinking of staff is constrained by the system they work in. The key factors in this view of systems are illustrated by James Reason's 'Model of Organizational Accidents'.



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			'field_type' => 'image-hotspot',
			'field_label' => 'Select the icons to find out more information.',
			'description' => 'The figure below shows the elements of this model. It shows how decisions taken at some distance from the frontline of care can affect staff and patients. Reading the graphic from left to right, Reason described 'latent failures' or 'latent conditions' produced by management decisions and organisational processes. Then in the centre, we can see the work carried out by staff and some of the things that influence the work; the environment, the team and so on. Finally on the right, we illustrate problems in caring for our patients. Note that these problems have their origin in the system: the conditions created by the organisation, its decisions and its culture. 
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			'field_choices' => '{"width":500,"annotations":[{"top":135.797,"left":63,"annotation":"Latent failures\n\nThese show how decisions taken at some distance from the frontline of care can affect staff and patients. Reason described 'latent failures' or 'latent conditions' produced by management decisions and organisational processes."},{"top":136.797,"left":143,"annotation":"Management decisions\n\nManagement decisions are many and varied. They are taken in order to achieve the goals of the organisation and are also made in response to the economic and political context in which the organisations carry out their work.\n\nDecisions relating to training, staffing levels, supervision, budgets and accountability, for example, can have a significant impact on frontline work."},{"top":167.797,"left":309,"annotation":"Patient safety impact\n\nSometimes these decisions can have a direct negative impact or can create the conditions for things going wrong later. These latent conditions are factors that are present, not necessarily observed directly, but which have effects on other activity.\n\nAn example of a latent condition might be a reduction in the safe number of staff (or the safe mix of staff) looking after patients, leading to pressure at the frontline and an increased probability of staff being unable to manage their work or deliver care to high standards. In other words, patient safety incidents."},{"top":30.7969,"left":318,"annotation":"Contributory factors\n\nIn the centre of the graphic is a description of contributory factors [5] (conditions that may lead to suboptimal care). These include staff and task factors, for example, and we return to these in the next section where we describe more about performance influencing factors."},{"top":131.797,"left":440,"annotation":"Active failures\n\nThe final element of the model shown in the graphic is captioned 'active failures'. \n\nWe can illustrate an active failure here by thinking about medication rounds. A drug administration error could be where a clinician misreads a drug chart, not identifying one of several medications that they are supposed to administer to a patient when they first read the chart. This, along with the latent condition of short staffing means the clinician may be under pressure, and, without enough time to methodically check the drug chart again, contributes to the patient missing a dose of their medication."}]}',
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			'description' => 'Reason described  [4]  how unsafe acts at the 'sharp end' can result in harm. These active failures might be delays in care, omissions, errors or short cuts. But viewed from the systems perspective, the people at the 'sharp end' have inherited the conditions for failure rather than created them.

For a patient safety incident to occur, however, many further defences may have to be breached. We will expand on this as we describe the Swiss cheese model in the next section.m dolor sit amet.',
			'field_order' => '8',
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			'field_label' => 'Swiss Cheese Model',
			'description' => 'The Model of Organizational Accidents provides an insight into how safety depends not only on the skills of the team directly caring for patients but on the decisions and processes taken at other levels of the organisation.

We show a further element of the model (see image below) to illustrate a final point. In order to cause harm, there are other defences or barriers which must be breached.',
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			'field_label' => 'Swiss Cheese Model',
			'description' => 'Many unsafe acts may take place in an organisation, but only some will penetrate the barriers and defences. How this occurs is illustrated by the 'Swiss cheese model' (below).

This model is a way of understanding 'defences in depth'; the many ways that a system can protect patients from incidents or accidents. In the illustration, you will see that in between the hazards (the things that can go wrong) and the patient or service user are a number of defences, presented here as slices of cheese. Because no defence is completely reliable, Reason chose to use Swiss cheese (which is notable for having holes in it) to represent defences that may sometimes fail. This is simply a way of showing that any defence, any way of protecting patients from harm, can be breached.',
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			'field_label' => 'Swiss Cheese Model',
			'description' => 'Many unsafe acts may take place in an organisation, but only some will penetrate the barriers and defences. How this occurs is illustrated by the 'Swiss cheese model' [4](below). 

This model is a way of understanding 'defences in depth'; the many ways that a system can protect patients from incidents or accidents. In the illustration, you will see that in between the hazards (the things that can go wrong) and the patient or service user are a number of defences, presented here as slices of cheese. Because no defence is completely reliable, Reason chose to use Swiss cheese (which is notable for having holes in it) to represent defences that may sometimes fail. This is simply a way of showing that any defence, any way of protecting patients from harm, can be breached.',
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			'course_id' => '117',
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			'field_type' => 'media-field',
			'field_label' => 'Swiss Cheese Model in Practice',
			'description' => 'We can make this easier to understand by putting some names to each of the slices of Swiss cheese in a real example.

1 of 3: Medication safety

Let's use an example of administering medication and see how that fits into the wider picture of delivering safe medicines to patients.

There are many ways of keeping this process safe. Think about when a patient is admitted to hospital and the steps taken to ensure medication safety. 
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			'field_label' => 'Swiss Cheese Model in Practice',
			'description' => 'These steps will include:

- medicines reconciliation: checking what medication the patient is already taking

- prescription: setting a medication regime for the patient after admission

- medication checking: checking the suitability of the medication for the patient by clinical pharmacists or pharmacy technicians

- administration: the nurse (usually) who conducts the drug round checks the patient's identification, medication, dose and route for each drug prescribed

- patient observations: checking the safety and efficacy of medications for the patient',
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			'field_label' => 'Swiss Cheese Model in Practice',
			'description' => '3 of 3: Defences in depth

Each of these can be thought of as a defence against medication error and will also be addressed through systems factors more widely as well; through ensuring that training, revalidation and technical reliability is also considered. In this way, it is clear that the design of the systems is a major factor in creating safety.

A failure in any of these defences represents an increased risk to the patient. Where all of them fail, then the patient is at risk of harm from their medications.

This is a very specific example to illustrate a systems approach to safety. But it is also possible to identify more general organisational or cultural factors which could be associated with the slices in the Swiss cheese model. We could illustrate latent factors in this way; things that might create difficult conditions in the workplace and affect safety.

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			'field_label' => 'Latent Conditions',
			'description' => 'These would include:

- suboptimal communication
- fatigue and stress
- inadequate training
- distractions
- task design and task support needs
- environment problems
- equipment problems
- problems in leadership, 
- teamwork and non-technical skills

It is through understanding of systems (the way we work) that we can really address safety and develop better ways to care for our patients and service users.

Only by understanding the elements of the system and its defences against failure can we begin to build safety. For example, at each point (slice) in the Swiss cheese model, there is an opportunity for the reliability of the process to be evaluated and monitored.',
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			'description' => 'It should be understood that the Swiss cheese model is one of many approaches to understanding systems and has been criticised for being simplistic and linear, when in reality our working systems in healthcare are complex. However, the model continues to be applied in healthcare and forms a basis for understanding both overall systems and the way they influence safety.<br><br>The additional material for this session includes a short<a href="https://www.bbc.co.uk/news/resources/idt-40ac92b1-1750-4e86-9936-2cda6b0acb3f"> graphic example</a> where the Swiss cheese model is used to show how we manage protection against COVID-19.',
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			'field_type' => 'paragraph',
			'field_label' => 'Performance influencing factors',
			'description' => 'Understanding how people work within systems and how they are affected by the system leads us to think about performance influencing factors (PIFs). These are things in our workplace that affect how we can do our jobs; contextual factors such as noise, distractions, communications or work instructions. PIFs are present everywhere and can materially affect our ability to carry out tasks.

Distractions during safety-critical work

A good example of how PIFs can affect our work is in the area of distractions during safety-critical work. Administering medications in all settings, primary, acute or mental health, is an example of a safety-critical process. Medication is one of the most common procedures that goes wrong for patients and services, sometimes with very serious consequences.

Example of safety-critical process

Administering medications is an example of a safety-critical process, as we described earlier. It includes these critical tasks:

- checking patient - observations
- checking the name of the patient
- checking the name of the medication
- checking the correct dose for the medication
- observing the patient take the medication
- recording all of this on the drug chart

',
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			'field_type' => 'media-field',
			'field_label' => 'All the tasks in administering medications are essential for safety, but all are vulnerable to error. When a member of staff is interrupted in this process, the potential for mistakes increases because distractions are significant PIFs during drug rounds.',
			'description' => 'In some environments now, in an attempt to manage distractions, the administering person might try wearing a tabard intended to discourage interruptions during drug rounds or they will try other strategies to support safe practice. In the real world, there is rarely a magic bullet that can entirely eliminate risk and many approaches to building safety will be needed.

PIFs may relate to external factors such as training, distractions, supervisions and so on, but may also be internal factors such as stress or fatigue.

There are many taxonomies of PIFs, contributory factors and human factors. All have the potential to develop our understanding of working environments, human performance and safety.

In the additional materials for this session, we provide information on:

- The London Protocol (used in incident analysis) [6]
- Human Factors Analysis and Classification System for Healthcare (HFACS) [7]',
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		),
		(int) 22 => array(
			'id' => '3330',
			'course_id' => '117',
			'course_lesson_id' => '529',
			'field_type' => 'paragraph',
			'field_label' => 'Systems thinking and investigations',
			'description' => 'Systems thinking recognises that the relationships within and between systems are often not easy to explain, or obvious. This is especially true when things go wrong. Factors can affect safe working in ways which are not directly causal or straightforward in the way that simple processes may be.

When you start a car or switch on a laptop, there is a direct causal connection between the simple action and its results. The actions are linked to outcomes in a predictable, easily understandable way. 

How are healthcare systems different to the simple systems described above?

They are unlike the complex, often interconnected systems of health and social care.

Systems here are known as sociotechnical systems because they include the interaction between people and technology in the workplace. There is unseen complexity which gives rise to unpredictability and uncertainty in these systems and there are systems within systems.

When we investigate an incident or near miss, we need to try to understand systems and how they affected the staff and patients involved. This means that investigations should not simply focus on people and their actions, but on the design of the work, on the context and the underlying culture of the workplace.

In the example we looked at earlier, where we saw many safety 'defences' in medication safety, we could see each of the slices as systems in themselves. Each of the tasks (medicine reconciliation, prescribing, checking, administering) has its own teams, their own policies and procedures, tools and techniques and their own particular way of doing things. These are sometimes called clinical microsystems and they exist throughout healthcare as sub-systems within the overall systems of the organisation. This example illustrates how systems can be layered and how they act together. An important element of systems thinking.

Why should we take a systems approach to investigating what went wrong?

',
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		),
		(int) 23 => array(
			'id' => '3331',
			'course_id' => '117',
			'course_lesson_id' => '529',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'In investigations we need to find out how things might have gone wrong for a patient so that we can reduce the risk of similar incidents. So, we need to understand how systems affect the way individual members of staff work. We need to understand how staffing, training, workflow and task design, storage and management of medication, supervision, wellbeing and so on can influence practice.

Therefore, when we carry out investigations with a systems view, rather than trying to identify and correct individual mistakes, we seek these understandings. Our investigations are therefore more effective, because we are able to recognise system factors that affect many people, many processes across the organisation and in addressing those, we make things safer overall.',
			'field_order' => '20',
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			'modified' => '2024-08-06 13:19:29'
		),
		(int) 24 => array(
			'id' => '3332',
			'course_id' => '117',
			'course_lesson_id' => '529',
			'field_type' => 'media-field',
			'field_label' => 'To illustrate this, we can return to medication safety. There may be a case where a clinician selected an incorrect medication from several similar looking medications during a busy period. This can take place in any setting and can lead to patient harm.',
			'description' => 'Organisations often wish to hold that clinician to account through a disciplinary process, or try to help them with further training. This is a common response to situations like this. But if we were able to address the context, the PIFs, distractions and interruptions, or we were able to help manufacturers to use more distinctive labelling, we would be able to prevent similar mistakes made in many places: overall, more patients would be protected.

Only by taking systems into account can we achieve the best outcomes in investigating incidents.',
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			'attachment_pos' => '0',
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		),
		(int) 25 => array(
			'id' => '3333',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'Risk',
			'description' => 'As a starting point, let's think about what we mean by risk and how we might assess it. In simple terms, risk is the probability of something 'bad' happening. We are using the word 'bad' here to mean something undesirable, harmful or unsafe.

Risk is present in all systems. In understanding how a system works we must also understand how risk is manifested in the system; its origins, how we measure and manage risk and the likely effect on patients and staff. In later sessions, we provide tools and techniques that can identify risks in systems proactively and help to reduce any harmful effects on patients.',
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			'attachment_id' => '1553',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 26 => array(
			'id' => '3334',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'Risk and Hazards',
			'description' => 'Now for some technical terms. This simple description (the probability of something 'bad' happening) is built upon a more formal definition where risk is related to hazards and the likelihood of the hazards giving rise to harm.

Now for some technical terms. This simple description (the probability of something 'bad' happening) is built upon a more formal definition where risk is related to hazards and the likelihood of the hazards giving rise to harm.',
			'field_order' => '1',
			'attachment_id' => '1554',
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			'attachment_pos' => '1',
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		),
		(int) 27 => array(
			'id' => '3335',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'They might include:

- an electrical cable left across a corridor where patients and staff may trip and fall over
- a medicine which becomes harmful above a certain dose
- important information relating to a patient. Perhaps an allergy to a medication which may not be highlighted',
			'field_order' => '2',
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		),
		(int) 28 => array(
			'id' => '3336',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'single-choice',
			'field_label' => 'Single Choice Field',
			'description' => 'Does a hazard always give rise to harm?',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
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			'attachment_pos' => null,
			'field_choices' => '["Yes","No"]',
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			'active' => '1',
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		),
		(int) 29 => array(
			'id' => '3337',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'Risk is therefore defined as the product of the harmful outcome and its likelihood.  Risk equals outcome times likelihood.',
			'description' => 'Generally speaking, risks in healthcare are not absolute measurements, as they might be in engineering, for example. Instead, they are relative measures based on rule of thumb approaches. For example, a harmful outcome may be hard to quantify except in general terms such as low, medium or high.

In the same way, the likelihood of this occurring often cannot be stated with numerical accuracy, but also only considered as low, medium or high. Usually, both outcomes and likelihoods are stated as the numbers 1, 2 or 3, where 1 is low, 2 is medium and 3 is high.',
			'field_order' => '4',
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			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
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		),
		(int) 30 => array(
			'id' => '3338',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'single-choice',
			'field_label' => 'What is the relative risk where a hazard can lead to a medium undesired outcome (2) with a high likelihood (3)? Remember, risk equals outcome times likelihood.',
			'description' => 'Choose the correct option',
			'field_order' => '5',
			'attachment_id' => '1556',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["2","4","6","8"]',
			'field_correct' => '2',
			'show_correct' => '1',
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			'active' => '1',
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		),
		(int) 31 => array(
			'id' => '3339',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'Risk Management in Healthcare',
			'description' => 'There are formal systems of risk management in most large organisations, including the NHS. Risks where control measures are insufficient such that a residual risk is present can be placed on a risk register so that they are recorded and can be evaluated and reviewed. Typically, they are owned by a member of staff with the responsibility to make sure that the risk is controlled within agreed limits.

Incident Management

Most resource in risk management is devoted to incident management: the reporting and analysis of incidents to prevent future harm to patients. These essential functions are covered in later sessions in the syllabus. 

Risk Register

Having an up-to-date risk register, for a department, a directorate or an entire organisation, is a requirement of regulators and reflects a professional approach to risk management, given the following factors: 

- risks should be up-to-date
- risks should be owned by named staff or duty holders
- risks should be evaluated
- the risk register should include current risk control measures and an assessment of their effectiveness

',
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		),
		(int) 32 => array(
			'id' => '3340',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'paragraph',
			'field_label' => 'Proactive and reactive approaches to risk',
			'description' => 'Many patient safety programmes take place outside the risk management system and many staff are engaged in improving safety. However, much of the overall risk management system applied across the NHS is reactive.',
			'field_order' => '7',
			'attachment_id' => null,
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		),
		(int) 33 => array(
			'id' => '3341',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => '1 of 4: Reactive risk management',
			'description' => 'The system reacts to things going wrong, as it should, when they are reported through the risk management system. At that point, an incident report would be made, assessed for significance by a senior team and an investigation begun.',
			'field_order' => '8',
			'attachment_id' => '1558',
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			'attachment_pos' => '0',
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		(int) 34 => array(
			'id' => '3342',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => '2 of 4: Risks in our systems',
			'description' => 'Although evaluating and managing clinical risks are at the heart of good medical practice, few organisations map, evaluate and manage systems risks; the risks embedded in the way we work, the systems in which clinical practice takes place. And yet, when a safety incident is investigated thoroughly, systems are almost always implicated in the events. In fact, in many or even most incidents, it is found that failures in systems (that is, when systems do not deliver as we would wish them to) are the key factors in patient safety incidents.',
			'field_order' => '9',
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		(int) 35 => array(
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			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => '3 of 4: Proactive risk management',
			'description' => 'Many industries with a strong safety record have taken a different approach to risk. As well as investigating past harm, safe systems routinely assess and manage risks proactively. Risks are anticipated and actively managed to improve safety. This focus on risk rather than harm is an essential part of safety management systems in other safety-critical industries.

',
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			'attachment_pos' => '0',
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		),
		(int) 36 => array(
			'id' => '3344',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => '4 of 4: Some proactive approaches',
			'description' => 'In the NHS, some governance teams carry out proactive risk analysis in this way; some clinicians have focused on building skills proactively through simulation, or on the design of equipment, where a proactive risk approach aimed at managing user error is essential for safety.

',
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		(int) 37 => array(
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			'course_id' => '117',
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			'field_type' => 'text-image',
			'field_label' => 'Risk Identification',
			'description' => 'No single group, no single profession and no single individual can see the whole picture where safety is concerned.

Who should carry out risk identification? ',
			'field_order' => '12',
			'attachment_id' => '1562',
			'external_media_src' => '',
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			'attachment_pos' => '1',
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			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'Risk identification is best carried out:

- in multiprofessional groups
- in local areas where frontline expertise is high 
- through consensus',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => null,
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		),
		(int) 39 => array(
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			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'The identification of risk through consensus groups is an essential part of safety management. Sometimes this can begin with a simple inventory of risks in the area and the level of risk associated. Risks identified in this way will include the clinical risks involved in patient care by the clinician but also the risks created by the system itself.',
			'description' => 'Some examples of systems factors carrying risk are:

communication
information
environmental factors (layout, orderliness, noise)
equipment use and reliability
staffing levels
staff skill profiles and mix
management practices
organisational culture
The additional material accompanying the session provides examples of checklists for risk based on accepted protocols and on systems and human factors.',
			'field_order' => '14',
			'attachment_id' => '1563',
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		(int) 40 => array(
			'id' => '3348',
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			'field_type' => 'paragraph',
			'field_label' => 'Risk evaluation and Prioritisation ',
			'description' => 'It's clearly sensible to know where the key risks to patients are in the area we work in. It is also clear that, where staff believe the risks to be significant, awareness is shared and safety improvement programmes are initiated.

But not all risks are equal. When risks are evaluated using the simple rules of thumb described earlier, it often becomes obvious that some risks have a trivial outcome compared with others or that some will have very low likelihoods of occurrence. In this way, a risk inventory can be prioritised with the key risks highlighted.

1. Add to risk register

Firstly, the risks can be added to the risk register for systematic management.

2. Prioritise risks

Secondly, the risks can be prioritised for improvement programmes. Busy staff and busy teams need to know where their risks are and which ones they need to manage most carefully.',
			'field_order' => '15',
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		),
		(int) 41 => array(
			'id' => '3349',
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			'course_lesson_id' => '531',
			'field_type' => 'paragraph',
			'field_label' => 'Summary and Next Steps',
			'description' => 'Systems thinking shows how there are complex structures in health and care, and how the interactions within and between them affect safety and affect individual members of staff.

Just as in the case study we described in the session 'Essentials of patient safety for all staff', our healthcare systems comprise many individual elements and many microsystems.

When we work to improve any aspect of patient care, including patient safety, getting these systems right gives us the best opportunities for success.

Risks can be managed both proactively and reactively. Reactive risk management is based upon the reporting and analysis of incidents and near misses. Proactive risk management is based upon systematic identification and management of risk through consensus groups. 

Safety-critical industries with good safety records have applied both proactive and reactive risk management approaches. ',
			'field_order' => '0',
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			'description' => 'References<br><br>References<br>Health Education England. NHS Patient Safety Syllabus. <a href="https://www.hee.nhs.uk/our-work/patient-safety">View website</a><br>Hollnagel E, Wears R, Braithwaite J. From Safety-I to Safety-II: A White Paper, 2015.<a href="https://www.england.nhs.uk/signuptosafety/wp-content/uploads/sites/16/2015/10/safety-1-safety-2-whte-papr.pdf"> View document</a><br>Carayon P, Wooldridge A, Hoonakker P et al. SEIPS 3.0: Human-centered design of the patient journey for patient safety. Appl Ergon 2020;84:103033.<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152782/"> View article</a><br>Reason J. Managing the Risks of Organizational Accidents. Fareham: Ashgate Publishing, 1997.<br>Vincent C. Patient Safety. 2nd edn. Chichester: John Wiley &amp; Sons, 2010.<br>Taylor-Adams S, Vincent C. Systems analysis of clinical incidents: The London protocol. London: Imperial College London, 2004. <a href="https://www.imperial.ac.uk/media/imperial-college/medicine/surgery-cancer/pstrc/londonprotocol_e.pdf">View document</a><br>Human Factors Analysis and Classification System for Healthcare HFACS. The HFACS Framework. <a href="https://hfacs.com/hfacs-framework.html">View website</a><br><br>Further Reading<br><br>Vaccines alone will not stop Covid spreading - here's why. The Swiss cheese model. <a href="https://www.bbc.co.uk/news/resources/idt-40ac92b1-1750-4e86-9936-2cda6b0acb3f">View website</a><br>',
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			'description' => 'Thank you. You have now completed session 1 of Access to practice.

Please continue to the Access to practice session 2 which focuses on human factors and safety culture. You will be asked to complete a self-assessment at the end of session 2 in order to gain your certificate for both Access to practice sessions.',
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$bannerSrc = false
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CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


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		'description' => '',
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)
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			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3640',
			(int) 1 => '3641',
			(int) 2 => '3642',
			(int) 3 => '3643',
			(int) 4 => '3644',
			(int) 5 => '3645',
			(int) 6 => '3646',
			(int) 7 => '3647',
			(int) 8 => '3648',
			(int) 9 => '3649',
			(int) 10 => '3650',
			(int) 11 => '3651',
			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
		)
	),
	(int) 2 => array(
		'Course' => array(
			'id' => '122',
			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
			'banner_media_id' => '1721',
			'thumbnail_media_id' => '1722',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
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			(int) 52 => array(
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			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
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			),
			(int) 56 => array(
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			),
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 65 => array(
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			),
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			),
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			),
			(int) 68 => array(
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			),
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			),
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			),
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			(int) 77 => array(
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		),
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			(int) 15 => '3576',
			(int) 16 => '3577',
			(int) 17 => '3578',
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			(int) 19 => '3581',
			(int) 20 => '3582',
			(int) 21 => '3583',
			(int) 22 => '3585',
			(int) 23 => '3586',
			(int) 24 => '3584',
			(int) 25 => '3587',
			(int) 26 => '3588',
			(int) 27 => '3589',
			(int) 28 => '3590',
			(int) 29 => '3591',
			(int) 30 => '3592',
			(int) 31 => '3593',
			(int) 32 => '3594',
			(int) 33 => '3595',
			(int) 34 => '3596',
			(int) 35 => '3597',
			(int) 36 => '3598',
			(int) 37 => '3599',
			(int) 38 => '3600',
			(int) 39 => '3601',
			(int) 40 => '3602',
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			(int) 43 => '3605',
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			(int) 45 => '3607',
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			(int) 47 => '3609',
			(int) 48 => '3610',
			(int) 49 => '3611',
			(int) 50 => '3612',
			(int) 51 => '3613',
			(int) 52 => '3614',
			(int) 53 => '3615',
			(int) 54 => '3619',
			(int) 55 => '3618',
			(int) 56 => '3617',
			(int) 57 => '3616',
			(int) 58 => '3622',
			(int) 59 => '3621',
			(int) 60 => '3620',
			(int) 61 => '3623',
			(int) 62 => '3624',
			(int) 63 => '3625',
			(int) 64 => '3626',
			(int) 65 => '3627',
			(int) 66 => '3628',
			(int) 67 => '3629',
			(int) 68 => '3630',
			(int) 69 => '3631',
			(int) 70 => '3632',
			(int) 71 => '3633',
			(int) 72 => '3634',
			(int) 73 => '3635',
			(int) 74 => '3636',
			(int) 75 => '3637',
			(int) 76 => '3638',
			(int) 77 => '3639'
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	),
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			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'field_count' => (int) 30,
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			),
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			(int) 16 => array(
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			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
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			(int) 22 => array(
				[maximum depth reached]
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			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
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			(int) 25 => array(
				[maximum depth reached]
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			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
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			(int) 27 => '3558',
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			(int) 29 => '3560'
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	),
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
			'banner_align_id' => '0',
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			'created_user_id' => '8779',
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			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
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				[maximum depth reached]
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			(int) 3 => array(
				[maximum depth reached]
			),
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			(int) 5 => array(
				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			(int) 24 => array(
				[maximum depth reached]
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			(int) 25 => array(
				[maximum depth reached]
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			(int) 26 => array(
				[maximum depth reached]
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			(int) 27 => array(
				[maximum depth reached]
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			(int) 28 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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			(int) 31 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 33 => array(
				[maximum depth reached]
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				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			)
		),
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				[maximum depth reached]
			),
			(int) 550 => array(
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			),
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				[maximum depth reached]
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			(int) 552 => array(
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			),
			(int) 553 => array(
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			),
			(int) 554 => array(
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				[maximum depth reached]
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			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			)
		),
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			(int) 5 => '3497',
			(int) 6 => '3498',
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			(int) 24 => '3516',
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			(int) 26 => '3518',
			(int) 27 => '3519',
			(int) 28 => '3520',
			(int) 29 => '3521',
			(int) 30 => '3522',
			(int) 31 => '3523',
			(int) 32 => '3524',
			(int) 33 => '3525',
			(int) 34 => '3526',
			(int) 35 => '3527',
			(int) 36 => '3528',
			(int) 37 => '3529',
			(int) 38 => '3530'
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	),
	(int) 5 => array(
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			'id' => '119',
			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
			'banner_media_id' => '1616',
			'thumbnail_media_id' => '1617',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 minutes',
			'expiry_date' => null,
			'expired' => '0',
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			'description' => 'Access to practice comprises 2 sessions:

Access to practice 1: systems thinking and risk expertise
Access to practice 2: human factors and safety culture
You must complete both Access to practice sessions in order to gain your certificate. At the end of Access to practice 2, you will be asked to complete a self-assessment to check that you have understood Essentials of patient safety as well as Access to practice.',
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			'field_label' => 'Essentials of patient safety',
			'description' => 'The session 'Essentials of patient safety for all staff' aimed to highlight key factors in safety as they apply to healthcare.

These factors were drawn from several domains in the NHS Patient Safety Syllabus.

We work in complex and interconnected systems to deliver safe care for patients and service users.
When things go wrong for patients, the causes are usually the result of systems, the way we work, rather than individual members of staff.
In this context, the automatic blaming of individuals is inappropriate and stops people from learning about the system and raising concerns.
Identifying risks proactively is an essential part of reducing the likelihood of harm to patients.
Listening to patients and raising concerns with line managers or other appropriate staff helps to identify these risks and ensure that they are recognised and dealt with.',
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			'description' => 'The NHS Patient Safety Syllabus provides in-depth training to allow members of staff to become:

- practitioners in patient safety

- advanced practitioners

- or senior experts [1]

It also allows any member of staff to participate in specific course sessions which are appropriate to their role in healthcare. For example, later sessions provide the basis for incident investigation training or in-depth risk management skills for staff with roles in safety and governance.

This session (Access to practice) provides a grounding in key elements of safety science so that whichever further sessions are engaged in, there is a foundation for the participant that forms a basis for all further study of safety.

The elements of safety science that we focus on and which have underpinned all domains of the syllabus are [1]:

- systems thinking

- risk expertise

- human factors

-  safety culture

Access to practice comprises 2 sessions each covering 2 of the key themes above. This session covers systems thinking and risk expertise.
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			'field_label' => 'We begin with systems thinking and ask 2 questions:',
			'description' => 'What is systems thinking?
Why is it important in healthcare?
We learned in the previous session (Essentials) that despite a focus on safety over many decades, despite the hard work of clinicians, managers and of professionals in patient safety, things sometimes go wrong for patients and service users. These events are comparatively rare but can cause short-term problems for patients, long-term disabilities and even death.

A great deal of progress in safety science has been made in the NHS. It is now recognised, for example, that we can gain insight into patient safety by understanding systems. We can also gain understanding by evaluating how systems thinking has been applied in other safety-critical industries to make and keep them safer.

A great deal of progress in safety science has been made in the NHS. It is now recognised, for example, that we can gain insight into patient safety by understanding systems. We can also gain understanding by evaluating how systems thinking has been applied in other safety-critical industries to make and keep them safer.

Perhaps the most important insight in safety has been the recognition that individual members of staff work in an overall system that has a major effect on their performance. It is not possible to fully understand human behaviour in isolation. We have to understand the context in which we work. For healthcare, this includes the nature of the task being carried out, the team, their equipment and environment and also the wider organisational context.

This session provides an introduction to systems thinking where we develop this theme. Further sessions in this syllabus will cover some advanced models of systems, including models of highly complex systems and other theoretical models such as resilience in healthcare or Safety-II [2].
',
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			'course_id' => '117',
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			'description' => 'There are many approaches to systems thinking in healthcare. All of them recognise the role that systems play in building safety. At its most basic, systems thinking is a way of exploring and developing actions by looking at connected wholes rather than separate parts.',
			'field_order' => '1',
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			'field_label' => '1 of 4: Complex systems',
			'description' => 'In healthcare, we work within complex systems, which include our workplace, its environment, equipment and people, its protocols and policies and the larger organisation in which our own organisation sits.

A recent description of a systems model, similar to the model shown here, is found at SEIPS 3.0: Human-Centered Design of the Patient Journey for Patient Safety [3].

This system may be a GP practice, for example. Here, a team of clinicians and administrative staff try to make sure that patients receive the care they need for many complicated and interacting conditions. Situations and environments we can often take for granted may actually be highly complex and interdependent. ',
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			'description' => 'Of course, a GP practice does not exist in isolation. It is connected to the patients and their lives and lifestyles, to organisations providing additional care including hospitals and community care, to social care, to pharmacies and to many other organisations and systems.',
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			'field_label' => '3 of 4: Influences',
			'description' => 'Systems thinking recognises that there are many systems which are interconnected and that each influences the others. This creates an often complex interplay of different factors that impact on work and performance.',
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			'field_label' => '4 of 4: The Whole System',
			'description' => 'To create safety within these interconnected systems requires us to approach safety as a property of the whole system, not just one part of it. We need to understand something about what a system is and how it can sometimes affect the actions and performance of the people, who are themselves part of the system.

In the following sections, we look at some ways we can begin to understand the system and how this relates to patient safety and safe clinical practice.',
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			'field_label' => 'Organisational accidents model',
			'description' => 'There are many systems-based approaches to safety. In general, we try to make sense of systems by using models which illustrate systems. There are many such models, some of which are developed fully in later sessions of this syllabus. We begin with an influential model developed by James Reason to describe the influence of organisational processes and systems on safety at the frontline of practice [4].

We highlighted earlier that incidents and accidents in healthcare need to be viewed from a wide perspective to be properly understood and in order to prevent further harmful events. While the actions of individual members of staff often seem to play a central role, the behaviour and thinking of staff is constrained by the system they work in. The key factors in this view of systems are illustrated by James Reason's 'Model of Organizational Accidents'.



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			'field_label' => 'Select the icons to find out more information.',
			'description' => 'The figure below shows the elements of this model. It shows how decisions taken at some distance from the frontline of care can affect staff and patients. Reading the graphic from left to right, Reason described 'latent failures' or 'latent conditions' produced by management decisions and organisational processes. Then in the centre, we can see the work carried out by staff and some of the things that influence the work; the environment, the team and so on. Finally on the right, we illustrate problems in caring for our patients. Note that these problems have their origin in the system: the conditions created by the organisation, its decisions and its culture. 
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			'field_choices' => '{"width":500,"annotations":[{"top":135.797,"left":63,"annotation":"Latent failures\n\nThese show how decisions taken at some distance from the frontline of care can affect staff and patients. Reason described 'latent failures' or 'latent conditions' produced by management decisions and organisational processes."},{"top":136.797,"left":143,"annotation":"Management decisions\n\nManagement decisions are many and varied. They are taken in order to achieve the goals of the organisation and are also made in response to the economic and political context in which the organisations carry out their work.\n\nDecisions relating to training, staffing levels, supervision, budgets and accountability, for example, can have a significant impact on frontline work."},{"top":167.797,"left":309,"annotation":"Patient safety impact\n\nSometimes these decisions can have a direct negative impact or can create the conditions for things going wrong later. These latent conditions are factors that are present, not necessarily observed directly, but which have effects on other activity.\n\nAn example of a latent condition might be a reduction in the safe number of staff (or the safe mix of staff) looking after patients, leading to pressure at the frontline and an increased probability of staff being unable to manage their work or deliver care to high standards. In other words, patient safety incidents."},{"top":30.7969,"left":318,"annotation":"Contributory factors\n\nIn the centre of the graphic is a description of contributory factors [5] (conditions that may lead to suboptimal care). These include staff and task factors, for example, and we return to these in the next section where we describe more about performance influencing factors."},{"top":131.797,"left":440,"annotation":"Active failures\n\nThe final element of the model shown in the graphic is captioned 'active failures'. \n\nWe can illustrate an active failure here by thinking about medication rounds. A drug administration error could be where a clinician misreads a drug chart, not identifying one of several medications that they are supposed to administer to a patient when they first read the chart. This, along with the latent condition of short staffing means the clinician may be under pressure, and, without enough time to methodically check the drug chart again, contributes to the patient missing a dose of their medication."}]}',
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			'description' => 'Reason described  [4]  how unsafe acts at the 'sharp end' can result in harm. These active failures might be delays in care, omissions, errors or short cuts. But viewed from the systems perspective, the people at the 'sharp end' have inherited the conditions for failure rather than created them.

For a patient safety incident to occur, however, many further defences may have to be breached. We will expand on this as we describe the Swiss cheese model in the next section.m dolor sit amet.',
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			'field_label' => 'Swiss Cheese Model',
			'description' => 'The Model of Organizational Accidents provides an insight into how safety depends not only on the skills of the team directly caring for patients but on the decisions and processes taken at other levels of the organisation.

We show a further element of the model (see image below) to illustrate a final point. In order to cause harm, there are other defences or barriers which must be breached.',
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			'field_label' => 'Swiss Cheese Model',
			'description' => 'Many unsafe acts may take place in an organisation, but only some will penetrate the barriers and defences. How this occurs is illustrated by the 'Swiss cheese model' (below).

This model is a way of understanding 'defences in depth'; the many ways that a system can protect patients from incidents or accidents. In the illustration, you will see that in between the hazards (the things that can go wrong) and the patient or service user are a number of defences, presented here as slices of cheese. Because no defence is completely reliable, Reason chose to use Swiss cheese (which is notable for having holes in it) to represent defences that may sometimes fail. This is simply a way of showing that any defence, any way of protecting patients from harm, can be breached.',
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			'description' => 'Many unsafe acts may take place in an organisation, but only some will penetrate the barriers and defences. How this occurs is illustrated by the 'Swiss cheese model' [4](below). 

This model is a way of understanding 'defences in depth'; the many ways that a system can protect patients from incidents or accidents. In the illustration, you will see that in between the hazards (the things that can go wrong) and the patient or service user are a number of defences, presented here as slices of cheese. Because no defence is completely reliable, Reason chose to use Swiss cheese (which is notable for having holes in it) to represent defences that may sometimes fail. This is simply a way of showing that any defence, any way of protecting patients from harm, can be breached.',
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			'field_label' => 'Swiss Cheese Model in Practice',
			'description' => 'We can make this easier to understand by putting some names to each of the slices of Swiss cheese in a real example.

1 of 3: Medication safety

Let's use an example of administering medication and see how that fits into the wider picture of delivering safe medicines to patients.

There are many ways of keeping this process safe. Think about when a patient is admitted to hospital and the steps taken to ensure medication safety. 
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			'description' => 'These steps will include:

- medicines reconciliation: checking what medication the patient is already taking

- prescription: setting a medication regime for the patient after admission

- medication checking: checking the suitability of the medication for the patient by clinical pharmacists or pharmacy technicians

- administration: the nurse (usually) who conducts the drug round checks the patient's identification, medication, dose and route for each drug prescribed

- patient observations: checking the safety and efficacy of medications for the patient',
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			'field_label' => 'Swiss Cheese Model in Practice',
			'description' => '3 of 3: Defences in depth

Each of these can be thought of as a defence against medication error and will also be addressed through systems factors more widely as well; through ensuring that training, revalidation and technical reliability is also considered. In this way, it is clear that the design of the systems is a major factor in creating safety.

A failure in any of these defences represents an increased risk to the patient. Where all of them fail, then the patient is at risk of harm from their medications.

This is a very specific example to illustrate a systems approach to safety. But it is also possible to identify more general organisational or cultural factors which could be associated with the slices in the Swiss cheese model. We could illustrate latent factors in this way; things that might create difficult conditions in the workplace and affect safety.

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			'field_label' => 'Latent Conditions',
			'description' => 'These would include:

- suboptimal communication
- fatigue and stress
- inadequate training
- distractions
- task design and task support needs
- environment problems
- equipment problems
- problems in leadership, 
- teamwork and non-technical skills

It is through understanding of systems (the way we work) that we can really address safety and develop better ways to care for our patients and service users.

Only by understanding the elements of the system and its defences against failure can we begin to build safety. For example, at each point (slice) in the Swiss cheese model, there is an opportunity for the reliability of the process to be evaluated and monitored.',
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			'description' => 'It should be understood that the Swiss cheese model is one of many approaches to understanding systems and has been criticised for being simplistic and linear, when in reality our working systems in healthcare are complex. However, the model continues to be applied in healthcare and forms a basis for understanding both overall systems and the way they influence safety.<br><br>The additional material for this session includes a short<a href="https://www.bbc.co.uk/news/resources/idt-40ac92b1-1750-4e86-9936-2cda6b0acb3f"> graphic example</a> where the Swiss cheese model is used to show how we manage protection against COVID-19.',
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		(int) 20 => array(
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			'field_type' => 'paragraph',
			'field_label' => 'Performance influencing factors',
			'description' => 'Understanding how people work within systems and how they are affected by the system leads us to think about performance influencing factors (PIFs). These are things in our workplace that affect how we can do our jobs; contextual factors such as noise, distractions, communications or work instructions. PIFs are present everywhere and can materially affect our ability to carry out tasks.

Distractions during safety-critical work

A good example of how PIFs can affect our work is in the area of distractions during safety-critical work. Administering medications in all settings, primary, acute or mental health, is an example of a safety-critical process. Medication is one of the most common procedures that goes wrong for patients and services, sometimes with very serious consequences.

Example of safety-critical process

Administering medications is an example of a safety-critical process, as we described earlier. It includes these critical tasks:

- checking patient - observations
- checking the name of the patient
- checking the name of the medication
- checking the correct dose for the medication
- observing the patient take the medication
- recording all of this on the drug chart

',
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		(int) 21 => array(
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			'field_label' => 'All the tasks in administering medications are essential for safety, but all are vulnerable to error. When a member of staff is interrupted in this process, the potential for mistakes increases because distractions are significant PIFs during drug rounds.',
			'description' => 'In some environments now, in an attempt to manage distractions, the administering person might try wearing a tabard intended to discourage interruptions during drug rounds or they will try other strategies to support safe practice. In the real world, there is rarely a magic bullet that can entirely eliminate risk and many approaches to building safety will be needed.

PIFs may relate to external factors such as training, distractions, supervisions and so on, but may also be internal factors such as stress or fatigue.

There are many taxonomies of PIFs, contributory factors and human factors. All have the potential to develop our understanding of working environments, human performance and safety.

In the additional materials for this session, we provide information on:

- The London Protocol (used in incident analysis) [6]
- Human Factors Analysis and Classification System for Healthcare (HFACS) [7]',
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			'field_type' => 'paragraph',
			'field_label' => 'Systems thinking and investigations',
			'description' => 'Systems thinking recognises that the relationships within and between systems are often not easy to explain, or obvious. This is especially true when things go wrong. Factors can affect safe working in ways which are not directly causal or straightforward in the way that simple processes may be.

When you start a car or switch on a laptop, there is a direct causal connection between the simple action and its results. The actions are linked to outcomes in a predictable, easily understandable way. 

How are healthcare systems different to the simple systems described above?

They are unlike the complex, often interconnected systems of health and social care.

Systems here are known as sociotechnical systems because they include the interaction between people and technology in the workplace. There is unseen complexity which gives rise to unpredictability and uncertainty in these systems and there are systems within systems.

When we investigate an incident or near miss, we need to try to understand systems and how they affected the staff and patients involved. This means that investigations should not simply focus on people and their actions, but on the design of the work, on the context and the underlying culture of the workplace.

In the example we looked at earlier, where we saw many safety 'defences' in medication safety, we could see each of the slices as systems in themselves. Each of the tasks (medicine reconciliation, prescribing, checking, administering) has its own teams, their own policies and procedures, tools and techniques and their own particular way of doing things. These are sometimes called clinical microsystems and they exist throughout healthcare as sub-systems within the overall systems of the organisation. This example illustrates how systems can be layered and how they act together. An important element of systems thinking.

Why should we take a systems approach to investigating what went wrong?

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			'description' => 'In investigations we need to find out how things might have gone wrong for a patient so that we can reduce the risk of similar incidents. So, we need to understand how systems affect the way individual members of staff work. We need to understand how staffing, training, workflow and task design, storage and management of medication, supervision, wellbeing and so on can influence practice.

Therefore, when we carry out investigations with a systems view, rather than trying to identify and correct individual mistakes, we seek these understandings. Our investigations are therefore more effective, because we are able to recognise system factors that affect many people, many processes across the organisation and in addressing those, we make things safer overall.',
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		(int) 24 => array(
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			'field_label' => 'To illustrate this, we can return to medication safety. There may be a case where a clinician selected an incorrect medication from several similar looking medications during a busy period. This can take place in any setting and can lead to patient harm.',
			'description' => 'Organisations often wish to hold that clinician to account through a disciplinary process, or try to help them with further training. This is a common response to situations like this. But if we were able to address the context, the PIFs, distractions and interruptions, or we were able to help manufacturers to use more distinctive labelling, we would be able to prevent similar mistakes made in many places: overall, more patients would be protected.

Only by taking systems into account can we achieve the best outcomes in investigating incidents.',
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			'field_type' => 'media-field',
			'field_label' => 'Risk',
			'description' => 'As a starting point, let's think about what we mean by risk and how we might assess it. In simple terms, risk is the probability of something 'bad' happening. We are using the word 'bad' here to mean something undesirable, harmful or unsafe.

Risk is present in all systems. In understanding how a system works we must also understand how risk is manifested in the system; its origins, how we measure and manage risk and the likely effect on patients and staff. In later sessions, we provide tools and techniques that can identify risks in systems proactively and help to reduce any harmful effects on patients.',
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			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'Risk and Hazards',
			'description' => 'Now for some technical terms. This simple description (the probability of something 'bad' happening) is built upon a more formal definition where risk is related to hazards and the likelihood of the hazards giving rise to harm.

Now for some technical terms. This simple description (the probability of something 'bad' happening) is built upon a more formal definition where risk is related to hazards and the likelihood of the hazards giving rise to harm.',
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			'description' => 'They might include:

- an electrical cable left across a corridor where patients and staff may trip and fall over
- a medicine which becomes harmful above a certain dose
- important information relating to a patient. Perhaps an allergy to a medication which may not be highlighted',
			'field_order' => '2',
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			'field_label' => 'Single Choice Field',
			'description' => 'Does a hazard always give rise to harm?',
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			'field_choices' => '["Yes","No"]',
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			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'Risk is therefore defined as the product of the harmful outcome and its likelihood.  Risk equals outcome times likelihood.',
			'description' => 'Generally speaking, risks in healthcare are not absolute measurements, as they might be in engineering, for example. Instead, they are relative measures based on rule of thumb approaches. For example, a harmful outcome may be hard to quantify except in general terms such as low, medium or high.

In the same way, the likelihood of this occurring often cannot be stated with numerical accuracy, but also only considered as low, medium or high. Usually, both outcomes and likelihoods are stated as the numbers 1, 2 or 3, where 1 is low, 2 is medium and 3 is high.',
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			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'single-choice',
			'field_label' => 'What is the relative risk where a hazard can lead to a medium undesired outcome (2) with a high likelihood (3)? Remember, risk equals outcome times likelihood.',
			'description' => 'Choose the correct option',
			'field_order' => '5',
			'attachment_id' => '1556',
			'external_media_src' => '',
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			'attachment_pos' => null,
			'field_choices' => '["2","4","6","8"]',
			'field_correct' => '2',
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		),
		(int) 31 => array(
			'id' => '3339',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'Risk Management in Healthcare',
			'description' => 'There are formal systems of risk management in most large organisations, including the NHS. Risks where control measures are insufficient such that a residual risk is present can be placed on a risk register so that they are recorded and can be evaluated and reviewed. Typically, they are owned by a member of staff with the responsibility to make sure that the risk is controlled within agreed limits.

Incident Management

Most resource in risk management is devoted to incident management: the reporting and analysis of incidents to prevent future harm to patients. These essential functions are covered in later sessions in the syllabus. 

Risk Register

Having an up-to-date risk register, for a department, a directorate or an entire organisation, is a requirement of regulators and reflects a professional approach to risk management, given the following factors: 

- risks should be up-to-date
- risks should be owned by named staff or duty holders
- risks should be evaluated
- the risk register should include current risk control measures and an assessment of their effectiveness

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		(int) 32 => array(
			'id' => '3340',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'paragraph',
			'field_label' => 'Proactive and reactive approaches to risk',
			'description' => 'Many patient safety programmes take place outside the risk management system and many staff are engaged in improving safety. However, much of the overall risk management system applied across the NHS is reactive.',
			'field_order' => '7',
			'attachment_id' => null,
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			'field_type' => 'media-field',
			'field_label' => '1 of 4: Reactive risk management',
			'description' => 'The system reacts to things going wrong, as it should, when they are reported through the risk management system. At that point, an incident report would be made, assessed for significance by a senior team and an investigation begun.',
			'field_order' => '8',
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			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => '2 of 4: Risks in our systems',
			'description' => 'Although evaluating and managing clinical risks are at the heart of good medical practice, few organisations map, evaluate and manage systems risks; the risks embedded in the way we work, the systems in which clinical practice takes place. And yet, when a safety incident is investigated thoroughly, systems are almost always implicated in the events. In fact, in many or even most incidents, it is found that failures in systems (that is, when systems do not deliver as we would wish them to) are the key factors in patient safety incidents.',
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			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => '3 of 4: Proactive risk management',
			'description' => 'Many industries with a strong safety record have taken a different approach to risk. As well as investigating past harm, safe systems routinely assess and manage risks proactively. Risks are anticipated and actively managed to improve safety. This focus on risk rather than harm is an essential part of safety management systems in other safety-critical industries.

',
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		(int) 36 => array(
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			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => '4 of 4: Some proactive approaches',
			'description' => 'In the NHS, some governance teams carry out proactive risk analysis in this way; some clinicians have focused on building skills proactively through simulation, or on the design of equipment, where a proactive risk approach aimed at managing user error is essential for safety.

',
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			'attachment_id' => '1561',
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		(int) 37 => array(
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			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'text-image',
			'field_label' => 'Risk Identification',
			'description' => 'No single group, no single profession and no single individual can see the whole picture where safety is concerned.

Who should carry out risk identification? ',
			'field_order' => '12',
			'attachment_id' => '1562',
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			'description' => 'Risk identification is best carried out:

- in multiprofessional groups
- in local areas where frontline expertise is high 
- through consensus',
			'field_order' => '13',
			'attachment_id' => null,
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			'field_type' => 'media-field',
			'field_label' => 'The identification of risk through consensus groups is an essential part of safety management. Sometimes this can begin with a simple inventory of risks in the area and the level of risk associated. Risks identified in this way will include the clinical risks involved in patient care by the clinician but also the risks created by the system itself.',
			'description' => 'Some examples of systems factors carrying risk are:

communication
information
environmental factors (layout, orderliness, noise)
equipment use and reliability
staffing levels
staff skill profiles and mix
management practices
organisational culture
The additional material accompanying the session provides examples of checklists for risk based on accepted protocols and on systems and human factors.',
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			'description' => 'It's clearly sensible to know where the key risks to patients are in the area we work in. It is also clear that, where staff believe the risks to be significant, awareness is shared and safety improvement programmes are initiated.

But not all risks are equal. When risks are evaluated using the simple rules of thumb described earlier, it often becomes obvious that some risks have a trivial outcome compared with others or that some will have very low likelihoods of occurrence. In this way, a risk inventory can be prioritised with the key risks highlighted.

1. Add to risk register

Firstly, the risks can be added to the risk register for systematic management.

2. Prioritise risks

Secondly, the risks can be prioritised for improvement programmes. Busy staff and busy teams need to know where their risks are and which ones they need to manage most carefully.',
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			'course_id' => '117',
			'course_lesson_id' => '531',
			'field_type' => 'paragraph',
			'field_label' => 'Summary and Next Steps',
			'description' => 'Systems thinking shows how there are complex structures in health and care, and how the interactions within and between them affect safety and affect individual members of staff.

Just as in the case study we described in the session 'Essentials of patient safety for all staff', our healthcare systems comprise many individual elements and many microsystems.

When we work to improve any aspect of patient care, including patient safety, getting these systems right gives us the best opportunities for success.

Risks can be managed both proactively and reactively. Reactive risk management is based upon the reporting and analysis of incidents and near misses. Proactive risk management is based upon systematic identification and management of risk through consensus groups. 

Safety-critical industries with good safety records have applied both proactive and reactive risk management approaches. ',
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			'id' => '3350',
			'course_id' => '117',
			'course_lesson_id' => '531',
			'field_type' => 'text-links',
			'field_label' => 'Further Information',
			'description' => 'References<br><br>References<br>Health Education England. NHS Patient Safety Syllabus. <a href="https://www.hee.nhs.uk/our-work/patient-safety">View website</a><br>Hollnagel E, Wears R, Braithwaite J. From Safety-I to Safety-II: A White Paper, 2015.<a href="https://www.england.nhs.uk/signuptosafety/wp-content/uploads/sites/16/2015/10/safety-1-safety-2-whte-papr.pdf"> View document</a><br>Carayon P, Wooldridge A, Hoonakker P et al. SEIPS 3.0: Human-centered design of the patient journey for patient safety. Appl Ergon 2020;84:103033.<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152782/"> View article</a><br>Reason J. Managing the Risks of Organizational Accidents. Fareham: Ashgate Publishing, 1997.<br>Vincent C. Patient Safety. 2nd edn. Chichester: John Wiley &amp; Sons, 2010.<br>Taylor-Adams S, Vincent C. Systems analysis of clinical incidents: The London protocol. London: Imperial College London, 2004. <a href="https://www.imperial.ac.uk/media/imperial-college/medicine/surgery-cancer/pstrc/londonprotocol_e.pdf">View document</a><br>Human Factors Analysis and Classification System for Healthcare HFACS. The HFACS Framework. <a href="https://hfacs.com/hfacs-framework.html">View website</a><br><br>Further Reading<br><br>Vaccines alone will not stop Covid spreading - here's why. The Swiss cheese model. <a href="https://www.bbc.co.uk/news/resources/idt-40ac92b1-1750-4e86-9936-2cda6b0acb3f">View website</a><br>',
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			'description' => 'Thank you. You have now completed session 1 of Access to practice.

Please continue to the Access to practice session 2 which focuses on human factors and safety culture. You will be asked to complete a self-assessment at the end of session 2 in order to gain your certificate for both Access to practice sessions.',
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			'course_id' => '117',
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			'field_type' => 'paragraph',
			'field_label' => 'Before beginning this session, you will have completed 'Essentials of patient safety for all' or you may have completed 'Essentials of patient safety for senior leadership and boards'.',
			'description' => 'Access to practice comprises 2 sessions:

Access to practice 1: systems thinking and risk expertise
Access to practice 2: human factors and safety culture
You must complete both Access to practice sessions in order to gain your certificate. At the end of Access to practice 2, you will be asked to complete a self-assessment to check that you have understood Essentials of patient safety as well as Access to practice.',
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			'course_id' => '117',
			'course_lesson_id' => '528',
			'field_type' => 'media-field',
			'field_label' => 'Essentials of patient safety',
			'description' => 'The session 'Essentials of patient safety for all staff' aimed to highlight key factors in safety as they apply to healthcare.

These factors were drawn from several domains in the NHS Patient Safety Syllabus.

We work in complex and interconnected systems to deliver safe care for patients and service users.
When things go wrong for patients, the causes are usually the result of systems, the way we work, rather than individual members of staff.
In this context, the automatic blaming of individuals is inappropriate and stops people from learning about the system and raising concerns.
Identifying risks proactively is an essential part of reducing the likelihood of harm to patients.
Listening to patients and raising concerns with line managers or other appropriate staff helps to identify these risks and ensure that they are recognised and dealt with.',
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			'field_label' => 'Access to practice',
			'description' => 'The NHS Patient Safety Syllabus provides in-depth training to allow members of staff to become:

- practitioners in patient safety

- advanced practitioners

- or senior experts [1]

It also allows any member of staff to participate in specific course sessions which are appropriate to their role in healthcare. For example, later sessions provide the basis for incident investigation training or in-depth risk management skills for staff with roles in safety and governance.

This session (Access to practice) provides a grounding in key elements of safety science so that whichever further sessions are engaged in, there is a foundation for the participant that forms a basis for all further study of safety.

The elements of safety science that we focus on and which have underpinned all domains of the syllabus are [1]:

- systems thinking

- risk expertise

- human factors

-  safety culture

Access to practice comprises 2 sessions each covering 2 of the key themes above. This session covers systems thinking and risk expertise.
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			'field_label' => 'We begin with systems thinking and ask 2 questions:',
			'description' => 'What is systems thinking?
Why is it important in healthcare?
We learned in the previous session (Essentials) that despite a focus on safety over many decades, despite the hard work of clinicians, managers and of professionals in patient safety, things sometimes go wrong for patients and service users. These events are comparatively rare but can cause short-term problems for patients, long-term disabilities and even death.

A great deal of progress in safety science has been made in the NHS. It is now recognised, for example, that we can gain insight into patient safety by understanding systems. We can also gain understanding by evaluating how systems thinking has been applied in other safety-critical industries to make and keep them safer.

A great deal of progress in safety science has been made in the NHS. It is now recognised, for example, that we can gain insight into patient safety by understanding systems. We can also gain understanding by evaluating how systems thinking has been applied in other safety-critical industries to make and keep them safer.

Perhaps the most important insight in safety has been the recognition that individual members of staff work in an overall system that has a major effect on their performance. It is not possible to fully understand human behaviour in isolation. We have to understand the context in which we work. For healthcare, this includes the nature of the task being carried out, the team, their equipment and environment and also the wider organisational context.

This session provides an introduction to systems thinking where we develop this theme. Further sessions in this syllabus will cover some advanced models of systems, including models of highly complex systems and other theoretical models such as resilience in healthcare or Safety-II [2].
',
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			'field_label' => 'Approaches to Systems Thinking',
			'description' => 'There are many approaches to systems thinking in healthcare. All of them recognise the role that systems play in building safety. At its most basic, systems thinking is a way of exploring and developing actions by looking at connected wholes rather than separate parts.',
			'field_order' => '1',
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			'field_label' => '1 of 4: Complex systems',
			'description' => 'In healthcare, we work within complex systems, which include our workplace, its environment, equipment and people, its protocols and policies and the larger organisation in which our own organisation sits.

A recent description of a systems model, similar to the model shown here, is found at SEIPS 3.0: Human-Centered Design of the Patient Journey for Patient Safety [3].

This system may be a GP practice, for example. Here, a team of clinicians and administrative staff try to make sure that patients receive the care they need for many complicated and interacting conditions. Situations and environments we can often take for granted may actually be highly complex and interdependent. ',
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			'field_label' => '2 of 4: Connections',
			'description' => 'Of course, a GP practice does not exist in isolation. It is connected to the patients and their lives and lifestyles, to organisations providing additional care including hospitals and community care, to social care, to pharmacies and to many other organisations and systems.',
			'field_order' => '3',
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			'field_label' => '3 of 4: Influences',
			'description' => 'Systems thinking recognises that there are many systems which are interconnected and that each influences the others. This creates an often complex interplay of different factors that impact on work and performance.',
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			'field_label' => '4 of 4: The Whole System',
			'description' => 'To create safety within these interconnected systems requires us to approach safety as a property of the whole system, not just one part of it. We need to understand something about what a system is and how it can sometimes affect the actions and performance of the people, who are themselves part of the system.

In the following sections, we look at some ways we can begin to understand the system and how this relates to patient safety and safe clinical practice.',
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			'field_label' => 'Organisational accidents model',
			'description' => 'There are many systems-based approaches to safety. In general, we try to make sense of systems by using models which illustrate systems. There are many such models, some of which are developed fully in later sessions of this syllabus. We begin with an influential model developed by James Reason to describe the influence of organisational processes and systems on safety at the frontline of practice [4].

We highlighted earlier that incidents and accidents in healthcare need to be viewed from a wide perspective to be properly understood and in order to prevent further harmful events. While the actions of individual members of staff often seem to play a central role, the behaviour and thinking of staff is constrained by the system they work in. The key factors in this view of systems are illustrated by James Reason's 'Model of Organizational Accidents'.



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			'field_type' => 'image-hotspot',
			'field_label' => 'Select the icons to find out more information.',
			'description' => 'The figure below shows the elements of this model. It shows how decisions taken at some distance from the frontline of care can affect staff and patients. Reading the graphic from left to right, Reason described 'latent failures' or 'latent conditions' produced by management decisions and organisational processes. Then in the centre, we can see the work carried out by staff and some of the things that influence the work; the environment, the team and so on. Finally on the right, we illustrate problems in caring for our patients. Note that these problems have their origin in the system: the conditions created by the organisation, its decisions and its culture. 
',
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			'field_choices' => '{"width":500,"annotations":[{"top":135.797,"left":63,"annotation":"Latent failures\n\nThese show how decisions taken at some distance from the frontline of care can affect staff and patients. Reason described 'latent failures' or 'latent conditions' produced by management decisions and organisational processes."},{"top":136.797,"left":143,"annotation":"Management decisions\n\nManagement decisions are many and varied. They are taken in order to achieve the goals of the organisation and are also made in response to the economic and political context in which the organisations carry out their work.\n\nDecisions relating to training, staffing levels, supervision, budgets and accountability, for example, can have a significant impact on frontline work."},{"top":167.797,"left":309,"annotation":"Patient safety impact\n\nSometimes these decisions can have a direct negative impact or can create the conditions for things going wrong later. These latent conditions are factors that are present, not necessarily observed directly, but which have effects on other activity.\n\nAn example of a latent condition might be a reduction in the safe number of staff (or the safe mix of staff) looking after patients, leading to pressure at the frontline and an increased probability of staff being unable to manage their work or deliver care to high standards. In other words, patient safety incidents."},{"top":30.7969,"left":318,"annotation":"Contributory factors\n\nIn the centre of the graphic is a description of contributory factors [5] (conditions that may lead to suboptimal care). These include staff and task factors, for example, and we return to these in the next section where we describe more about performance influencing factors."},{"top":131.797,"left":440,"annotation":"Active failures\n\nThe final element of the model shown in the graphic is captioned 'active failures'. \n\nWe can illustrate an active failure here by thinking about medication rounds. A drug administration error could be where a clinician misreads a drug chart, not identifying one of several medications that they are supposed to administer to a patient when they first read the chart. This, along with the latent condition of short staffing means the clinician may be under pressure, and, without enough time to methodically check the drug chart again, contributes to the patient missing a dose of their medication."}]}',
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			'description' => 'Reason described  [4]  how unsafe acts at the 'sharp end' can result in harm. These active failures might be delays in care, omissions, errors or short cuts. But viewed from the systems perspective, the people at the 'sharp end' have inherited the conditions for failure rather than created them.

For a patient safety incident to occur, however, many further defences may have to be breached. We will expand on this as we describe the Swiss cheese model in the next section.m dolor sit amet.',
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			'description' => 'The Model of Organizational Accidents provides an insight into how safety depends not only on the skills of the team directly caring for patients but on the decisions and processes taken at other levels of the organisation.

We show a further element of the model (see image below) to illustrate a final point. In order to cause harm, there are other defences or barriers which must be breached.',
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			'field_label' => 'Swiss Cheese Model',
			'description' => 'Many unsafe acts may take place in an organisation, but only some will penetrate the barriers and defences. How this occurs is illustrated by the 'Swiss cheese model' (below).

This model is a way of understanding 'defences in depth'; the many ways that a system can protect patients from incidents or accidents. In the illustration, you will see that in between the hazards (the things that can go wrong) and the patient or service user are a number of defences, presented here as slices of cheese. Because no defence is completely reliable, Reason chose to use Swiss cheese (which is notable for having holes in it) to represent defences that may sometimes fail. This is simply a way of showing that any defence, any way of protecting patients from harm, can be breached.',
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		(int) 14 => array(
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			'field_type' => 'media-field',
			'field_label' => 'Swiss Cheese Model',
			'description' => 'Many unsafe acts may take place in an organisation, but only some will penetrate the barriers and defences. How this occurs is illustrated by the 'Swiss cheese model' [4](below). 

This model is a way of understanding 'defences in depth'; the many ways that a system can protect patients from incidents or accidents. In the illustration, you will see that in between the hazards (the things that can go wrong) and the patient or service user are a number of defences, presented here as slices of cheese. Because no defence is completely reliable, Reason chose to use Swiss cheese (which is notable for having holes in it) to represent defences that may sometimes fail. This is simply a way of showing that any defence, any way of protecting patients from harm, can be breached.',
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			'field_type' => 'media-field',
			'field_label' => 'Swiss Cheese Model in Practice',
			'description' => 'We can make this easier to understand by putting some names to each of the slices of Swiss cheese in a real example.

1 of 3: Medication safety

Let's use an example of administering medication and see how that fits into the wider picture of delivering safe medicines to patients.

There are many ways of keeping this process safe. Think about when a patient is admitted to hospital and the steps taken to ensure medication safety. 
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			'description' => 'These steps will include:

- medicines reconciliation: checking what medication the patient is already taking

- prescription: setting a medication regime for the patient after admission

- medication checking: checking the suitability of the medication for the patient by clinical pharmacists or pharmacy technicians

- administration: the nurse (usually) who conducts the drug round checks the patient's identification, medication, dose and route for each drug prescribed

- patient observations: checking the safety and efficacy of medications for the patient',
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		),
		(int) 17 => array(
			'id' => '3325',
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			'course_lesson_id' => '529',
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			'field_label' => 'Swiss Cheese Model in Practice',
			'description' => '3 of 3: Defences in depth

Each of these can be thought of as a defence against medication error and will also be addressed through systems factors more widely as well; through ensuring that training, revalidation and technical reliability is also considered. In this way, it is clear that the design of the systems is a major factor in creating safety.

A failure in any of these defences represents an increased risk to the patient. Where all of them fail, then the patient is at risk of harm from their medications.

This is a very specific example to illustrate a systems approach to safety. But it is also possible to identify more general organisational or cultural factors which could be associated with the slices in the Swiss cheese model. We could illustrate latent factors in this way; things that might create difficult conditions in the workplace and affect safety.

',
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		(int) 18 => array(
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			'course_id' => '117',
			'course_lesson_id' => '529',
			'field_type' => 'media-field',
			'field_label' => 'Latent Conditions',
			'description' => 'These would include:

- suboptimal communication
- fatigue and stress
- inadequate training
- distractions
- task design and task support needs
- environment problems
- equipment problems
- problems in leadership, 
- teamwork and non-technical skills

It is through understanding of systems (the way we work) that we can really address safety and develop better ways to care for our patients and service users.

Only by understanding the elements of the system and its defences against failure can we begin to build safety. For example, at each point (slice) in the Swiss cheese model, there is an opportunity for the reliability of the process to be evaluated and monitored.',
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			'attachment_id' => '1550',
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		),
		(int) 19 => array(
			'id' => '3327',
			'course_id' => '117',
			'course_lesson_id' => '529',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => 'It should be understood that the Swiss cheese model is one of many approaches to understanding systems and has been criticised for being simplistic and linear, when in reality our working systems in healthcare are complex. However, the model continues to be applied in healthcare and forms a basis for understanding both overall systems and the way they influence safety.<br><br>The additional material for this session includes a short<a href="https://www.bbc.co.uk/news/resources/idt-40ac92b1-1750-4e86-9936-2cda6b0acb3f"> graphic example</a> where the Swiss cheese model is used to show how we manage protection against COVID-19.',
			'field_order' => '16',
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		),
		(int) 20 => array(
			'id' => '3328',
			'course_id' => '117',
			'course_lesson_id' => '529',
			'field_type' => 'paragraph',
			'field_label' => 'Performance influencing factors',
			'description' => 'Understanding how people work within systems and how they are affected by the system leads us to think about performance influencing factors (PIFs). These are things in our workplace that affect how we can do our jobs; contextual factors such as noise, distractions, communications or work instructions. PIFs are present everywhere and can materially affect our ability to carry out tasks.

Distractions during safety-critical work

A good example of how PIFs can affect our work is in the area of distractions during safety-critical work. Administering medications in all settings, primary, acute or mental health, is an example of a safety-critical process. Medication is one of the most common procedures that goes wrong for patients and services, sometimes with very serious consequences.

Example of safety-critical process

Administering medications is an example of a safety-critical process, as we described earlier. It includes these critical tasks:

- checking patient - observations
- checking the name of the patient
- checking the name of the medication
- checking the correct dose for the medication
- observing the patient take the medication
- recording all of this on the drug chart

',
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-06 13:19:29',
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		),
		(int) 21 => array(
			'id' => '3329',
			'course_id' => '117',
			'course_lesson_id' => '529',
			'field_type' => 'media-field',
			'field_label' => 'All the tasks in administering medications are essential for safety, but all are vulnerable to error. When a member of staff is interrupted in this process, the potential for mistakes increases because distractions are significant PIFs during drug rounds.',
			'description' => 'In some environments now, in an attempt to manage distractions, the administering person might try wearing a tabard intended to discourage interruptions during drug rounds or they will try other strategies to support safe practice. In the real world, there is rarely a magic bullet that can entirely eliminate risk and many approaches to building safety will be needed.

PIFs may relate to external factors such as training, distractions, supervisions and so on, but may also be internal factors such as stress or fatigue.

There are many taxonomies of PIFs, contributory factors and human factors. All have the potential to develop our understanding of working environments, human performance and safety.

In the additional materials for this session, we provide information on:

- The London Protocol (used in incident analysis) [6]
- Human Factors Analysis and Classification System for Healthcare (HFACS) [7]',
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			'attachment_id' => '1551',
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		),
		(int) 22 => array(
			'id' => '3330',
			'course_id' => '117',
			'course_lesson_id' => '529',
			'field_type' => 'paragraph',
			'field_label' => 'Systems thinking and investigations',
			'description' => 'Systems thinking recognises that the relationships within and between systems are often not easy to explain, or obvious. This is especially true when things go wrong. Factors can affect safe working in ways which are not directly causal or straightforward in the way that simple processes may be.

When you start a car or switch on a laptop, there is a direct causal connection between the simple action and its results. The actions are linked to outcomes in a predictable, easily understandable way. 

How are healthcare systems different to the simple systems described above?

They are unlike the complex, often interconnected systems of health and social care.

Systems here are known as sociotechnical systems because they include the interaction between people and technology in the workplace. There is unseen complexity which gives rise to unpredictability and uncertainty in these systems and there are systems within systems.

When we investigate an incident or near miss, we need to try to understand systems and how they affected the staff and patients involved. This means that investigations should not simply focus on people and their actions, but on the design of the work, on the context and the underlying culture of the workplace.

In the example we looked at earlier, where we saw many safety 'defences' in medication safety, we could see each of the slices as systems in themselves. Each of the tasks (medicine reconciliation, prescribing, checking, administering) has its own teams, their own policies and procedures, tools and techniques and their own particular way of doing things. These are sometimes called clinical microsystems and they exist throughout healthcare as sub-systems within the overall systems of the organisation. This example illustrates how systems can be layered and how they act together. An important element of systems thinking.

Why should we take a systems approach to investigating what went wrong?

',
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		),
		(int) 23 => array(
			'id' => '3331',
			'course_id' => '117',
			'course_lesson_id' => '529',
			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'In investigations we need to find out how things might have gone wrong for a patient so that we can reduce the risk of similar incidents. So, we need to understand how systems affect the way individual members of staff work. We need to understand how staffing, training, workflow and task design, storage and management of medication, supervision, wellbeing and so on can influence practice.

Therefore, when we carry out investigations with a systems view, rather than trying to identify and correct individual mistakes, we seek these understandings. Our investigations are therefore more effective, because we are able to recognise system factors that affect many people, many processes across the organisation and in addressing those, we make things safer overall.',
			'field_order' => '20',
			'attachment_id' => null,
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			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 13:19:29',
			'modified' => '2024-08-06 13:19:29'
		),
		(int) 24 => array(
			'id' => '3332',
			'course_id' => '117',
			'course_lesson_id' => '529',
			'field_type' => 'media-field',
			'field_label' => 'To illustrate this, we can return to medication safety. There may be a case where a clinician selected an incorrect medication from several similar looking medications during a busy period. This can take place in any setting and can lead to patient harm.',
			'description' => 'Organisations often wish to hold that clinician to account through a disciplinary process, or try to help them with further training. This is a common response to situations like this. But if we were able to address the context, the PIFs, distractions and interruptions, or we were able to help manufacturers to use more distinctive labelling, we would be able to prevent similar mistakes made in many places: overall, more patients would be protected.

Only by taking systems into account can we achieve the best outcomes in investigating incidents.',
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		),
		(int) 25 => array(
			'id' => '3333',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'Risk',
			'description' => 'As a starting point, let's think about what we mean by risk and how we might assess it. In simple terms, risk is the probability of something 'bad' happening. We are using the word 'bad' here to mean something undesirable, harmful or unsafe.

Risk is present in all systems. In understanding how a system works we must also understand how risk is manifested in the system; its origins, how we measure and manage risk and the likely effect on patients and staff. In later sessions, we provide tools and techniques that can identify risks in systems proactively and help to reduce any harmful effects on patients.',
			'field_order' => '0',
			'attachment_id' => '1553',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 26 => array(
			'id' => '3334',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'Risk and Hazards',
			'description' => 'Now for some technical terms. This simple description (the probability of something 'bad' happening) is built upon a more formal definition where risk is related to hazards and the likelihood of the hazards giving rise to harm.

Now for some technical terms. This simple description (the probability of something 'bad' happening) is built upon a more formal definition where risk is related to hazards and the likelihood of the hazards giving rise to harm.',
			'field_order' => '1',
			'attachment_id' => '1554',
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			'attachment_pos' => '1',
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		),
		(int) 27 => array(
			'id' => '3335',
			'course_id' => '117',
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			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'They might include:

- an electrical cable left across a corridor where patients and staff may trip and fall over
- a medicine which becomes harmful above a certain dose
- important information relating to a patient. Perhaps an allergy to a medication which may not be highlighted',
			'field_order' => '2',
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		),
		(int) 28 => array(
			'id' => '3336',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'single-choice',
			'field_label' => 'Single Choice Field',
			'description' => 'Does a hazard always give rise to harm?',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Yes","No"]',
			'field_correct' => '1',
			'show_correct' => '1',
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			'active' => '1',
			'created' => '2024-08-06 12:57:11',
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		),
		(int) 29 => array(
			'id' => '3337',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'Risk is therefore defined as the product of the harmful outcome and its likelihood.  Risk equals outcome times likelihood.',
			'description' => 'Generally speaking, risks in healthcare are not absolute measurements, as they might be in engineering, for example. Instead, they are relative measures based on rule of thumb approaches. For example, a harmful outcome may be hard to quantify except in general terms such as low, medium or high.

In the same way, the likelihood of this occurring often cannot be stated with numerical accuracy, but also only considered as low, medium or high. Usually, both outcomes and likelihoods are stated as the numbers 1, 2 or 3, where 1 is low, 2 is medium and 3 is high.',
			'field_order' => '4',
			'attachment_id' => '1555',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
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		),
		(int) 30 => array(
			'id' => '3338',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'single-choice',
			'field_label' => 'What is the relative risk where a hazard can lead to a medium undesired outcome (2) with a high likelihood (3)? Remember, risk equals outcome times likelihood.',
			'description' => 'Choose the correct option',
			'field_order' => '5',
			'attachment_id' => '1556',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["2","4","6","8"]',
			'field_correct' => '2',
			'show_correct' => '1',
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			'active' => '1',
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		),
		(int) 31 => array(
			'id' => '3339',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => 'Risk Management in Healthcare',
			'description' => 'There are formal systems of risk management in most large organisations, including the NHS. Risks where control measures are insufficient such that a residual risk is present can be placed on a risk register so that they are recorded and can be evaluated and reviewed. Typically, they are owned by a member of staff with the responsibility to make sure that the risk is controlled within agreed limits.

Incident Management

Most resource in risk management is devoted to incident management: the reporting and analysis of incidents to prevent future harm to patients. These essential functions are covered in later sessions in the syllabus. 

Risk Register

Having an up-to-date risk register, for a department, a directorate or an entire organisation, is a requirement of regulators and reflects a professional approach to risk management, given the following factors: 

- risks should be up-to-date
- risks should be owned by named staff or duty holders
- risks should be evaluated
- the risk register should include current risk control measures and an assessment of their effectiveness

',
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		),
		(int) 32 => array(
			'id' => '3340',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'paragraph',
			'field_label' => 'Proactive and reactive approaches to risk',
			'description' => 'Many patient safety programmes take place outside the risk management system and many staff are engaged in improving safety. However, much of the overall risk management system applied across the NHS is reactive.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
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		),
		(int) 33 => array(
			'id' => '3341',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => '1 of 4: Reactive risk management',
			'description' => 'The system reacts to things going wrong, as it should, when they are reported through the risk management system. At that point, an incident report would be made, assessed for significance by a senior team and an investigation begun.',
			'field_order' => '8',
			'attachment_id' => '1558',
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			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 34 => array(
			'id' => '3342',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => '2 of 4: Risks in our systems',
			'description' => 'Although evaluating and managing clinical risks are at the heart of good medical practice, few organisations map, evaluate and manage systems risks; the risks embedded in the way we work, the systems in which clinical practice takes place. And yet, when a safety incident is investigated thoroughly, systems are almost always implicated in the events. In fact, in many or even most incidents, it is found that failures in systems (that is, when systems do not deliver as we would wish them to) are the key factors in patient safety incidents.',
			'field_order' => '9',
			'attachment_id' => '1559',
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			'attachment_pos' => '0',
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		),
		(int) 35 => array(
			'id' => '3343',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => '3 of 4: Proactive risk management',
			'description' => 'Many industries with a strong safety record have taken a different approach to risk. As well as investigating past harm, safe systems routinely assess and manage risks proactively. Risks are anticipated and actively managed to improve safety. This focus on risk rather than harm is an essential part of safety management systems in other safety-critical industries.

',
			'field_order' => '10',
			'attachment_id' => '1560',
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			'attachment_pos' => '0',
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		),
		(int) 36 => array(
			'id' => '3344',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'media-field',
			'field_label' => '4 of 4: Some proactive approaches',
			'description' => 'In the NHS, some governance teams carry out proactive risk analysis in this way; some clinicians have focused on building skills proactively through simulation, or on the design of equipment, where a proactive risk approach aimed at managing user error is essential for safety.

',
			'field_order' => '11',
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			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'text-image',
			'field_label' => 'Risk Identification',
			'description' => 'No single group, no single profession and no single individual can see the whole picture where safety is concerned.

Who should carry out risk identification? ',
			'field_order' => '12',
			'attachment_id' => '1562',
			'external_media_src' => '',
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			'course_id' => '117',
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			'field_type' => 'paragraph',
			'field_label' => 'Answer',
			'description' => 'Risk identification is best carried out:

- in multiprofessional groups
- in local areas where frontline expertise is high 
- through consensus',
			'field_order' => '13',
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			'external_media_src' => null,
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			'course_id' => '117',
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			'field_type' => 'media-field',
			'field_label' => 'The identification of risk through consensus groups is an essential part of safety management. Sometimes this can begin with a simple inventory of risks in the area and the level of risk associated. Risks identified in this way will include the clinical risks involved in patient care by the clinician but also the risks created by the system itself.',
			'description' => 'Some examples of systems factors carrying risk are:

communication
information
environmental factors (layout, orderliness, noise)
equipment use and reliability
staffing levels
staff skill profiles and mix
management practices
organisational culture
The additional material accompanying the session provides examples of checklists for risk based on accepted protocols and on systems and human factors.',
			'field_order' => '14',
			'attachment_id' => '1563',
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		(int) 40 => array(
			'id' => '3348',
			'course_id' => '117',
			'course_lesson_id' => '530',
			'field_type' => 'paragraph',
			'field_label' => 'Risk evaluation and Prioritisation ',
			'description' => 'It's clearly sensible to know where the key risks to patients are in the area we work in. It is also clear that, where staff believe the risks to be significant, awareness is shared and safety improvement programmes are initiated.

But not all risks are equal. When risks are evaluated using the simple rules of thumb described earlier, it often becomes obvious that some risks have a trivial outcome compared with others or that some will have very low likelihoods of occurrence. In this way, a risk inventory can be prioritised with the key risks highlighted.

1. Add to risk register

Firstly, the risks can be added to the risk register for systematic management.

2. Prioritise risks

Secondly, the risks can be prioritised for improvement programmes. Busy staff and busy teams need to know where their risks are and which ones they need to manage most carefully.',
			'field_order' => '15',
			'attachment_id' => null,
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			'course_id' => '117',
			'course_lesson_id' => '531',
			'field_type' => 'paragraph',
			'field_label' => 'Summary and Next Steps',
			'description' => 'Systems thinking shows how there are complex structures in health and care, and how the interactions within and between them affect safety and affect individual members of staff.

Just as in the case study we described in the session 'Essentials of patient safety for all staff', our healthcare systems comprise many individual elements and many microsystems.

When we work to improve any aspect of patient care, including patient safety, getting these systems right gives us the best opportunities for success.

Risks can be managed both proactively and reactively. Reactive risk management is based upon the reporting and analysis of incidents and near misses. Proactive risk management is based upon systematic identification and management of risk through consensus groups. 

Safety-critical industries with good safety records have applied both proactive and reactive risk management approaches. ',
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		),
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			'id' => '3350',
			'course_id' => '117',
			'course_lesson_id' => '531',
			'field_type' => 'text-links',
			'field_label' => 'Further Information',
			'description' => 'References<br><br>References<br>Health Education England. NHS Patient Safety Syllabus. <a href="https://www.hee.nhs.uk/our-work/patient-safety">View website</a><br>Hollnagel E, Wears R, Braithwaite J. From Safety-I to Safety-II: A White Paper, 2015.<a href="https://www.england.nhs.uk/signuptosafety/wp-content/uploads/sites/16/2015/10/safety-1-safety-2-whte-papr.pdf"> View document</a><br>Carayon P, Wooldridge A, Hoonakker P et al. SEIPS 3.0: Human-centered design of the patient journey for patient safety. Appl Ergon 2020;84:103033.<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152782/"> View article</a><br>Reason J. Managing the Risks of Organizational Accidents. Fareham: Ashgate Publishing, 1997.<br>Vincent C. Patient Safety. 2nd edn. Chichester: John Wiley &amp; Sons, 2010.<br>Taylor-Adams S, Vincent C. Systems analysis of clinical incidents: The London protocol. London: Imperial College London, 2004. <a href="https://www.imperial.ac.uk/media/imperial-college/medicine/surgery-cancer/pstrc/londonprotocol_e.pdf">View document</a><br>Human Factors Analysis and Classification System for Healthcare HFACS. The HFACS Framework. <a href="https://hfacs.com/hfacs-framework.html">View website</a><br><br>Further Reading<br><br>Vaccines alone will not stop Covid spreading - here's why. The Swiss cheese model. <a href="https://www.bbc.co.uk/news/resources/idt-40ac92b1-1750-4e86-9936-2cda6b0acb3f">View website</a><br>',
			'field_order' => '1',
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			'field_type' => 'paragraph',
			'field_label' => 'Next Steps',
			'description' => 'Thank you. You have now completed session 1 of Access to practice.

Please continue to the Access to practice session 2 which focuses on human factors and safety culture. You will be asked to complete a self-assessment at the end of session 2 in order to gain your certificate for both Access to practice sessions.',
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$userId = null
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$courseId = '117'
$k = (int) 7
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

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			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3640',
			(int) 1 => '3641',
			(int) 2 => '3642',
			(int) 3 => '3643',
			(int) 4 => '3644',
			(int) 5 => '3645',
			(int) 6 => '3646',
			(int) 7 => '3647',
			(int) 8 => '3648',
			(int) 9 => '3649',
			(int) 10 => '3650',
			(int) 11 => '3651',
			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
		)
	),
	(int) 2 => array(
		'Course' => array(
			'id' => '122',
			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
			'banner_media_id' => '1721',
			'thumbnail_media_id' => '1722',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3561',
			(int) 1 => '3562',
			(int) 2 => '3563',
			(int) 3 => '3564',
			(int) 4 => '3565',
			(int) 5 => '3566',
			(int) 6 => '3567',
			(int) 7 => '3568',
			(int) 8 => '3569',
			(int) 9 => '3570',
			(int) 10 => '3571',
			(int) 11 => '3572',
			(int) 12 => '3573',
			(int) 13 => '3574',
			(int) 14 => '3575',
			(int) 15 => '3576',
			(int) 16 => '3577',
			(int) 17 => '3578',
			(int) 18 => '3580',
			(int) 19 => '3581',
			(int) 20 => '3582',
			(int) 21 => '3583',
			(int) 22 => '3585',
			(int) 23 => '3586',
			(int) 24 => '3584',
			(int) 25 => '3587',
			(int) 26 => '3588',
			(int) 27 => '3589',
			(int) 28 => '3590',
			(int) 29 => '3591',
			(int) 30 => '3592',
			(int) 31 => '3593',
			(int) 32 => '3594',
			(int) 33 => '3595',
			(int) 34 => '3596',
			(int) 35 => '3597',
			(int) 36 => '3598',
			(int) 37 => '3599',
			(int) 38 => '3600',
			(int) 39 => '3601',
			(int) 40 => '3602',
			(int) 41 => '3603',
			(int) 42 => '3604',
			(int) 43 => '3605',
			(int) 44 => '3606',
			(int) 45 => '3607',
			(int) 46 => '3608',
			(int) 47 => '3609',
			(int) 48 => '3610',
			(int) 49 => '3611',
			(int) 50 => '3612',
			(int) 51 => '3613',
			(int) 52 => '3614',
			(int) 53 => '3615',
			(int) 54 => '3619',
			(int) 55 => '3618',
			(int) 56 => '3617',
			(int) 57 => '3616',
			(int) 58 => '3622',
			(int) 59 => '3621',
			(int) 60 => '3620',
			(int) 61 => '3623',
			(int) 62 => '3624',
			(int) 63 => '3625',
			(int) 64 => '3626',
			(int) 65 => '3627',
			(int) 66 => '3628',
			(int) 67 => '3629',
			(int) 68 => '3630',
			(int) 69 => '3631',
			(int) 70 => '3632',
			(int) 71 => '3633',
			(int) 72 => '3634',
			(int) 73 => '3635',
			(int) 74 => '3636',
			(int) 75 => '3637',
			(int) 76 => '3638',
			(int) 77 => '3639'
		)
	),
	(int) 3 => array(
		'Course' => array(
			'id' => '121',
			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'field_count' => (int) 30,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 556 => array(
				[maximum depth reached]
			),
			(int) 557 => array(
				[maximum depth reached]
			),
			(int) 558 => array(
				[maximum depth reached]
			),
			(int) 559 => array(
				[maximum depth reached]
			),
			(int) 560 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3531',
			(int) 1 => '3532',
			(int) 2 => '3533',
			(int) 3 => '3534',
			(int) 4 => '3535',
			(int) 5 => '3536',
			(int) 6 => '3537',
			(int) 7 => '3538',
			(int) 8 => '3539',
			(int) 9 => '3540',
			(int) 10 => '3541',
			(int) 11 => '3542',
			(int) 12 => '3543',
			(int) 13 => '3544',
			(int) 14 => '3545',
			(int) 15 => '3546',
			(int) 16 => '3547',
			(int) 17 => '3548',
			(int) 18 => '3549',
			(int) 19 => '3550',
			(int) 20 => '3551',
			(int) 21 => '3552',
			(int) 22 => '3553',
			(int) 23 => '3554',
			(int) 24 => '3555',
			(int) 25 => '3556',
			(int) 26 => '3557',
			(int) 27 => '3558',
			(int) 28 => '3559',
			(int) 29 => '3560'
		)
	),
	(int) 4 => array(
		'Course' => array(
			'id' => '120',
			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'field_count' => (int) 39,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 549 => array(
				[maximum depth reached]
			),
			(int) 550 => array(
				[maximum depth reached]
			),
			(int) 551 => array(
				[maximum depth reached]
			),
			(int) 552 => array(
				[maximum depth reached]
			),
			(int) 553 => array(
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				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
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			(int) 5 => '3357',
			(int) 6 => '3358',
			(int) 7 => '3359',
			(int) 8 => '3360',
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			(int) 10 => '3362',
			(int) 11 => '3363',
			(int) 12 => '3364',
			(int) 13 => '3365',
			(int) 14 => '3366',
			(int) 15 => '3367',
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			(int) 18 => '3370',
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			(int) 28 => '3380',
			(int) 29 => '3381',
			(int) 30 => '3382',
			(int) 31 => '3383',
			(int) 32 => '3384',
			(int) 33 => '3385',
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			(int) 36 => '3388',
			(int) 37 => '3390',
			(int) 38 => '3391',
			(int) 39 => '3392',
			(int) 40 => '3393',
			(int) 41 => '3394',
			(int) 42 => '3395',
			(int) 43 => '3396',
			(int) 44 => '3397',
			(int) 45 => '3398',
			(int) 46 => '3399',
			(int) 47 => '3400',
			(int) 48 => '3401',
			(int) 49 => '3402',
			(int) 50 => '3403',
			(int) 51 => '3404',
			(int) 52 => '3405',
			(int) 53 => '3406',
			(int) 54 => '3407',
			(int) 55 => '3408'
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			'course_title' => 'Patient Safety Syllabus Training, Level 2 -  Part 1',
			'description' => 'Access to practice 1<br />This session provides a basic introduction to the key elements of safety science. These elements underpin all domains of the syllabus, and are: systems thinking, risk expertise, human factors and safety culture.',
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			'created' => '2024-08-06 11:47:37',
			'modified' => '2024-08-07 14:26:25',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
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			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
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				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
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			),
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			),
			(int) 29 => array(
				[maximum depth reached]
			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
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			)
		),
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			),
			(int) 530 => array(
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			),
			(int) 531 => array(
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			)
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 8 => array(
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			),
			(int) 9 => array(
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			),
			(int) 10 => array(
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			),
			(int) 11 => array(
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			),
			(int) 12 => array(
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			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
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			),
			(int) 16 => array(
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			),
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				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
			(int) 37 => array(
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			),
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			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
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			(int) 43 => array(
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		'Course' => array(
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			'course_title' => 'Patient Safety Syllabus Training, Level 1',
			'description' => 'The information is for everyone in the service. &nbsp;<br />It's about:&nbsp;&nbsp;<br />listening to patients and raising concerns&nbsp;<br />the systems approach to safety, where instead of focusing on the performance of individual members of staff, we try to improve the way we work&nbsp;<br />avoiding inappropriate blame when things don't go well&nbsp;<br />creating a just culture that prioritises safety and is open to learning about risk and safety&nbsp;<br />Further sessions in this syllabus build on these essentials so that staff may become Patient Safety Practitioners or Advanced Practitioners or simply strengthen their approach to patient safety.',
			'banner_media_id' => '1655',
			'thumbnail_media_id' => null,
			'logo_media_id' => '1657',
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			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 11:46:11',
			'modified' => '2024-08-07 14:22:11',
			'term_ids' => array(
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			'thumbnail_src' => '',
			'field_count' => (int) 27
		),
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			),
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				[maximum depth reached]
			),
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			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
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				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
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			(int) 8 => array(
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			(int) 11 => array(
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				[maximum depth reached]
			),
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			(int) 14 => array(
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			),
			(int) 15 => array(
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			(int) 16 => array(
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			(int) 18 => array(
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			),
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			),
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			),
			(int) 548 => array(
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		),
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				[maximum depth reached]
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			),
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			),
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			),
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			),
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			),
			(int) 13 => array(
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			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
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			)
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			(int) 5 => '3470',
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			(int) 7 => '3472',
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			(int) 21 => '3486',
			(int) 22 => '3487',
			(int) 23 => '3488',
			(int) 24 => '3489',
			(int) 25 => '3490',
			(int) 26 => '3491'
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	),
	(int) 9 => array(
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			'course_title' => 'Manual Handling Module A&B',
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			'created_user_id' => '8779',
			'session_length' => '3 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 09:27:09',
			'modified' => '2024-08-07 09:27:42'
		),
		(int) 4 => array(
			'id' => '546',
			'course_id' => '116',
			'lesson_title' => 'Raising Concerns',
			'description' => 'How to raise concerns.',
			'lesson_order' => '4',
			'created_user_id' => '8779',
			'session_length' => '2 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 09:41:29',
			'modified' => '2024-08-07 09:41:29'
		),
		(int) 5 => array(
			'id' => '547',
			'course_id' => '116',
			'lesson_title' => 'What next?',
			'description' => 'Summary and next Steps.',
			'lesson_order' => '5',
			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 09:44:22',
			'modified' => '2024-08-07 09:44:22'
		),
		(int) 6 => array(
			'id' => '548',
			'course_id' => '116',
			'lesson_title' => 'Other',
			'description' => 'References and case studies.',
			'lesson_order' => '6',
			'created_user_id' => '8779',
			'session_length' => '12 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-07 09:45:59',
			'modified' => '2024-08-07 09:45:59'
		)
	),
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		(int) 0 => array(
			'id' => '3465',
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			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'NHS patient safety training',
			'description' => 'In looking after our patients in hospitals and the community, most things go well. Patients usually receive the care that they need. 

We are justly proud of this and of the many staff who work tirelessly to deliver care and improve our systems. In fact, it is the efforts of the people who deliver healthcare that make it as safe as it is. 

Nevertheless, despite the efforts of healthcare staff, patients suffer harm every day in healthcare systems. Wrong medicines are given to patients, treatments may be omitted or delayed and patients in hospital beds develop pressure ulcers or are injured in a fall.  

Rarely, some patients die due to patient safety incidents whilst in our care. ',
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		(int) 1 => array(
			'id' => '3466',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'The purpose of this training ',
			'description' => 'Those of us working in healthcare often experience very challenging circumstances and we have a long history of proving ourselves to be remarkably adaptable in the way we care for patients.    

This includes our response to COVID-19. During the pandemic, we radically changed how we work. We kept patients safe while delivering essential care.  

We have all seen and done amazing things, every day, to help keep our patients safe. This is something that we can all rightly be proud of.  

But there is more we can do to make patient care even safer. Importantly, we need to think differently about what patient safety means and how we can make improvements.   

When patients are harmed, it doesn't just affect them; it has an impact on their loved ones, our colleagues and, ultimately, our ability to care for our patients.  

Despite our best efforts over many years, too many patients are still suffering harm. There is a new Patient Safety Strategy that will help us deliver the changes that we need.    

We already work hard to prevent safety incidents from happening. But to keep patients safer, thinking differently about patient safety means we need to be proactive.   

We need to identify and reduce risk before harm occurs. To do this, we need to understand how the care systems we work in can introduce risks to patient care.  

There are already some limited proactive approaches in use in healthcare. These include the use of simulation to anticipate hazards in patient care or the user-testing of medical devices.    

But the management of system-based risks through proactive identification and mitigation is not yet widely or systematically applied, as it is in other safety-critical industries.  ',
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			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Changing the way we think about patient safety ',
			'description' => 'By changing how we think about patient safety, we can:  

- deal with risks before they cause harm  
- create a positive patient safety culture  
- build safer systems of care  
- recognise everyone's role in patient safety  

The new, system-wide approach to training and education in patient safety is intended to make that easier for everyone.   ',
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		(int) 3 => array(
			'id' => '3468',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Deal with risks before they cause harm  ',
			'description' => 'It will help us identify and address unsafe situations before harm occurs. Creating a positive patient safety culture.   ',
			'field_order' => '3',
			'attachment_id' => '1634',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		(int) 4 => array(
			'id' => '3469',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Create a positive safety culture ',
			'description' => 'Too often, patient safety incidents can result in an individual being blamed for making an error. 

But it is rarely as simple as that. In reality, even when we are highly motivated to do our best, a wide range of factors, usually outside our control, can affect our ability to perform our jobs.  

Focusing on the impact the system has on our ability to deliver safe care will allow us to move away from this presumption of blame.  ',
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			'attachment_id' => '1635',
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			'attachment_pos' => '0',
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		),
		(int) 5 => array(
			'id' => '3470',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Build safer systems of care ',
			'description' => 'Once we understand how our systems of care affect patient safety, we can find ways to improve them. We can prevent risky situations from arising and make it easier to do the right thing.  ',
			'field_order' => '5',
			'attachment_id' => '1636',
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			'attachment_pos' => '0',
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		),
		(int) 6 => array(
			'id' => '3471',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Recognise everyone's role in patient safety ',
			'description' => 'Finally, it is crucial that all staff, whatever our roles, should see safety not just as our responsibility, but as a key priority.  ',
			'field_order' => '6',
			'attachment_id' => '1637',
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			'attachment_pos' => '0',
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		(int) 7 => array(
			'id' => '3472',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'To summarise:  ',
			'description' => 'We can now make healthcare even safer, by thinking differently about patient safety.  

The Patient Safety Strategy includes a syllabus and training programme for the whole NHS. There is patient safety education for every grade, every job, every profession. ',
			'field_order' => '7',
			'attachment_id' => '1638',
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		),
		(int) 8 => array(
			'id' => '3473',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Essentials of patient safety',
			'description' => 'Global studies have estimated that at least 1 in 20 patients are affected by preventable patient harm in medical care settings and that a high proportion of these, about 12%, cause permanent disability or even patient death [1]. 

In the community, we know that similar incidents take place and, overall, there may be many thousands of avoidable patient deaths every year [2]. 

We have made good progress over the past 15 to 20 years, when the NHS really started to focus on how things go wrong for patients. We have set up a national reporting and learning system [3] to report patient safety incidents and share our understanding of patient safety. 

Safety improvement initiatives have delivered real changes and certain types of risk have been effectively eliminated. We use past events to try to make it right where we can and yet things continue to go wrong. 

IT IS CLEAR THAT WE NEED TO DO MORE. ',
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		(int) 9 => array(
			'id' => '3474',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'bullet-points',
			'field_label' => 'The NHS Patient Safety Syllabus ',
			'description' => 'The NHS Patient Safety Syllabus4 focuses on 4 key areas: systems thinking, human factors, risk expertise and safety culture. It will provide training for staff at all levels in the NHS. 

This session document covers the following 4 areas which are related to the themes of the syllabus. ',
			'field_order' => '9',
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			'attachment_pos' => null,
			'field_choices' => '["SYSTEMS. The complex way our various jobs fit together to provide what our patients need. ","SAFETY CULTURE. The attitudes, beliefs and values that influence our work every day. ","RISK. How hazards can threaten the safety of our patients. ","RAISING CONCERNS. Supporting safety by listening to patients and observing how they get on in our complex organisations. "]',
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		),
		(int) 10 => array(
			'id' => '3475',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'image-bullets',
			'field_label' => 'What will I learn?',
			'description' => 'In this session, you will learn about the essentials of patient safety. ',
			'field_order' => '10',
			'attachment_id' => '1640',
			'external_media_src' => '',
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			'attachment_pos' => '0',
			'field_choices' => '["SYSTEMS APPROACH TO PATIENT SAFETY -   Systems thinking is a way to understand how the individual elements in a greater whole influence each other and work together. You will learn about this approach and about the essential role of everyone in the team. ","LEARNING FROM INCIDENTS -   You will hear how we can best learn from past events and how we should understand the role of the individual members of staff when patients are harmed. ","HUMAN FACTORS, HUMAN PERFORMANCE AND SAFETY MANAGEMENT -   You will learn about how things go wrong for patients and how we can contribute to reducing harm by managing risk. ","CREATING SAFE SYSTEMS -   You will learn how to create safety proactively, using systematic tools and approaches. ","BEING SURE ABOUT SAFETY -   Most importantly you will learn how every member of the NHS can support safety, how we can act to identify risk proactively, before a patient suffers harm. We can then go further and faster in anticipating and reducing patient harm.  "]',
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		),
		(int) 11 => array(
			'id' => '3476',
			'course_id' => '116',
			'course_lesson_id' => '543',
			'field_type' => 'image-hotspot',
			'field_label' => 'Everything exists in systems. Systems thinking is a way to understand how the individual elements in a greater whole influence each other and work together.   We can begin to understand how this relates to healthcare by taking an example from real life which also forms the basis of a case study we will describe later in this session. ',
			'description' => 'Click on each number to find out more.',
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			'attachment_id' => '1641',
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			'field_choices' => '{"width":500,"annotations":[{"top":173.422,"left":270,"annotation":"Baby's increased temperature \n\nIt begins with a family worried by their baby boy's increased temperature."},{"top":155.422,"left":99,"annotation":"GP practice \n\nThe family's health is looked after by their GP practice"},{"top":53.4219,"left":123,"annotation":"Ambulance service \n\nWhen the GP identifies a serious risk to health, an ambulance may be called."},{"top":19.4219,"left":183,"annotation":"Hospital care \n\nThe hospital's care might include more specialist units."},{"top":15.4219,"left":278,"annotation":"Pharmacies \n\nMedicines might be provided by pharmacies within the hospital or on the high street."},{"top":61.4219,"left":291,"annotation":"Tests in other departments \n\nTests would be conducted and reviewed by other departments, including radiology and laboratories."},{"top":83.4219,"left":363,"annotation":"Additional care in the community \n\nAdditional care in the community is provided by the GP practice, district nursing teams and health visitors."}]}',
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		(int) 12 => array(
			'id' => '3477',
			'course_id' => '116',
			'course_lesson_id' => '543',
			'field_type' => 'media-field',
			'field_label' => 'Complex systems',
			'description' => 'Of course, in healthcare, these complicated systems are kept functioning by the people who work there. 

The hard work of staff, who frequently go to great lengths to ensure proper care, is essential in making the systems work together, as well as anticipating problems and making sure that we can deal with unexpected or unusual issues when they arise. 

In the NHS, we rely on complex systems to deliver care to our patients. As we have shown, these systems might include diagnostics, medications, admission and discharge of our patients, the flow of information and communication, and the day-to-day care of our patients in the community and in hospitals. 

Each of these is part of our overall system. Running through the system, making it work every day, are people, working correctly and resiliently, dealing with the unexpected, throughout thousands of staff and patient interactions every hour of every day.',
			'field_order' => '1',
			'attachment_id' => '1642',
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		),
		(int) 13 => array(
			'id' => '3478',
			'course_id' => '116',
			'course_lesson_id' => '544',
			'field_type' => 'media-field',
			'field_label' => 'A just culture ',
			'description' => 'Safety in healthcare depends on systems and the people who work within them. 

As someone who works in healthcare, whether a carer, a mental health nurse in the community, a medical secretary, a porter, a doctor or a manager; you are part of our greater team, a team where patient safety is an essential objective. 

Sometimes things go wrong 

Despite all our hard work making sure that things do go well, sometimes things go wrong.   Sometimes the complex systems that we are part of deliver outcomes that were not intended or desired. 

Finding blame 

It is natural to look for what went wrong, and everyone will have heard the words 'human error' used in this context. It is simple and natural to look for an individual, team or department to blame. 

All too frequently it is usually the last person involved who gets the blame. 

Yet we know that, when we examine carefully what has happened, we usually find that there were a number of interconnected reasons why things went wrong. These might include problems with equipment, workload, availability of information or distractions.

In other words, we find that there are many factors that contribute to why the system didn't deliver what was expected or hoped for, not the person who touched the patient last.  ',
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			'attachment_id' => '1643',
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		(int) 14 => array(
			'id' => '3479',
			'course_id' => '116',
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			'field_type' => 'paragraph',
			'field_label' => 'Case study',
			'description' => 'Let's look at a case study. This case is based on the real and very sad case of an 8-month-old baby boy who became poorly at home. 

The baby developed a high temperature, was being sick and had a slight rash. The family doctor spoke with the baby’s mother on the telephone but could not fit him in for a visit. Instead, he suggested that the baby was taken straight away to the local hospital, where there was a paediatric emergency department. 

After a short wait, a triage nurse met with the family. The nurse did not examine the baby directly but asked his mother to describe his symptoms. After this, the nurse coded the baby as 'green', meaning that the baby should be seen within 2 hours. 

The baby was seen by a junior doctor after an hour. The doctor examined the baby boy and observed a faint rash which was fully blanching. This means that it disappeared when pressed on. A non-blanching rash is often a sign of bacterial meningitis and one of the key things to check.  

Despite the rash being fully blanching, the doctor was worried by the baby’s general appearance of tiredness, so they contacted the consultant, who was busy at another site but able to discuss the case on the telephone. 

The 2 doctors, who would usually see several patients a day with similar symptoms, concluded that there was no immediate concern and sent the family home after prescribing a paediatric paracetamol suspension and telling the parents to check on the baby every hour. 

Overnight, the family became worried about the baby, having looked into his room several times during the night but being careful not to wake him up. They returned to the emergency department the following morning. 

A second nurse saw mother and baby in triage and the baby was again coded 'green'. However, the same junior doctor saw the baby in the waiting room and examined him immediately. 

The doctor found the baby very poorly and immediately took him to resuscitation, where the medical team was able to save the life of the child. The doctor later said the baby had been very close to death. 

In fact, the baby did have a meningococcal infection and his hearing was permanently damaged. 

In this case, many things could have gone better and prevented the permanent hearing loss and near death of the baby boy. ',
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		(int) 15 => array(
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			'course_id' => '116',
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			'field_type' => 'paragraph',
			'field_label' => 'Ask yourself - Can you think of some ways this case could have been handled better? ',
			'description' => 'In this case, triage of the baby boy was not conducted effectively. The baby was not examined on either occasion and nor was there evidence of using appropriate computer-based support. 

The triage system had been the subject of many complaints by the staff but nothing had changed so the staff had learned that raising concerns about it was futile. 

The consultant was not available for direct examination of the baby. 

 A full description of this case study with more detail and discussion can be found at the end of this course. ',
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		),
		(int) 16 => array(
			'id' => '3481',
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			'field_type' => 'image-bullets',
			'field_label' => 'How to respond ',
			'description' => 'Though it is tempting to look at the behaviour of individual members of staff, underlying factors were the systems in place at the time; a poor triage system that staff had become disengaged with, along with a busy period where no consultant was available in person. 

In general, we could take 2 approaches here in response to the event. ',
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			'field_choices' => '["Staff approach -   We could, for example, remind staff to follow policies, discipline and or retrain the nurses and doctors in the hope that they personally would be more vigilant in future. Then, if they happen to be on shift in similar circumstances, they may remember this event and the trouble they got into and consider acting differently.   They might leave the organisation given the guilt and shame they are probably feeling. ","Systems approach -   We could look at the systems and the working practices that apply to the entire department and change them for the better.   Either way, all the other staff that could be involved in similar situations in the future would carry on as before.  ","Item 3"]',
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			'field_label' => 'Ask yourself -   Of the 2 approaches, which do you think is the best way to respond to this event? ',
			'description' => 'Of the 2 approaches, the systems approach (in short, fixing triage and consultant presence) was far more likely to create a safer department and support the safe care of all patients and the safe working practices of all staff. ',
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			'field_label' => 'Blame',
			'description' => 'We have seen in the case study how many different factors combined to allow the final, sad outcome. This is what is meant by the systems approach to safety and why, when systems don't deliver the outcomes we want, it is unfair to assign blame to individual members of staff. 

It is better to look for how we can improve the systems, so that we can reduce the likelihood that it happens again. ',
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			'field_choices' => '["Inappropriate blame -   Inappropriate blame is very damaging. It is natural to blame a person; it's a simple explanation for when things go wrong and being simple it is satisfying. But it is rarely right. When a patient suffers a patient safety incident, the contributory factors of environment, equipment, the way people work together in the team and the way the whole organisation works with other organisations in the system are the factors that contribute to the incident. System factors, not individual members of staff are to blame. ","Response to blame -   The response of blaming our colleagues for problems with systems can be very damaging both to them and to ourselves. It creates a culture in which people are fearful and so they do not raise important issues about safety that involve themselves and their colleagues, for fear that they will be held responsible. That means we do not learn from our colleagues and important safety information is missed. ","Blame suppresses learning -   We need to avoid inappropriate blame and instead move to a just culture where the role that systems play in things going wrong is recognised. In a just culture people are not afraid of inappropriate blame and so feel safer in pointing out where things can be improved. This does not mean they are not accountable. Where people wilfully harm or neglect others then action must be taken but those situations are thankfully very unusual. "]',
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			'field_label' => ' Risk ',
			'description' => 'We are all aware that risks to patients are everywhere. It may be the risk of falling when a patient is unsteady on their feet or the risk of pressure ulcers developing when someone is immobile for a long period. It may be an unknown allergic reaction to a medication. 

Staff in all professions, whether patient facing or not, will use their professional knowledge to identify risks to their patients and try to manage those risks. This includes clinicians, managers and administrative staff who all contribute to patient safety by creating and delivering systems and processes that seek to minimise risks to patients.  

However, no one person can see the whole picture. That means that everyone caring for patients and service users must be aware of how things might go wrong. The risks might be in their immediate workspace but also in the larger system that delivers care to patients through our healthcare systems.​ 

Patients themselves, their families, carers and representatives will recognise many risk factors that may be hidden from staff. Their involvement in safety and the management of risk is vital in forming a complete picture of risk and safe, compassionate care. ​ ',
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			'field_label' => 'Identifying risks proactively',
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			'field_choices' => '["Identifying risks -   The NHS Patient Safety Syllabus [4] is focused on identifying risks proactively in addition to making better use of learning from previous investigations. In other words, identifying risks before harm has occurred.      Preventing harm requires an understanding of, and a focus on, risk. It is better to develop a full picture of hazards and their associated risks to patients and to monitor these than to have to ask why a harmful event occurred after the fact. ","Managing risks -   Other safety-critical industries have for many years focused on risk proactively and in this way have become safer and safer.   If we can identify risks upfront in our systems, then we have a good chance of managing them by designing them out or by changing our systems to avoid or minimise our risks. ","Key to safety -   This approach, where risks are identified proactively, is the key to being safe. The NHS Patient Safety Syllabus provides tools and techniques for staff to manage risk proactively and help reduce harm to patients. ","Expand awareness -   This is something that can be done by every single member of staff. If we are allowed to raise concerns without fear of rejection or inappropriate blame, then the NHS expands its awareness by encouraging risk awareness. Not only do we expand our awareness, we unlock the potential for everyone to improve how they and their colleagues do their jobs"]',
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			'description' => 'In our busy workplaces, many things can be missed just in the course of a normal day. When things get busier still, when the pressure is on, then more and more things are likely to be missed and actively raising concerns about patients becomes more and more valuable. 

For example 

“I don't think Mr Gibson is responding to treatment.” 

“Mrs Jones looks like she might be in pain.” ',
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			'field_label' => 'Raising concerns: organisation ',
			'description' => 'At an organisational level, many members of staff will recognise deficiencies in the way our systems interact or in how information is dealt with. There are many examples of systems where people were aware of risks or concerns, but these were not raised in a timely fashion, were not fully recognised or even ignored and that led to patient safety incidents. 

For example 

“I've not had training on how to use this software.” 

“We don't have enough staff working on the ward today.” ',
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			'field_label' => 'Should you raise a concern? ',
			'description' => 'Do you think raising concerns is always a good thing? 

In every case, raising concerns is a good thing and should be welcomed as such by everyone. Listening to patients, watching them on their journey and informing your colleagues, or your line manager, or one of the team caring for the patient is everyone’s opportunity to create safety in our busy NHS or in other care settings. 

If you are a member of staff to whom the concern is raised, remember our joint responsibility to look after patients and welcome the concern. We have a collective responsibility to manage risk proactively and to welcome the input of all members of staff. 

Freedom to Speak Up Guardians 

Every organisation has a process for raising concerns, for example, through Freedom To Speak Up Guardians who provide independent support and advice to staff who want to raise concerns [5]. 

Make sure that you are aware of Freedom To Speak Up systems or whistle-blower systems, as they are sometimes called and use these responsibly and confidentially to help improve the way we work. ',
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			'field_label' => 'Summary and next steps ',
			'description' => 'We have covered 4 main areas in this session: 

- the need for a systems approach 

- how a systems approach shows that inappropriate blame is damaging 

- the need to address future risk as well as past harm 

- the importance of raising concerns where necessary 

We have also seen how systems failures can cause tragic events for patients and the critical importance of a patient-centred approach to care. All of these points and many more are explained more fully in further learning sessions of the NHS Patient Safety Syllabus. 

One thing we haven't covered in this session are the local safety priorities where you work. That's because these will be different depending on where you are. It's important to know what they are; your local organisation has been asked to provide the materials you need, either on paper or through your local intranet. 

You have now reached the end of the learning session. 

 ',
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			'field_label' => 'References',
			'description' => '1. Panagioti M, Khan K, Keers RN et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ 2019;366:l4185.  

2. Hogan H, Zipfel R, Neuburger J et al. Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. BMJ 2015;351:h3239.  

3. The National Reporting and Learning System (NRLS).  

4. Health Education England. NHS Patient Safety Syllabus. 

5. NHS England. Freedom to speak up.  ',
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			'field_label' => 'Case study: paediatric meningitis  ',
			'description' => 'Background 

The hospital where these events occurred is a busy NHS hospital. There is an emergency department unit for minor injuries and a full emergency department unit for children only. 

Normal staffing on the children's emergency department consists of 4 nurses, a ward leader, 1 receptionist, a junior doctor and a consultant on call. In practice, because the unit has a number of beds for admissions directly, a consultant is frequently available at short notice. The morale and appearance of the unit are very high and there is a clear team spirit between all staff which is obvious to patients and visitors. 

The events 

Visit 1 

After calling their GP practice, the family of the 8-month-old baby boy were told that no appointments were available in the next 2 days and that if the family were worried, they should take the baby to the emergency department at the local hospital. The baby felt hot, had been vomiting and seemed generally unwell. 

The family first visited the paediatric emergency department unit at 4 pm in the afternoon on a weekday. Mother, grandfather and 8-month-old baby boy came to the unit and after a short wait at reception were seen by a triage nurse (Nurse 1, 4.25pm).  

The baby presented with a high temperature, vomiting, and a slight rash, very much like a large number of patients (up to 35 per day with these symptoms) seen in paediatric emergency department on a daily basis. 

The triage nurse had access to a triage system on her computer. This was not used in this case, reflecting a common view that the system was difficult and long-winded, and that it tended to err on the cautious side when used. The triage nurse was qualified according to the local system to conduct triage, having observed and participated in five sessions with the sister, who signed off on her competence in this role. 

The nurse spoke mostly to the mother. The nurse did not remove the baby from its pram or examine him directly. It was a busy time, and the nurse was coming to the end of a long shift. She was happy to rely on the description of the baby's condition provided by mother and grandfather. She coded the child as 'green', requiring that the patient should be seen within 2 hours. 

The baby was seen after a wait of 1.5 hours by a junior doctor, who picked up the card for the patient and noted the 'green' coding. The doctor observed a faint rash and the fact that it was fully blanching. Despite this, the doctor had concerns about the baby's general lack of responsiveness and slow capillary refill. She therefore contacted her consultant by telephone. After discussion, the consultant concluded that there was no immediate danger, although both the doctor and the consultant were worried about the child. The junior doctor sent the patient home (6.55pm) and instructed the family to check on the baby every hour. The patient was prescribed a paracetamol suspension and the parents told to watch the baby closely and bring him back if the condition worsened. 

Visit 2 

At 9 am on the following morning, mother, father and baby returned to the emergency department. A different triage nurse met with the family at 9.25am but again did not use the computer triage system for the same reasons as other staff. Though the baby was described as worse by the family, the nurse omitted a capillary refill check and any direct examination of the baby (who was asleep on the chest on the father) and graded the infant 'green' to be attended to 'within 2 hours'. The family settled down to wait. 

Unusually, the unit was empty at this point and the baby was seen by a doctor, the same junior doctor as the previous evening, within 6 minutes. It was immediately clear to the doctor that the infant was seriously ill, with poor colour, poor respiration and lack of responsiveness. The baby was immediately taken to resuscitation where he was placed on fluids and antibiotics, transferring to the HDU (High Dependency Unit) of the hospital after 2 hours. The doctor later estimated that the baby was 30 to 60 minutes from death.  

The baby was transferred to a tertiary care centre where he remained for 2 weeks. Though in a critical condition, the baby survived, but is likely to suffer from deafness. He was diagnosed later with bacterial meningitis. 

Other relevant points 

None of the staff involved in this case were described as inexperienced. Both the junior doctor and the consultant said that after the event, they 'knew' there was something wrong with the child but could not support this view with objective evidence. 

Key issues and discussion points  

For this case study, we have set out some key discussion points that can form a basis for personal reflection or for a group review and discussion of the case. The aims are to consider how systems and culture affect the way we care for patients. 

Let's remind ourselves of the timeline of events for the case study. 

Parents arrive at the hospital at 4pm with their baby who has a high temperature and is vomiting. 

The triage nurse grades the baby as green. 

The FY2 doctor examines the baby and calls the consultant. 

The FY2 doctor and consultant discuss the case. The consultant prescribes paracetamol and sends the baby and parents home at 6.55pm. 

At 9am the following day, the parents return to the hospital with their baby. 

At 9.25am, a different triage nurse grades the baby as green. 

The FY2 doctor examines the baby and transfers them to resus. Fluids and antibiotics are administered at 9.35am. 

The baby in transferred to the high dependency unit (HDU) and then to the specialist unit. 

Triage 

In both visits, the baby was triaged by a nurse qualified in triage under local procedures. Neither nurse examined the baby directly but questioned his carers instead. Neither nurse used the computer-based support programme for the triage systems the department had adopted.  

Key questions: 

Should the nurses have examined the baby? 

Should the nurses have used the computer-based triage system? 

Why did both nurses act in the same way at triage? 

Would you consider any failings here to be individually based, systems-based or both? 

Diagnosis 

The junior doctor conducted the appropriate tests used commonly for serious meningitis; the chief risk associated with this presentation. Though she concluded that the criteria for a positive diagnosis had not been met (and the consultant agreed), she was not wholly satisfied that the condition wasn't more serious than a simple viral infection. Nevertheless, the baby was discharged to be cared for by his family, with a paracetamol suspension. 

Key questions: 

Were the doctors correct in their decision to discharge the baby? 

What factors might have mitigated against a decision to admit the baby? 

What role does the disquiet of the doctors play here? Should 'feelings' or 'intuition' play a part in caring for patients? 

Handover of care 

The doctors, after visit 1, handed the care of the baby over to his family. They were asked to check on him hourly and bring him back to the emergency department if he became more poorly and prescribed paediatric paracetamol to treat the fever. Though the family said he had worsened overnight, he wasn't brought in again until he was acutely, dangerously unwell. 

Key questions: 

Was the handover of care effective? 

What does 'check on him every hour' mean to a doctor or a nurse? 

What does 'check on him every hour' mean to a parent or a carer? 

Failures and risks in the care of the baby 

Now let's look at different factors relevant to the care of the baby. 

Triage 

The baby was triaged at 2 different points by 2 different triage nurses; at 4pm when the baby 1st arrived and then again at 9.25am the following morning. Each time the baby was graded as green.  

Consider the following: 

Ergonomics. Usability of the computer-based triage system. 

Training. Was training and certification of triage adequate?  

Procedures and job support. Were triage procedures clear, fit-for-purpose and usable in real situations? Were any visual supports or guides required? 

Communications and decision-making. Why had the staff problems with the triage screen not been addressed? 

Culture. Both nurses acted in the same way. Was this an indication of a widespread cultural problem? 

Diagnosis and decision to discharge 

After examining the baby when they were first admitted, the FY2 doctor discussed the case with the consultant, prescribed paracetamol and sent the baby home.  

Consider the following: 

Decision-making. Did the doctors decide correctly to discharge the baby? Was the slow capillary refill a concern? Had they managed the risks of further deterioration adequately? 

Organisational culture. The organisation was sometimes reluctant to admit in these cases. Did this culture affect clinical decisions? 

Handover of care 

The baby returned home with their parents at 6.55pm.  

Consider the following: 

Communications. Did the doctor give the right instructions to the family? 

Communications. Did the family have the ability to listen carefully to the doctor while worried and concerned? 

Communications. Would written guidance have helped the family to check on the baby more effectively? 

Organisational learning 

What lessons were learned from this case?  

Consider the following: 

Reporting. Was the incident recorded? 

Systems analysis. Were the issues raised and addressed through an investigation? 

Organisational learning. Were these issues discussed more widely across and between Trusts? ',
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			'description' => 'In looking after our patients in hospitals and the community, most things go well. Patients usually receive the care that they need. 

We are justly proud of this and of the many staff who work tirelessly to deliver care and improve our systems. In fact, it is the efforts of the people who deliver healthcare that make it as safe as it is. 

Nevertheless, despite the efforts of healthcare staff, patients suffer harm every day in healthcare systems. Wrong medicines are given to patients, treatments may be omitted or delayed and patients in hospital beds develop pressure ulcers or are injured in a fall.  

Rarely, some patients die due to patient safety incidents whilst in our care. ',
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			'modified' => '2024-08-07 08:52:25'
		),
		(int) 1 => array(
			'id' => '3466',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'The purpose of this training ',
			'description' => 'Those of us working in healthcare often experience very challenging circumstances and we have a long history of proving ourselves to be remarkably adaptable in the way we care for patients.    

This includes our response to COVID-19. During the pandemic, we radically changed how we work. We kept patients safe while delivering essential care.  

We have all seen and done amazing things, every day, to help keep our patients safe. This is something that we can all rightly be proud of.  

But there is more we can do to make patient care even safer. Importantly, we need to think differently about what patient safety means and how we can make improvements.   

When patients are harmed, it doesn't just affect them; it has an impact on their loved ones, our colleagues and, ultimately, our ability to care for our patients.  

Despite our best efforts over many years, too many patients are still suffering harm. There is a new Patient Safety Strategy that will help us deliver the changes that we need.    

We already work hard to prevent safety incidents from happening. But to keep patients safer, thinking differently about patient safety means we need to be proactive.   

We need to identify and reduce risk before harm occurs. To do this, we need to understand how the care systems we work in can introduce risks to patient care.  

There are already some limited proactive approaches in use in healthcare. These include the use of simulation to anticipate hazards in patient care or the user-testing of medical devices.    

But the management of system-based risks through proactive identification and mitigation is not yet widely or systematically applied, as it is in other safety-critical industries.  ',
			'field_order' => '1',
			'attachment_id' => '1632',
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		(int) 2 => array(
			'id' => '3467',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Changing the way we think about patient safety ',
			'description' => 'By changing how we think about patient safety, we can:  

- deal with risks before they cause harm  
- create a positive patient safety culture  
- build safer systems of care  
- recognise everyone's role in patient safety  

The new, system-wide approach to training and education in patient safety is intended to make that easier for everyone.   ',
			'field_order' => '2',
			'attachment_id' => '1633',
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			'attachment_pos' => '0',
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		),
		(int) 3 => array(
			'id' => '3468',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Deal with risks before they cause harm  ',
			'description' => 'It will help us identify and address unsafe situations before harm occurs. Creating a positive patient safety culture.   ',
			'field_order' => '3',
			'attachment_id' => '1634',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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		),
		(int) 4 => array(
			'id' => '3469',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Create a positive safety culture ',
			'description' => 'Too often, patient safety incidents can result in an individual being blamed for making an error. 

But it is rarely as simple as that. In reality, even when we are highly motivated to do our best, a wide range of factors, usually outside our control, can affect our ability to perform our jobs.  

Focusing on the impact the system has on our ability to deliver safe care will allow us to move away from this presumption of blame.  ',
			'field_order' => '4',
			'attachment_id' => '1635',
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			'attachment_pos' => '0',
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		),
		(int) 5 => array(
			'id' => '3470',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Build safer systems of care ',
			'description' => 'Once we understand how our systems of care affect patient safety, we can find ways to improve them. We can prevent risky situations from arising and make it easier to do the right thing.  ',
			'field_order' => '5',
			'attachment_id' => '1636',
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		),
		(int) 6 => array(
			'id' => '3471',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Recognise everyone's role in patient safety ',
			'description' => 'Finally, it is crucial that all staff, whatever our roles, should see safety not just as our responsibility, but as a key priority.  ',
			'field_order' => '6',
			'attachment_id' => '1637',
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		),
		(int) 7 => array(
			'id' => '3472',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'To summarise:  ',
			'description' => 'We can now make healthcare even safer, by thinking differently about patient safety.  

The Patient Safety Strategy includes a syllabus and training programme for the whole NHS. There is patient safety education for every grade, every job, every profession. ',
			'field_order' => '7',
			'attachment_id' => '1638',
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		),
		(int) 8 => array(
			'id' => '3473',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Essentials of patient safety',
			'description' => 'Global studies have estimated that at least 1 in 20 patients are affected by preventable patient harm in medical care settings and that a high proportion of these, about 12%, cause permanent disability or even patient death [1]. 

In the community, we know that similar incidents take place and, overall, there may be many thousands of avoidable patient deaths every year [2]. 

We have made good progress over the past 15 to 20 years, when the NHS really started to focus on how things go wrong for patients. We have set up a national reporting and learning system [3] to report patient safety incidents and share our understanding of patient safety. 

Safety improvement initiatives have delivered real changes and certain types of risk have been effectively eliminated. We use past events to try to make it right where we can and yet things continue to go wrong. 

IT IS CLEAR THAT WE NEED TO DO MORE. ',
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		),
		(int) 9 => array(
			'id' => '3474',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'bullet-points',
			'field_label' => 'The NHS Patient Safety Syllabus ',
			'description' => 'The NHS Patient Safety Syllabus4 focuses on 4 key areas: systems thinking, human factors, risk expertise and safety culture. It will provide training for staff at all levels in the NHS. 

This session document covers the following 4 areas which are related to the themes of the syllabus. ',
			'field_order' => '9',
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			'field_choices' => '["SYSTEMS. The complex way our various jobs fit together to provide what our patients need. ","SAFETY CULTURE. The attitudes, beliefs and values that influence our work every day. ","RISK. How hazards can threaten the safety of our patients. ","RAISING CONCERNS. Supporting safety by listening to patients and observing how they get on in our complex organisations. "]',
			'field_correct' => null,
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			'active' => '1',
			'created' => '2024-08-07 08:52:25',
			'modified' => '2024-08-07 08:52:25'
		),
		(int) 10 => array(
			'id' => '3475',
			'course_id' => '116',
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			'field_type' => 'image-bullets',
			'field_label' => 'What will I learn?',
			'description' => 'In this session, you will learn about the essentials of patient safety. ',
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			'attachment_id' => '1640',
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			'field_choices' => '["SYSTEMS APPROACH TO PATIENT SAFETY -   Systems thinking is a way to understand how the individual elements in a greater whole influence each other and work together. You will learn about this approach and about the essential role of everyone in the team. ","LEARNING FROM INCIDENTS -   You will hear how we can best learn from past events and how we should understand the role of the individual members of staff when patients are harmed. ","HUMAN FACTORS, HUMAN PERFORMANCE AND SAFETY MANAGEMENT -   You will learn about how things go wrong for patients and how we can contribute to reducing harm by managing risk. ","CREATING SAFE SYSTEMS -   You will learn how to create safety proactively, using systematic tools and approaches. ","BEING SURE ABOUT SAFETY -   Most importantly you will learn how every member of the NHS can support safety, how we can act to identify risk proactively, before a patient suffers harm. We can then go further and faster in anticipating and reducing patient harm.  "]',
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		),
		(int) 11 => array(
			'id' => '3476',
			'course_id' => '116',
			'course_lesson_id' => '543',
			'field_type' => 'image-hotspot',
			'field_label' => 'Everything exists in systems. Systems thinking is a way to understand how the individual elements in a greater whole influence each other and work together.   We can begin to understand how this relates to healthcare by taking an example from real life which also forms the basis of a case study we will describe later in this session. ',
			'description' => 'Click on each number to find out more.',
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			'attachment_id' => '1641',
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			'field_choices' => '{"width":500,"annotations":[{"top":173.422,"left":270,"annotation":"Baby's increased temperature \n\nIt begins with a family worried by their baby boy's increased temperature."},{"top":155.422,"left":99,"annotation":"GP practice \n\nThe family's health is looked after by their GP practice"},{"top":53.4219,"left":123,"annotation":"Ambulance service \n\nWhen the GP identifies a serious risk to health, an ambulance may be called."},{"top":19.4219,"left":183,"annotation":"Hospital care \n\nThe hospital's care might include more specialist units."},{"top":15.4219,"left":278,"annotation":"Pharmacies \n\nMedicines might be provided by pharmacies within the hospital or on the high street."},{"top":61.4219,"left":291,"annotation":"Tests in other departments \n\nTests would be conducted and reviewed by other departments, including radiology and laboratories."},{"top":83.4219,"left":363,"annotation":"Additional care in the community \n\nAdditional care in the community is provided by the GP practice, district nursing teams and health visitors."}]}',
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		),
		(int) 12 => array(
			'id' => '3477',
			'course_id' => '116',
			'course_lesson_id' => '543',
			'field_type' => 'media-field',
			'field_label' => 'Complex systems',
			'description' => 'Of course, in healthcare, these complicated systems are kept functioning by the people who work there. 

The hard work of staff, who frequently go to great lengths to ensure proper care, is essential in making the systems work together, as well as anticipating problems and making sure that we can deal with unexpected or unusual issues when they arise. 

In the NHS, we rely on complex systems to deliver care to our patients. As we have shown, these systems might include diagnostics, medications, admission and discharge of our patients, the flow of information and communication, and the day-to-day care of our patients in the community and in hospitals. 

Each of these is part of our overall system. Running through the system, making it work every day, are people, working correctly and resiliently, dealing with the unexpected, throughout thousands of staff and patient interactions every hour of every day.',
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		),
		(int) 13 => array(
			'id' => '3478',
			'course_id' => '116',
			'course_lesson_id' => '544',
			'field_type' => 'media-field',
			'field_label' => 'A just culture ',
			'description' => 'Safety in healthcare depends on systems and the people who work within them. 

As someone who works in healthcare, whether a carer, a mental health nurse in the community, a medical secretary, a porter, a doctor or a manager; you are part of our greater team, a team where patient safety is an essential objective. 

Sometimes things go wrong 

Despite all our hard work making sure that things do go well, sometimes things go wrong.   Sometimes the complex systems that we are part of deliver outcomes that were not intended or desired. 

Finding blame 

It is natural to look for what went wrong, and everyone will have heard the words 'human error' used in this context. It is simple and natural to look for an individual, team or department to blame. 

All too frequently it is usually the last person involved who gets the blame. 

Yet we know that, when we examine carefully what has happened, we usually find that there were a number of interconnected reasons why things went wrong. These might include problems with equipment, workload, availability of information or distractions.

In other words, we find that there are many factors that contribute to why the system didn't deliver what was expected or hoped for, not the person who touched the patient last.  ',
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		(int) 14 => array(
			'id' => '3479',
			'course_id' => '116',
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			'field_type' => 'paragraph',
			'field_label' => 'Case study',
			'description' => 'Let's look at a case study. This case is based on the real and very sad case of an 8-month-old baby boy who became poorly at home. 

The baby developed a high temperature, was being sick and had a slight rash. The family doctor spoke with the baby’s mother on the telephone but could not fit him in for a visit. Instead, he suggested that the baby was taken straight away to the local hospital, where there was a paediatric emergency department. 

After a short wait, a triage nurse met with the family. The nurse did not examine the baby directly but asked his mother to describe his symptoms. After this, the nurse coded the baby as 'green', meaning that the baby should be seen within 2 hours. 

The baby was seen by a junior doctor after an hour. The doctor examined the baby boy and observed a faint rash which was fully blanching. This means that it disappeared when pressed on. A non-blanching rash is often a sign of bacterial meningitis and one of the key things to check.  

Despite the rash being fully blanching, the doctor was worried by the baby’s general appearance of tiredness, so they contacted the consultant, who was busy at another site but able to discuss the case on the telephone. 

The 2 doctors, who would usually see several patients a day with similar symptoms, concluded that there was no immediate concern and sent the family home after prescribing a paediatric paracetamol suspension and telling the parents to check on the baby every hour. 

Overnight, the family became worried about the baby, having looked into his room several times during the night but being careful not to wake him up. They returned to the emergency department the following morning. 

A second nurse saw mother and baby in triage and the baby was again coded 'green'. However, the same junior doctor saw the baby in the waiting room and examined him immediately. 

The doctor found the baby very poorly and immediately took him to resuscitation, where the medical team was able to save the life of the child. The doctor later said the baby had been very close to death. 

In fact, the baby did have a meningococcal infection and his hearing was permanently damaged. 

In this case, many things could have gone better and prevented the permanent hearing loss and near death of the baby boy. ',
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		(int) 15 => array(
			'id' => '3480',
			'course_id' => '116',
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			'field_type' => 'paragraph',
			'field_label' => 'Ask yourself - Can you think of some ways this case could have been handled better? ',
			'description' => 'In this case, triage of the baby boy was not conducted effectively. The baby was not examined on either occasion and nor was there evidence of using appropriate computer-based support. 

The triage system had been the subject of many complaints by the staff but nothing had changed so the staff had learned that raising concerns about it was futile. 

The consultant was not available for direct examination of the baby. 

 A full description of this case study with more detail and discussion can be found at the end of this course. ',
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		),
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			'field_type' => 'image-bullets',
			'field_label' => 'How to respond ',
			'description' => 'Though it is tempting to look at the behaviour of individual members of staff, underlying factors were the systems in place at the time; a poor triage system that staff had become disengaged with, along with a busy period where no consultant was available in person. 

In general, we could take 2 approaches here in response to the event. ',
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			'field_choices' => '["Staff approach -   We could, for example, remind staff to follow policies, discipline and or retrain the nurses and doctors in the hope that they personally would be more vigilant in future. Then, if they happen to be on shift in similar circumstances, they may remember this event and the trouble they got into and consider acting differently.   They might leave the organisation given the guilt and shame they are probably feeling. ","Systems approach -   We could look at the systems and the working practices that apply to the entire department and change them for the better.   Either way, all the other staff that could be involved in similar situations in the future would carry on as before.  ","Item 3"]',
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			'course_id' => '116',
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			'field_type' => 'paragraph',
			'field_label' => 'Ask yourself -   Of the 2 approaches, which do you think is the best way to respond to this event? ',
			'description' => 'Of the 2 approaches, the systems approach (in short, fixing triage and consultant presence) was far more likely to create a safer department and support the safe care of all patients and the safe working practices of all staff. ',
			'field_order' => '4',
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		),
		(int) 18 => array(
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			'field_type' => 'image-bullets',
			'field_label' => 'Blame',
			'description' => 'We have seen in the case study how many different factors combined to allow the final, sad outcome. This is what is meant by the systems approach to safety and why, when systems don't deliver the outcomes we want, it is unfair to assign blame to individual members of staff. 

It is better to look for how we can improve the systems, so that we can reduce the likelihood that it happens again. ',
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			'field_choices' => '["Inappropriate blame -   Inappropriate blame is very damaging. It is natural to blame a person; it's a simple explanation for when things go wrong and being simple it is satisfying. But it is rarely right. When a patient suffers a patient safety incident, the contributory factors of environment, equipment, the way people work together in the team and the way the whole organisation works with other organisations in the system are the factors that contribute to the incident. System factors, not individual members of staff are to blame. ","Response to blame -   The response of blaming our colleagues for problems with systems can be very damaging both to them and to ourselves. It creates a culture in which people are fearful and so they do not raise important issues about safety that involve themselves and their colleagues, for fear that they will be held responsible. That means we do not learn from our colleagues and important safety information is missed. ","Blame suppresses learning -   We need to avoid inappropriate blame and instead move to a just culture where the role that systems play in things going wrong is recognised. In a just culture people are not afraid of inappropriate blame and so feel safer in pointing out where things can be improved. This does not mean they are not accountable. Where people wilfully harm or neglect others then action must be taken but those situations are thankfully very unusual. "]',
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			'description' => 'We are all aware that risks to patients are everywhere. It may be the risk of falling when a patient is unsteady on their feet or the risk of pressure ulcers developing when someone is immobile for a long period. It may be an unknown allergic reaction to a medication. 

Staff in all professions, whether patient facing or not, will use their professional knowledge to identify risks to their patients and try to manage those risks. This includes clinicians, managers and administrative staff who all contribute to patient safety by creating and delivering systems and processes that seek to minimise risks to patients.  

However, no one person can see the whole picture. That means that everyone caring for patients and service users must be aware of how things might go wrong. The risks might be in their immediate workspace but also in the larger system that delivers care to patients through our healthcare systems.​ 

Patients themselves, their families, carers and representatives will recognise many risk factors that may be hidden from staff. Their involvement in safety and the management of risk is vital in forming a complete picture of risk and safe, compassionate care. ​ ',
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			'field_choices' => '["Identifying risks -   The NHS Patient Safety Syllabus [4] is focused on identifying risks proactively in addition to making better use of learning from previous investigations. In other words, identifying risks before harm has occurred.      Preventing harm requires an understanding of, and a focus on, risk. It is better to develop a full picture of hazards and their associated risks to patients and to monitor these than to have to ask why a harmful event occurred after the fact. ","Managing risks -   Other safety-critical industries have for many years focused on risk proactively and in this way have become safer and safer.   If we can identify risks upfront in our systems, then we have a good chance of managing them by designing them out or by changing our systems to avoid or minimise our risks. ","Key to safety -   This approach, where risks are identified proactively, is the key to being safe. The NHS Patient Safety Syllabus provides tools and techniques for staff to manage risk proactively and help reduce harm to patients. ","Expand awareness -   This is something that can be done by every single member of staff. If we are allowed to raise concerns without fear of rejection or inappropriate blame, then the NHS expands its awareness by encouraging risk awareness. Not only do we expand our awareness, we unlock the potential for everyone to improve how they and their colleagues do their jobs"]',
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			'field_label' => 'Raising concerns: patients ',
			'description' => 'In our busy workplaces, many things can be missed just in the course of a normal day. When things get busier still, when the pressure is on, then more and more things are likely to be missed and actively raising concerns about patients becomes more and more valuable. 

For example 

“I don't think Mr Gibson is responding to treatment.” 

“Mrs Jones looks like she might be in pain.” ',
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			'field_label' => 'Raising concerns: organisation ',
			'description' => 'At an organisational level, many members of staff will recognise deficiencies in the way our systems interact or in how information is dealt with. There are many examples of systems where people were aware of risks or concerns, but these were not raised in a timely fashion, were not fully recognised or even ignored and that led to patient safety incidents. 

For example 

“I've not had training on how to use this software.” 

“We don't have enough staff working on the ward today.” ',
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			'field_label' => 'Should you raise a concern? ',
			'description' => 'Do you think raising concerns is always a good thing? 

In every case, raising concerns is a good thing and should be welcomed as such by everyone. Listening to patients, watching them on their journey and informing your colleagues, or your line manager, or one of the team caring for the patient is everyone’s opportunity to create safety in our busy NHS or in other care settings. 

If you are a member of staff to whom the concern is raised, remember our joint responsibility to look after patients and welcome the concern. We have a collective responsibility to manage risk proactively and to welcome the input of all members of staff. 

Freedom to Speak Up Guardians 

Every organisation has a process for raising concerns, for example, through Freedom To Speak Up Guardians who provide independent support and advice to staff who want to raise concerns [5]. 

Make sure that you are aware of Freedom To Speak Up systems or whistle-blower systems, as they are sometimes called and use these responsibly and confidentially to help improve the way we work. ',
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			'course_id' => '116',
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			'field_label' => 'Summary and next steps ',
			'description' => 'We have covered 4 main areas in this session: 

- the need for a systems approach 

- how a systems approach shows that inappropriate blame is damaging 

- the need to address future risk as well as past harm 

- the importance of raising concerns where necessary 

We have also seen how systems failures can cause tragic events for patients and the critical importance of a patient-centred approach to care. All of these points and many more are explained more fully in further learning sessions of the NHS Patient Safety Syllabus. 

One thing we haven't covered in this session are the local safety priorities where you work. That's because these will be different depending on where you are. It's important to know what they are; your local organisation has been asked to provide the materials you need, either on paper or through your local intranet. 

You have now reached the end of the learning session. 

 ',
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			'course_id' => '116',
			'course_lesson_id' => '548',
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			'field_label' => 'References',
			'description' => '1. Panagioti M, Khan K, Keers RN et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ 2019;366:l4185.  

2. Hogan H, Zipfel R, Neuburger J et al. Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. BMJ 2015;351:h3239.  

3. The National Reporting and Learning System (NRLS).  

4. Health Education England. NHS Patient Safety Syllabus. 

5. NHS England. Freedom to speak up.  ',
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		(int) 26 => array(
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			'course_id' => '116',
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			'field_type' => 'paragraph',
			'field_label' => 'Case study: paediatric meningitis  ',
			'description' => 'Background 

The hospital where these events occurred is a busy NHS hospital. There is an emergency department unit for minor injuries and a full emergency department unit for children only. 

Normal staffing on the children's emergency department consists of 4 nurses, a ward leader, 1 receptionist, a junior doctor and a consultant on call. In practice, because the unit has a number of beds for admissions directly, a consultant is frequently available at short notice. The morale and appearance of the unit are very high and there is a clear team spirit between all staff which is obvious to patients and visitors. 

The events 

Visit 1 

After calling their GP practice, the family of the 8-month-old baby boy were told that no appointments were available in the next 2 days and that if the family were worried, they should take the baby to the emergency department at the local hospital. The baby felt hot, had been vomiting and seemed generally unwell. 

The family first visited the paediatric emergency department unit at 4 pm in the afternoon on a weekday. Mother, grandfather and 8-month-old baby boy came to the unit and after a short wait at reception were seen by a triage nurse (Nurse 1, 4.25pm).  

The baby presented with a high temperature, vomiting, and a slight rash, very much like a large number of patients (up to 35 per day with these symptoms) seen in paediatric emergency department on a daily basis. 

The triage nurse had access to a triage system on her computer. This was not used in this case, reflecting a common view that the system was difficult and long-winded, and that it tended to err on the cautious side when used. The triage nurse was qualified according to the local system to conduct triage, having observed and participated in five sessions with the sister, who signed off on her competence in this role. 

The nurse spoke mostly to the mother. The nurse did not remove the baby from its pram or examine him directly. It was a busy time, and the nurse was coming to the end of a long shift. She was happy to rely on the description of the baby's condition provided by mother and grandfather. She coded the child as 'green', requiring that the patient should be seen within 2 hours. 

The baby was seen after a wait of 1.5 hours by a junior doctor, who picked up the card for the patient and noted the 'green' coding. The doctor observed a faint rash and the fact that it was fully blanching. Despite this, the doctor had concerns about the baby's general lack of responsiveness and slow capillary refill. She therefore contacted her consultant by telephone. After discussion, the consultant concluded that there was no immediate danger, although both the doctor and the consultant were worried about the child. The junior doctor sent the patient home (6.55pm) and instructed the family to check on the baby every hour. The patient was prescribed a paracetamol suspension and the parents told to watch the baby closely and bring him back if the condition worsened. 

Visit 2 

At 9 am on the following morning, mother, father and baby returned to the emergency department. A different triage nurse met with the family at 9.25am but again did not use the computer triage system for the same reasons as other staff. Though the baby was described as worse by the family, the nurse omitted a capillary refill check and any direct examination of the baby (who was asleep on the chest on the father) and graded the infant 'green' to be attended to 'within 2 hours'. The family settled down to wait. 

Unusually, the unit was empty at this point and the baby was seen by a doctor, the same junior doctor as the previous evening, within 6 minutes. It was immediately clear to the doctor that the infant was seriously ill, with poor colour, poor respiration and lack of responsiveness. The baby was immediately taken to resuscitation where he was placed on fluids and antibiotics, transferring to the HDU (High Dependency Unit) of the hospital after 2 hours. The doctor later estimated that the baby was 30 to 60 minutes from death.  

The baby was transferred to a tertiary care centre where he remained for 2 weeks. Though in a critical condition, the baby survived, but is likely to suffer from deafness. He was diagnosed later with bacterial meningitis. 

Other relevant points 

None of the staff involved in this case were described as inexperienced. Both the junior doctor and the consultant said that after the event, they 'knew' there was something wrong with the child but could not support this view with objective evidence. 

Key issues and discussion points  

For this case study, we have set out some key discussion points that can form a basis for personal reflection or for a group review and discussion of the case. The aims are to consider how systems and culture affect the way we care for patients. 

Let's remind ourselves of the timeline of events for the case study. 

Parents arrive at the hospital at 4pm with their baby who has a high temperature and is vomiting. 

The triage nurse grades the baby as green. 

The FY2 doctor examines the baby and calls the consultant. 

The FY2 doctor and consultant discuss the case. The consultant prescribes paracetamol and sends the baby and parents home at 6.55pm. 

At 9am the following day, the parents return to the hospital with their baby. 

At 9.25am, a different triage nurse grades the baby as green. 

The FY2 doctor examines the baby and transfers them to resus. Fluids and antibiotics are administered at 9.35am. 

The baby in transferred to the high dependency unit (HDU) and then to the specialist unit. 

Triage 

In both visits, the baby was triaged by a nurse qualified in triage under local procedures. Neither nurse examined the baby directly but questioned his carers instead. Neither nurse used the computer-based support programme for the triage systems the department had adopted.  

Key questions: 

Should the nurses have examined the baby? 

Should the nurses have used the computer-based triage system? 

Why did both nurses act in the same way at triage? 

Would you consider any failings here to be individually based, systems-based or both? 

Diagnosis 

The junior doctor conducted the appropriate tests used commonly for serious meningitis; the chief risk associated with this presentation. Though she concluded that the criteria for a positive diagnosis had not been met (and the consultant agreed), she was not wholly satisfied that the condition wasn't more serious than a simple viral infection. Nevertheless, the baby was discharged to be cared for by his family, with a paracetamol suspension. 

Key questions: 

Were the doctors correct in their decision to discharge the baby? 

What factors might have mitigated against a decision to admit the baby? 

What role does the disquiet of the doctors play here? Should 'feelings' or 'intuition' play a part in caring for patients? 

Handover of care 

The doctors, after visit 1, handed the care of the baby over to his family. They were asked to check on him hourly and bring him back to the emergency department if he became more poorly and prescribed paediatric paracetamol to treat the fever. Though the family said he had worsened overnight, he wasn't brought in again until he was acutely, dangerously unwell. 

Key questions: 

Was the handover of care effective? 

What does 'check on him every hour' mean to a doctor or a nurse? 

What does 'check on him every hour' mean to a parent or a carer? 

Failures and risks in the care of the baby 

Now let's look at different factors relevant to the care of the baby. 

Triage 

The baby was triaged at 2 different points by 2 different triage nurses; at 4pm when the baby 1st arrived and then again at 9.25am the following morning. Each time the baby was graded as green.  

Consider the following: 

Ergonomics. Usability of the computer-based triage system. 

Training. Was training and certification of triage adequate?  

Procedures and job support. Were triage procedures clear, fit-for-purpose and usable in real situations? Were any visual supports or guides required? 

Communications and decision-making. Why had the staff problems with the triage screen not been addressed? 

Culture. Both nurses acted in the same way. Was this an indication of a widespread cultural problem? 

Diagnosis and decision to discharge 

After examining the baby when they were first admitted, the FY2 doctor discussed the case with the consultant, prescribed paracetamol and sent the baby home.  

Consider the following: 

Decision-making. Did the doctors decide correctly to discharge the baby? Was the slow capillary refill a concern? Had they managed the risks of further deterioration adequately? 

Organisational culture. The organisation was sometimes reluctant to admit in these cases. Did this culture affect clinical decisions? 

Handover of care 

The baby returned home with their parents at 6.55pm.  

Consider the following: 

Communications. Did the doctor give the right instructions to the family? 

Communications. Did the family have the ability to listen carefully to the doctor while worried and concerned? 

Communications. Would written guidance have helped the family to check on the baby more effectively? 

Organisational learning 

What lessons were learned from this case?  

Consider the following: 

Reporting. Was the incident recorded? 

Systems analysis. Were the issues raised and addressed through an investigation? 

Organisational learning. Were these issues discussed more widely across and between Trusts? ',
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Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
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	(int) 113 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 112 => array(
		(int) 0 => '13',
		(int) 1 => '64',
		(int) 2 => '62',
		(int) 3 => '63',
		(int) 4 => '61',
		(int) 5 => '60',
		(int) 6 => '7',
		(int) 7 => '6'
	),
	(int) 114 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
	),
	(int) 115 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 118 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 116 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
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			(int) 5 => '3645',
			(int) 6 => '3646',
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			(int) 8 => '3648',
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			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
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			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
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			'created' => '2024-08-07 11:35:09',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
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			),
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			),
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				[maximum depth reached]
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			),
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			(int) 75 => array(
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			(int) 76 => array(
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			(int) 562 => array(
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				[maximum depth reached]
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				[maximum depth reached]
			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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			(int) 36 => array(
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			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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				[maximum depth reached]
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			),
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			),
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				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
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			(int) 52 => array(
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			),
			(int) 53 => array(
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			),
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			),
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			),
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			),
			(int) 58 => array(
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			(int) 73 => array(
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			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
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			(int) 77 => array(
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
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			'logo_media_id' => null,
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			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
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			(int) 18 => array(
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			),
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			),
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				[maximum depth reached]
			),
			(int) 31 => array(
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			(int) 32 => array(
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			),
			(int) 33 => array(
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			(int) 34 => array(
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			),
			(int) 35 => array(
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			),
			(int) 36 => array(
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			),
			(int) 37 => array(
				[maximum depth reached]
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			(int) 38 => array(
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
			'banner_media_id' => '1616',
			'thumbnail_media_id' => '1617',
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			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 14:59:06',
			'modified' => '2024-08-07 14:26:42',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'field_count' => (int) 52,
			'answer_count' => (int) 0,
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			(int) 15 => array(
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			(int) 16 => array(
				[maximum depth reached]
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			(int) 24 => array(
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			(int) 26 => array(
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			(int) 28 => array(
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			(int) 17 => array(
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			(int) 20 => array(
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			(int) 23 => array(
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			(int) 24 => array(
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			(int) 25 => array(
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			(int) 26 => array(
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			(int) 27 => array(
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			(int) 28 => array(
				[maximum depth reached]
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			(int) 29 => array(
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			(int) 30 => array(
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			(int) 31 => array(
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			(int) 32 => array(
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			(int) 39 => array(
				[maximum depth reached]
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			(int) 40 => array(
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			(int) 41 => array(
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			(int) 42 => array(
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			(int) 43 => array(
				[maximum depth reached]
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			(int) 44 => array(
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			(int) 45 => array(
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			(int) 46 => array(
				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			(int) 23 => '3433',
			(int) 24 => '3434',
			(int) 25 => '3435',
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			(int) 27 => '3437',
			(int) 28 => '3438',
			(int) 29 => '3439',
			(int) 30 => '3440',
			(int) 31 => '3441',
			(int) 32 => '3442',
			(int) 33 => '3443',
			(int) 34 => '3444',
			(int) 35 => '3445',
			(int) 36 => '3448',
			(int) 37 => '3449',
			(int) 38 => '3450',
			(int) 39 => '3451',
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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				[maximum depth reached]
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			),
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			),
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				[maximum depth reached]
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				[maximum depth reached]
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			),
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			),
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			),
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			),
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				[maximum depth reached]
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				[maximum depth reached]
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			),
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			'created' => '2024-08-05 09:12:40',
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			'created' => '2024-07-31 13:04:44',
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			),
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			),
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			),
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			),
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			),
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				[maximum depth reached]
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				[maximum depth reached]
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			),
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			),
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				[maximum depth reached]
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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			'field_label' => 'NHS patient safety training',
			'description' => 'In looking after our patients in hospitals and the community, most things go well. Patients usually receive the care that they need. 

We are justly proud of this and of the many staff who work tirelessly to deliver care and improve our systems. In fact, it is the efforts of the people who deliver healthcare that make it as safe as it is. 

Nevertheless, despite the efforts of healthcare staff, patients suffer harm every day in healthcare systems. Wrong medicines are given to patients, treatments may be omitted or delayed and patients in hospital beds develop pressure ulcers or are injured in a fall.  

Rarely, some patients die due to patient safety incidents whilst in our care. ',
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			'field_label' => 'The purpose of this training ',
			'description' => 'Those of us working in healthcare often experience very challenging circumstances and we have a long history of proving ourselves to be remarkably adaptable in the way we care for patients.    

This includes our response to COVID-19. During the pandemic, we radically changed how we work. We kept patients safe while delivering essential care.  

We have all seen and done amazing things, every day, to help keep our patients safe. This is something that we can all rightly be proud of.  

But there is more we can do to make patient care even safer. Importantly, we need to think differently about what patient safety means and how we can make improvements.   

When patients are harmed, it doesn't just affect them; it has an impact on their loved ones, our colleagues and, ultimately, our ability to care for our patients.  

Despite our best efforts over many years, too many patients are still suffering harm. There is a new Patient Safety Strategy that will help us deliver the changes that we need.    

We already work hard to prevent safety incidents from happening. But to keep patients safer, thinking differently about patient safety means we need to be proactive.   

We need to identify and reduce risk before harm occurs. To do this, we need to understand how the care systems we work in can introduce risks to patient care.  

There are already some limited proactive approaches in use in healthcare. These include the use of simulation to anticipate hazards in patient care or the user-testing of medical devices.    

But the management of system-based risks through proactive identification and mitigation is not yet widely or systematically applied, as it is in other safety-critical industries.  ',
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			'field_label' => 'Changing the way we think about patient safety ',
			'description' => 'By changing how we think about patient safety, we can:  

- deal with risks before they cause harm  
- create a positive patient safety culture  
- build safer systems of care  
- recognise everyone's role in patient safety  

The new, system-wide approach to training and education in patient safety is intended to make that easier for everyone.   ',
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			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Deal with risks before they cause harm  ',
			'description' => 'It will help us identify and address unsafe situations before harm occurs. Creating a positive patient safety culture.   ',
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			'description' => 'Too often, patient safety incidents can result in an individual being blamed for making an error. 

But it is rarely as simple as that. In reality, even when we are highly motivated to do our best, a wide range of factors, usually outside our control, can affect our ability to perform our jobs.  

Focusing on the impact the system has on our ability to deliver safe care will allow us to move away from this presumption of blame.  ',
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			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Build safer systems of care ',
			'description' => 'Once we understand how our systems of care affect patient safety, we can find ways to improve them. We can prevent risky situations from arising and make it easier to do the right thing.  ',
			'field_order' => '5',
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			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Recognise everyone's role in patient safety ',
			'description' => 'Finally, it is crucial that all staff, whatever our roles, should see safety not just as our responsibility, but as a key priority.  ',
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			'course_id' => '116',
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			'field_label' => 'To summarise:  ',
			'description' => 'We can now make healthcare even safer, by thinking differently about patient safety.  

The Patient Safety Strategy includes a syllabus and training programme for the whole NHS. There is patient safety education for every grade, every job, every profession. ',
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			'id' => '3473',
			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'media-field',
			'field_label' => 'Essentials of patient safety',
			'description' => 'Global studies have estimated that at least 1 in 20 patients are affected by preventable patient harm in medical care settings and that a high proportion of these, about 12%, cause permanent disability or even patient death [1]. 

In the community, we know that similar incidents take place and, overall, there may be many thousands of avoidable patient deaths every year [2]. 

We have made good progress over the past 15 to 20 years, when the NHS really started to focus on how things go wrong for patients. We have set up a national reporting and learning system [3] to report patient safety incidents and share our understanding of patient safety. 

Safety improvement initiatives have delivered real changes and certain types of risk have been effectively eliminated. We use past events to try to make it right where we can and yet things continue to go wrong. 

IT IS CLEAR THAT WE NEED TO DO MORE. ',
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			'course_id' => '116',
			'course_lesson_id' => '542',
			'field_type' => 'bullet-points',
			'field_label' => 'The NHS Patient Safety Syllabus ',
			'description' => 'The NHS Patient Safety Syllabus4 focuses on 4 key areas: systems thinking, human factors, risk expertise and safety culture. It will provide training for staff at all levels in the NHS. 

This session document covers the following 4 areas which are related to the themes of the syllabus. ',
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			'field_choices' => '["SYSTEMS. The complex way our various jobs fit together to provide what our patients need. ","SAFETY CULTURE. The attitudes, beliefs and values that influence our work every day. ","RISK. How hazards can threaten the safety of our patients. ","RAISING CONCERNS. Supporting safety by listening to patients and observing how they get on in our complex organisations. "]',
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			'course_lesson_id' => '542',
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			'field_label' => 'What will I learn?',
			'description' => 'In this session, you will learn about the essentials of patient safety. ',
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			'external_media_src' => '',
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			'field_choices' => '["SYSTEMS APPROACH TO PATIENT SAFETY -   Systems thinking is a way to understand how the individual elements in a greater whole influence each other and work together. You will learn about this approach and about the essential role of everyone in the team. ","LEARNING FROM INCIDENTS -   You will hear how we can best learn from past events and how we should understand the role of the individual members of staff when patients are harmed. ","HUMAN FACTORS, HUMAN PERFORMANCE AND SAFETY MANAGEMENT -   You will learn about how things go wrong for patients and how we can contribute to reducing harm by managing risk. ","CREATING SAFE SYSTEMS -   You will learn how to create safety proactively, using systematic tools and approaches. ","BEING SURE ABOUT SAFETY -   Most importantly you will learn how every member of the NHS can support safety, how we can act to identify risk proactively, before a patient suffers harm. We can then go further and faster in anticipating and reducing patient harm.  "]',
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			'field_label' => 'Everything exists in systems. Systems thinking is a way to understand how the individual elements in a greater whole influence each other and work together.   We can begin to understand how this relates to healthcare by taking an example from real life which also forms the basis of a case study we will describe later in this session. ',
			'description' => 'Click on each number to find out more.',
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			'field_choices' => '{"width":500,"annotations":[{"top":173.422,"left":270,"annotation":"Baby's increased temperature \n\nIt begins with a family worried by their baby boy's increased temperature."},{"top":155.422,"left":99,"annotation":"GP practice \n\nThe family's health is looked after by their GP practice"},{"top":53.4219,"left":123,"annotation":"Ambulance service \n\nWhen the GP identifies a serious risk to health, an ambulance may be called."},{"top":19.4219,"left":183,"annotation":"Hospital care \n\nThe hospital's care might include more specialist units."},{"top":15.4219,"left":278,"annotation":"Pharmacies \n\nMedicines might be provided by pharmacies within the hospital or on the high street."},{"top":61.4219,"left":291,"annotation":"Tests in other departments \n\nTests would be conducted and reviewed by other departments, including radiology and laboratories."},{"top":83.4219,"left":363,"annotation":"Additional care in the community \n\nAdditional care in the community is provided by the GP practice, district nursing teams and health visitors."}]}',
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		),
		(int) 12 => array(
			'id' => '3477',
			'course_id' => '116',
			'course_lesson_id' => '543',
			'field_type' => 'media-field',
			'field_label' => 'Complex systems',
			'description' => 'Of course, in healthcare, these complicated systems are kept functioning by the people who work there. 

The hard work of staff, who frequently go to great lengths to ensure proper care, is essential in making the systems work together, as well as anticipating problems and making sure that we can deal with unexpected or unusual issues when they arise. 

In the NHS, we rely on complex systems to deliver care to our patients. As we have shown, these systems might include diagnostics, medications, admission and discharge of our patients, the flow of information and communication, and the day-to-day care of our patients in the community and in hospitals. 

Each of these is part of our overall system. Running through the system, making it work every day, are people, working correctly and resiliently, dealing with the unexpected, throughout thousands of staff and patient interactions every hour of every day.',
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			'attachment_pos' => '1',
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			'active' => '1',
			'created' => '2024-08-07 08:57:58',
			'modified' => '2024-08-07 08:57:58'
		),
		(int) 13 => array(
			'id' => '3478',
			'course_id' => '116',
			'course_lesson_id' => '544',
			'field_type' => 'media-field',
			'field_label' => 'A just culture ',
			'description' => 'Safety in healthcare depends on systems and the people who work within them. 

As someone who works in healthcare, whether a carer, a mental health nurse in the community, a medical secretary, a porter, a doctor or a manager; you are part of our greater team, a team where patient safety is an essential objective. 

Sometimes things go wrong 

Despite all our hard work making sure that things do go well, sometimes things go wrong.   Sometimes the complex systems that we are part of deliver outcomes that were not intended or desired. 

Finding blame 

It is natural to look for what went wrong, and everyone will have heard the words 'human error' used in this context. It is simple and natural to look for an individual, team or department to blame. 

All too frequently it is usually the last person involved who gets the blame. 

Yet we know that, when we examine carefully what has happened, we usually find that there were a number of interconnected reasons why things went wrong. These might include problems with equipment, workload, availability of information or distractions.

In other words, we find that there are many factors that contribute to why the system didn't deliver what was expected or hoped for, not the person who touched the patient last.  ',
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		),
		(int) 14 => array(
			'id' => '3479',
			'course_id' => '116',
			'course_lesson_id' => '544',
			'field_type' => 'paragraph',
			'field_label' => 'Case study',
			'description' => 'Let's look at a case study. This case is based on the real and very sad case of an 8-month-old baby boy who became poorly at home. 

The baby developed a high temperature, was being sick and had a slight rash. The family doctor spoke with the baby’s mother on the telephone but could not fit him in for a visit. Instead, he suggested that the baby was taken straight away to the local hospital, where there was a paediatric emergency department. 

After a short wait, a triage nurse met with the family. The nurse did not examine the baby directly but asked his mother to describe his symptoms. After this, the nurse coded the baby as 'green', meaning that the baby should be seen within 2 hours. 

The baby was seen by a junior doctor after an hour. The doctor examined the baby boy and observed a faint rash which was fully blanching. This means that it disappeared when pressed on. A non-blanching rash is often a sign of bacterial meningitis and one of the key things to check.  

Despite the rash being fully blanching, the doctor was worried by the baby’s general appearance of tiredness, so they contacted the consultant, who was busy at another site but able to discuss the case on the telephone. 

The 2 doctors, who would usually see several patients a day with similar symptoms, concluded that there was no immediate concern and sent the family home after prescribing a paediatric paracetamol suspension and telling the parents to check on the baby every hour. 

Overnight, the family became worried about the baby, having looked into his room several times during the night but being careful not to wake him up. They returned to the emergency department the following morning. 

A second nurse saw mother and baby in triage and the baby was again coded 'green'. However, the same junior doctor saw the baby in the waiting room and examined him immediately. 

The doctor found the baby very poorly and immediately took him to resuscitation, where the medical team was able to save the life of the child. The doctor later said the baby had been very close to death. 

In fact, the baby did have a meningococcal infection and his hearing was permanently damaged. 

In this case, many things could have gone better and prevented the permanent hearing loss and near death of the baby boy. ',
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		),
		(int) 15 => array(
			'id' => '3480',
			'course_id' => '116',
			'course_lesson_id' => '544',
			'field_type' => 'paragraph',
			'field_label' => 'Ask yourself - Can you think of some ways this case could have been handled better? ',
			'description' => 'In this case, triage of the baby boy was not conducted effectively. The baby was not examined on either occasion and nor was there evidence of using appropriate computer-based support. 

The triage system had been the subject of many complaints by the staff but nothing had changed so the staff had learned that raising concerns about it was futile. 

The consultant was not available for direct examination of the baby. 

 A full description of this case study with more detail and discussion can be found at the end of this course. ',
			'field_order' => '2',
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			'attachment_pos' => null,
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			'active' => '1',
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			'modified' => '2024-08-07 09:12:55'
		),
		(int) 16 => array(
			'id' => '3481',
			'course_id' => '116',
			'course_lesson_id' => '544',
			'field_type' => 'image-bullets',
			'field_label' => 'How to respond ',
			'description' => 'Though it is tempting to look at the behaviour of individual members of staff, underlying factors were the systems in place at the time; a poor triage system that staff had become disengaged with, along with a busy period where no consultant was available in person. 

In general, we could take 2 approaches here in response to the event. ',
			'field_order' => '3',
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			'attachment_pos' => '1',
			'field_choices' => '["Staff approach -   We could, for example, remind staff to follow policies, discipline and or retrain the nurses and doctors in the hope that they personally would be more vigilant in future. Then, if they happen to be on shift in similar circumstances, they may remember this event and the trouble they got into and consider acting differently.   They might leave the organisation given the guilt and shame they are probably feeling. ","Systems approach -   We could look at the systems and the working practices that apply to the entire department and change them for the better.   Either way, all the other staff that could be involved in similar situations in the future would carry on as before.  ","Item 3"]',
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		),
		(int) 17 => array(
			'id' => '3482',
			'course_id' => '116',
			'course_lesson_id' => '544',
			'field_type' => 'paragraph',
			'field_label' => 'Ask yourself -   Of the 2 approaches, which do you think is the best way to respond to this event? ',
			'description' => 'Of the 2 approaches, the systems approach (in short, fixing triage and consultant presence) was far more likely to create a safer department and support the safe care of all patients and the safe working practices of all staff. ',
			'field_order' => '4',
			'attachment_id' => null,
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			'modified' => '2024-08-07 09:12:55'
		),
		(int) 18 => array(
			'id' => '3483',
			'course_id' => '116',
			'course_lesson_id' => '544',
			'field_type' => 'image-bullets',
			'field_label' => 'Blame',
			'description' => 'We have seen in the case study how many different factors combined to allow the final, sad outcome. This is what is meant by the systems approach to safety and why, when systems don't deliver the outcomes we want, it is unfair to assign blame to individual members of staff. 

It is better to look for how we can improve the systems, so that we can reduce the likelihood that it happens again. ',
			'field_order' => '5',
			'attachment_id' => '1645',
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			'field_choices' => '["Inappropriate blame -   Inappropriate blame is very damaging. It is natural to blame a person; it's a simple explanation for when things go wrong and being simple it is satisfying. But it is rarely right. When a patient suffers a patient safety incident, the contributory factors of environment, equipment, the way people work together in the team and the way the whole organisation works with other organisations in the system are the factors that contribute to the incident. System factors, not individual members of staff are to blame. ","Response to blame -   The response of blaming our colleagues for problems with systems can be very damaging both to them and to ourselves. It creates a culture in which people are fearful and so they do not raise important issues about safety that involve themselves and their colleagues, for fear that they will be held responsible. That means we do not learn from our colleagues and important safety information is missed. ","Blame suppresses learning -   We need to avoid inappropriate blame and instead move to a just culture where the role that systems play in things going wrong is recognised. In a just culture people are not afraid of inappropriate blame and so feel safer in pointing out where things can be improved. This does not mean they are not accountable. Where people wilfully harm or neglect others then action must be taken but those situations are thankfully very unusual. "]',
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		),
		(int) 19 => array(
			'id' => '3484',
			'course_id' => '116',
			'course_lesson_id' => '545',
			'field_type' => 'media-field',
			'field_label' => ' Risk ',
			'description' => 'We are all aware that risks to patients are everywhere. It may be the risk of falling when a patient is unsteady on their feet or the risk of pressure ulcers developing when someone is immobile for a long period. It may be an unknown allergic reaction to a medication. 

Staff in all professions, whether patient facing or not, will use their professional knowledge to identify risks to their patients and try to manage those risks. This includes clinicians, managers and administrative staff who all contribute to patient safety by creating and delivering systems and processes that seek to minimise risks to patients.  

However, no one person can see the whole picture. That means that everyone caring for patients and service users must be aware of how things might go wrong. The risks might be in their immediate workspace but also in the larger system that delivers care to patients through our healthcare systems.​ 

Patients themselves, their families, carers and representatives will recognise many risk factors that may be hidden from staff. Their involvement in safety and the management of risk is vital in forming a complete picture of risk and safe, compassionate care. ​ ',
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			'attachment_id' => '1646',
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			'created' => '2024-08-07 09:39:51',
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		),
		(int) 20 => array(
			'id' => '3485',
			'course_id' => '116',
			'course_lesson_id' => '545',
			'field_type' => 'image-bullets',
			'field_label' => 'Identifying risks proactively',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1652',
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			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Identifying risks -   The NHS Patient Safety Syllabus [4] is focused on identifying risks proactively in addition to making better use of learning from previous investigations. In other words, identifying risks before harm has occurred.      Preventing harm requires an understanding of, and a focus on, risk. It is better to develop a full picture of hazards and their associated risks to patients and to monitor these than to have to ask why a harmful event occurred after the fact. ","Managing risks -   Other safety-critical industries have for many years focused on risk proactively and in this way have become safer and safer.   If we can identify risks upfront in our systems, then we have a good chance of managing them by designing them out or by changing our systems to avoid or minimise our risks. ","Key to safety -   This approach, where risks are identified proactively, is the key to being safe. The NHS Patient Safety Syllabus provides tools and techniques for staff to manage risk proactively and help reduce harm to patients. ","Expand awareness -   This is something that can be done by every single member of staff. If we are allowed to raise concerns without fear of rejection or inappropriate blame, then the NHS expands its awareness by encouraging risk awareness. Not only do we expand our awareness, we unlock the potential for everyone to improve how they and their colleagues do their jobs"]',
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		),
		(int) 21 => array(
			'id' => '3486',
			'course_id' => '116',
			'course_lesson_id' => '546',
			'field_type' => 'media-field',
			'field_label' => 'Raising concerns: patients ',
			'description' => 'In our busy workplaces, many things can be missed just in the course of a normal day. When things get busier still, when the pressure is on, then more and more things are likely to be missed and actively raising concerns about patients becomes more and more valuable. 

For example 

“I don't think Mr Gibson is responding to treatment.” 

“Mrs Jones looks like she might be in pain.” ',
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			'attachment_id' => '1653',
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			'created' => '2024-08-07 09:43:47',
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		),
		(int) 22 => array(
			'id' => '3487',
			'course_id' => '116',
			'course_lesson_id' => '546',
			'field_type' => 'media-field',
			'field_label' => 'Raising concerns: organisation ',
			'description' => 'At an organisational level, many members of staff will recognise deficiencies in the way our systems interact or in how information is dealt with. There are many examples of systems where people were aware of risks or concerns, but these were not raised in a timely fashion, were not fully recognised or even ignored and that led to patient safety incidents. 

For example 

“I've not had training on how to use this software.” 

“We don't have enough staff working on the ward today.” ',
			'field_order' => '1',
			'attachment_id' => '1654',
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		),
		(int) 23 => array(
			'id' => '3488',
			'course_id' => '116',
			'course_lesson_id' => '546',
			'field_type' => 'paragraph',
			'field_label' => 'Should you raise a concern? ',
			'description' => 'Do you think raising concerns is always a good thing? 

In every case, raising concerns is a good thing and should be welcomed as such by everyone. Listening to patients, watching them on their journey and informing your colleagues, or your line manager, or one of the team caring for the patient is everyone’s opportunity to create safety in our busy NHS or in other care settings. 

If you are a member of staff to whom the concern is raised, remember our joint responsibility to look after patients and welcome the concern. We have a collective responsibility to manage risk proactively and to welcome the input of all members of staff. 

Freedom to Speak Up Guardians 

Every organisation has a process for raising concerns, for example, through Freedom To Speak Up Guardians who provide independent support and advice to staff who want to raise concerns [5]. 

Make sure that you are aware of Freedom To Speak Up systems or whistle-blower systems, as they are sometimes called and use these responsibly and confidentially to help improve the way we work. ',
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		),
		(int) 24 => array(
			'id' => '3489',
			'course_id' => '116',
			'course_lesson_id' => '547',
			'field_type' => 'paragraph',
			'field_label' => 'Summary and next steps ',
			'description' => 'We have covered 4 main areas in this session: 

- the need for a systems approach 

- how a systems approach shows that inappropriate blame is damaging 

- the need to address future risk as well as past harm 

- the importance of raising concerns where necessary 

We have also seen how systems failures can cause tragic events for patients and the critical importance of a patient-centred approach to care. All of these points and many more are explained more fully in further learning sessions of the NHS Patient Safety Syllabus. 

One thing we haven't covered in this session are the local safety priorities where you work. That's because these will be different depending on where you are. It's important to know what they are; your local organisation has been asked to provide the materials you need, either on paper or through your local intranet. 

You have now reached the end of the learning session. 

 ',
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		),
		(int) 25 => array(
			'id' => '3490',
			'course_id' => '116',
			'course_lesson_id' => '548',
			'field_type' => 'paragraph',
			'field_label' => 'References',
			'description' => '1. Panagioti M, Khan K, Keers RN et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ 2019;366:l4185.  

2. Hogan H, Zipfel R, Neuburger J et al. Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. BMJ 2015;351:h3239.  

3. The National Reporting and Learning System (NRLS).  

4. Health Education England. NHS Patient Safety Syllabus. 

5. NHS England. Freedom to speak up.  ',
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			'created' => '2024-08-07 09:47:10',
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		),
		(int) 26 => array(
			'id' => '3491',
			'course_id' => '116',
			'course_lesson_id' => '548',
			'field_type' => 'paragraph',
			'field_label' => 'Case study: paediatric meningitis  ',
			'description' => 'Background 

The hospital where these events occurred is a busy NHS hospital. There is an emergency department unit for minor injuries and a full emergency department unit for children only. 

Normal staffing on the children's emergency department consists of 4 nurses, a ward leader, 1 receptionist, a junior doctor and a consultant on call. In practice, because the unit has a number of beds for admissions directly, a consultant is frequently available at short notice. The morale and appearance of the unit are very high and there is a clear team spirit between all staff which is obvious to patients and visitors. 

The events 

Visit 1 

After calling their GP practice, the family of the 8-month-old baby boy were told that no appointments were available in the next 2 days and that if the family were worried, they should take the baby to the emergency department at the local hospital. The baby felt hot, had been vomiting and seemed generally unwell. 

The family first visited the paediatric emergency department unit at 4 pm in the afternoon on a weekday. Mother, grandfather and 8-month-old baby boy came to the unit and after a short wait at reception were seen by a triage nurse (Nurse 1, 4.25pm).  

The baby presented with a high temperature, vomiting, and a slight rash, very much like a large number of patients (up to 35 per day with these symptoms) seen in paediatric emergency department on a daily basis. 

The triage nurse had access to a triage system on her computer. This was not used in this case, reflecting a common view that the system was difficult and long-winded, and that it tended to err on the cautious side when used. The triage nurse was qualified according to the local system to conduct triage, having observed and participated in five sessions with the sister, who signed off on her competence in this role. 

The nurse spoke mostly to the mother. The nurse did not remove the baby from its pram or examine him directly. It was a busy time, and the nurse was coming to the end of a long shift. She was happy to rely on the description of the baby's condition provided by mother and grandfather. She coded the child as 'green', requiring that the patient should be seen within 2 hours. 

The baby was seen after a wait of 1.5 hours by a junior doctor, who picked up the card for the patient and noted the 'green' coding. The doctor observed a faint rash and the fact that it was fully blanching. Despite this, the doctor had concerns about the baby's general lack of responsiveness and slow capillary refill. She therefore contacted her consultant by telephone. After discussion, the consultant concluded that there was no immediate danger, although both the doctor and the consultant were worried about the child. The junior doctor sent the patient home (6.55pm) and instructed the family to check on the baby every hour. The patient was prescribed a paracetamol suspension and the parents told to watch the baby closely and bring him back if the condition worsened. 

Visit 2 

At 9 am on the following morning, mother, father and baby returned to the emergency department. A different triage nurse met with the family at 9.25am but again did not use the computer triage system for the same reasons as other staff. Though the baby was described as worse by the family, the nurse omitted a capillary refill check and any direct examination of the baby (who was asleep on the chest on the father) and graded the infant 'green' to be attended to 'within 2 hours'. The family settled down to wait. 

Unusually, the unit was empty at this point and the baby was seen by a doctor, the same junior doctor as the previous evening, within 6 minutes. It was immediately clear to the doctor that the infant was seriously ill, with poor colour, poor respiration and lack of responsiveness. The baby was immediately taken to resuscitation where he was placed on fluids and antibiotics, transferring to the HDU (High Dependency Unit) of the hospital after 2 hours. The doctor later estimated that the baby was 30 to 60 minutes from death.  

The baby was transferred to a tertiary care centre where he remained for 2 weeks. Though in a critical condition, the baby survived, but is likely to suffer from deafness. He was diagnosed later with bacterial meningitis. 

Other relevant points 

None of the staff involved in this case were described as inexperienced. Both the junior doctor and the consultant said that after the event, they 'knew' there was something wrong with the child but could not support this view with objective evidence. 

Key issues and discussion points  

For this case study, we have set out some key discussion points that can form a basis for personal reflection or for a group review and discussion of the case. The aims are to consider how systems and culture affect the way we care for patients. 

Let's remind ourselves of the timeline of events for the case study. 

Parents arrive at the hospital at 4pm with their baby who has a high temperature and is vomiting. 

The triage nurse grades the baby as green. 

The FY2 doctor examines the baby and calls the consultant. 

The FY2 doctor and consultant discuss the case. The consultant prescribes paracetamol and sends the baby and parents home at 6.55pm. 

At 9am the following day, the parents return to the hospital with their baby. 

At 9.25am, a different triage nurse grades the baby as green. 

The FY2 doctor examines the baby and transfers them to resus. Fluids and antibiotics are administered at 9.35am. 

The baby in transferred to the high dependency unit (HDU) and then to the specialist unit. 

Triage 

In both visits, the baby was triaged by a nurse qualified in triage under local procedures. Neither nurse examined the baby directly but questioned his carers instead. Neither nurse used the computer-based support programme for the triage systems the department had adopted.  

Key questions: 

Should the nurses have examined the baby? 

Should the nurses have used the computer-based triage system? 

Why did both nurses act in the same way at triage? 

Would you consider any failings here to be individually based, systems-based or both? 

Diagnosis 

The junior doctor conducted the appropriate tests used commonly for serious meningitis; the chief risk associated with this presentation. Though she concluded that the criteria for a positive diagnosis had not been met (and the consultant agreed), she was not wholly satisfied that the condition wasn't more serious than a simple viral infection. Nevertheless, the baby was discharged to be cared for by his family, with a paracetamol suspension. 

Key questions: 

Were the doctors correct in their decision to discharge the baby? 

What factors might have mitigated against a decision to admit the baby? 

What role does the disquiet of the doctors play here? Should 'feelings' or 'intuition' play a part in caring for patients? 

Handover of care 

The doctors, after visit 1, handed the care of the baby over to his family. They were asked to check on him hourly and bring him back to the emergency department if he became more poorly and prescribed paediatric paracetamol to treat the fever. Though the family said he had worsened overnight, he wasn't brought in again until he was acutely, dangerously unwell. 

Key questions: 

Was the handover of care effective? 

What does 'check on him every hour' mean to a doctor or a nurse? 

What does 'check on him every hour' mean to a parent or a carer? 

Failures and risks in the care of the baby 

Now let's look at different factors relevant to the care of the baby. 

Triage 

The baby was triaged at 2 different points by 2 different triage nurses; at 4pm when the baby 1st arrived and then again at 9.25am the following morning. Each time the baby was graded as green.  

Consider the following: 

Ergonomics. Usability of the computer-based triage system. 

Training. Was training and certification of triage adequate?  

Procedures and job support. Were triage procedures clear, fit-for-purpose and usable in real situations? Were any visual supports or guides required? 

Communications and decision-making. Why had the staff problems with the triage screen not been addressed? 

Culture. Both nurses acted in the same way. Was this an indication of a widespread cultural problem? 

Diagnosis and decision to discharge 

After examining the baby when they were first admitted, the FY2 doctor discussed the case with the consultant, prescribed paracetamol and sent the baby home.  

Consider the following: 

Decision-making. Did the doctors decide correctly to discharge the baby? Was the slow capillary refill a concern? Had they managed the risks of further deterioration adequately? 

Organisational culture. The organisation was sometimes reluctant to admit in these cases. Did this culture affect clinical decisions? 

Handover of care 

The baby returned home with their parents at 6.55pm.  

Consider the following: 

Communications. Did the doctor give the right instructions to the family? 

Communications. Did the family have the ability to listen carefully to the doctor while worried and concerned? 

Communications. Would written guidance have helped the family to check on the baby more effectively? 

Organisational learning 

What lessons were learned from this case?  

Consider the following: 

Reporting. Was the incident recorded? 

Systems analysis. Were the issues raised and addressed through an investigation? 

Organisational learning. Were these issues discussed more widely across and between Trusts? ',
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			'description' => 'In looking after our patients in hospitals and the community, most things go well. Patients usually receive the care that they need. 

We are justly proud of this and of the many staff who work tirelessly to deliver care and improve our systems. In fact, it is the efforts of the people who deliver healthcare that make it as safe as it is. 

Nevertheless, despite the efforts of healthcare staff, patients suffer harm every day in healthcare systems. Wrong medicines are given to patients, treatments may be omitted or delayed and patients in hospital beds develop pressure ulcers or are injured in a fall.  

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			'description' => 'Those of us working in healthcare often experience very challenging circumstances and we have a long history of proving ourselves to be remarkably adaptable in the way we care for patients.    

This includes our response to COVID-19. During the pandemic, we radically changed how we work. We kept patients safe while delivering essential care.  

We have all seen and done amazing things, every day, to help keep our patients safe. This is something that we can all rightly be proud of.  

But there is more we can do to make patient care even safer. Importantly, we need to think differently about what patient safety means and how we can make improvements.   

When patients are harmed, it doesn't just affect them; it has an impact on their loved ones, our colleagues and, ultimately, our ability to care for our patients.  

Despite our best efforts over many years, too many patients are still suffering harm. There is a new Patient Safety Strategy that will help us deliver the changes that we need.    

We already work hard to prevent safety incidents from happening. But to keep patients safer, thinking differently about patient safety means we need to be proactive.   

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			'description' => 'It will help us identify and address unsafe situations before harm occurs. Creating a positive patient safety culture.   ',
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			'description' => 'Too often, patient safety incidents can result in an individual being blamed for making an error. 

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			'description' => 'Finally, it is crucial that all staff, whatever our roles, should see safety not just as our responsibility, but as a key priority.  ',
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			'description' => 'We can now make healthcare even safer, by thinking differently about patient safety.  

The Patient Safety Strategy includes a syllabus and training programme for the whole NHS. There is patient safety education for every grade, every job, every profession. ',
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			'description' => 'Global studies have estimated that at least 1 in 20 patients are affected by preventable patient harm in medical care settings and that a high proportion of these, about 12%, cause permanent disability or even patient death [1]. 

In the community, we know that similar incidents take place and, overall, there may be many thousands of avoidable patient deaths every year [2]. 

We have made good progress over the past 15 to 20 years, when the NHS really started to focus on how things go wrong for patients. We have set up a national reporting and learning system [3] to report patient safety incidents and share our understanding of patient safety. 

Safety improvement initiatives have delivered real changes and certain types of risk have been effectively eliminated. We use past events to try to make it right where we can and yet things continue to go wrong. 

IT IS CLEAR THAT WE NEED TO DO MORE. ',
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			'description' => 'The NHS Patient Safety Syllabus4 focuses on 4 key areas: systems thinking, human factors, risk expertise and safety culture. It will provide training for staff at all levels in the NHS. 

This session document covers the following 4 areas which are related to the themes of the syllabus. ',
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			'description' => 'In this session, you will learn about the essentials of patient safety. ',
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			'field_choices' => '["SYSTEMS APPROACH TO PATIENT SAFETY -   Systems thinking is a way to understand how the individual elements in a greater whole influence each other and work together. You will learn about this approach and about the essential role of everyone in the team. ","LEARNING FROM INCIDENTS -   You will hear how we can best learn from past events and how we should understand the role of the individual members of staff when patients are harmed. ","HUMAN FACTORS, HUMAN PERFORMANCE AND SAFETY MANAGEMENT -   You will learn about how things go wrong for patients and how we can contribute to reducing harm by managing risk. ","CREATING SAFE SYSTEMS -   You will learn how to create safety proactively, using systematic tools and approaches. ","BEING SURE ABOUT SAFETY -   Most importantly you will learn how every member of the NHS can support safety, how we can act to identify risk proactively, before a patient suffers harm. We can then go further and faster in anticipating and reducing patient harm.  "]',
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			'field_label' => 'Everything exists in systems. Systems thinking is a way to understand how the individual elements in a greater whole influence each other and work together.   We can begin to understand how this relates to healthcare by taking an example from real life which also forms the basis of a case study we will describe later in this session. ',
			'description' => 'Click on each number to find out more.',
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			'description' => 'Of course, in healthcare, these complicated systems are kept functioning by the people who work there. 

The hard work of staff, who frequently go to great lengths to ensure proper care, is essential in making the systems work together, as well as anticipating problems and making sure that we can deal with unexpected or unusual issues when they arise. 

In the NHS, we rely on complex systems to deliver care to our patients. As we have shown, these systems might include diagnostics, medications, admission and discharge of our patients, the flow of information and communication, and the day-to-day care of our patients in the community and in hospitals. 

Each of these is part of our overall system. Running through the system, making it work every day, are people, working correctly and resiliently, dealing with the unexpected, throughout thousands of staff and patient interactions every hour of every day.',
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			'description' => 'Safety in healthcare depends on systems and the people who work within them. 

As someone who works in healthcare, whether a carer, a mental health nurse in the community, a medical secretary, a porter, a doctor or a manager; you are part of our greater team, a team where patient safety is an essential objective. 

Sometimes things go wrong 

Despite all our hard work making sure that things do go well, sometimes things go wrong.   Sometimes the complex systems that we are part of deliver outcomes that were not intended or desired. 

Finding blame 

It is natural to look for what went wrong, and everyone will have heard the words 'human error' used in this context. It is simple and natural to look for an individual, team or department to blame. 

All too frequently it is usually the last person involved who gets the blame. 

Yet we know that, when we examine carefully what has happened, we usually find that there were a number of interconnected reasons why things went wrong. These might include problems with equipment, workload, availability of information or distractions.

In other words, we find that there are many factors that contribute to why the system didn't deliver what was expected or hoped for, not the person who touched the patient last.  ',
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		(int) 14 => array(
			'id' => '3479',
			'course_id' => '116',
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			'field_type' => 'paragraph',
			'field_label' => 'Case study',
			'description' => 'Let's look at a case study. This case is based on the real and very sad case of an 8-month-old baby boy who became poorly at home. 

The baby developed a high temperature, was being sick and had a slight rash. The family doctor spoke with the baby’s mother on the telephone but could not fit him in for a visit. Instead, he suggested that the baby was taken straight away to the local hospital, where there was a paediatric emergency department. 

After a short wait, a triage nurse met with the family. The nurse did not examine the baby directly but asked his mother to describe his symptoms. After this, the nurse coded the baby as 'green', meaning that the baby should be seen within 2 hours. 

The baby was seen by a junior doctor after an hour. The doctor examined the baby boy and observed a faint rash which was fully blanching. This means that it disappeared when pressed on. A non-blanching rash is often a sign of bacterial meningitis and one of the key things to check.  

Despite the rash being fully blanching, the doctor was worried by the baby’s general appearance of tiredness, so they contacted the consultant, who was busy at another site but able to discuss the case on the telephone. 

The 2 doctors, who would usually see several patients a day with similar symptoms, concluded that there was no immediate concern and sent the family home after prescribing a paediatric paracetamol suspension and telling the parents to check on the baby every hour. 

Overnight, the family became worried about the baby, having looked into his room several times during the night but being careful not to wake him up. They returned to the emergency department the following morning. 

A second nurse saw mother and baby in triage and the baby was again coded 'green'. However, the same junior doctor saw the baby in the waiting room and examined him immediately. 

The doctor found the baby very poorly and immediately took him to resuscitation, where the medical team was able to save the life of the child. The doctor later said the baby had been very close to death. 

In fact, the baby did have a meningococcal infection and his hearing was permanently damaged. 

In this case, many things could have gone better and prevented the permanent hearing loss and near death of the baby boy. ',
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		(int) 15 => array(
			'id' => '3480',
			'course_id' => '116',
			'course_lesson_id' => '544',
			'field_type' => 'paragraph',
			'field_label' => 'Ask yourself - Can you think of some ways this case could have been handled better? ',
			'description' => 'In this case, triage of the baby boy was not conducted effectively. The baby was not examined on either occasion and nor was there evidence of using appropriate computer-based support. 

The triage system had been the subject of many complaints by the staff but nothing had changed so the staff had learned that raising concerns about it was futile. 

The consultant was not available for direct examination of the baby. 

 A full description of this case study with more detail and discussion can be found at the end of this course. ',
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		(int) 16 => array(
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			'field_label' => 'How to respond ',
			'description' => 'Though it is tempting to look at the behaviour of individual members of staff, underlying factors were the systems in place at the time; a poor triage system that staff had become disengaged with, along with a busy period where no consultant was available in person. 

In general, we could take 2 approaches here in response to the event. ',
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			'field_choices' => '["Staff approach -   We could, for example, remind staff to follow policies, discipline and or retrain the nurses and doctors in the hope that they personally would be more vigilant in future. Then, if they happen to be on shift in similar circumstances, they may remember this event and the trouble they got into and consider acting differently.   They might leave the organisation given the guilt and shame they are probably feeling. ","Systems approach -   We could look at the systems and the working practices that apply to the entire department and change them for the better.   Either way, all the other staff that could be involved in similar situations in the future would carry on as before.  ","Item 3"]',
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		(int) 17 => array(
			'id' => '3482',
			'course_id' => '116',
			'course_lesson_id' => '544',
			'field_type' => 'paragraph',
			'field_label' => 'Ask yourself -   Of the 2 approaches, which do you think is the best way to respond to this event? ',
			'description' => 'Of the 2 approaches, the systems approach (in short, fixing triage and consultant presence) was far more likely to create a safer department and support the safe care of all patients and the safe working practices of all staff. ',
			'field_order' => '4',
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		),
		(int) 18 => array(
			'id' => '3483',
			'course_id' => '116',
			'course_lesson_id' => '544',
			'field_type' => 'image-bullets',
			'field_label' => 'Blame',
			'description' => 'We have seen in the case study how many different factors combined to allow the final, sad outcome. This is what is meant by the systems approach to safety and why, when systems don't deliver the outcomes we want, it is unfair to assign blame to individual members of staff. 

It is better to look for how we can improve the systems, so that we can reduce the likelihood that it happens again. ',
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			'field_choices' => '["Inappropriate blame -   Inappropriate blame is very damaging. It is natural to blame a person; it's a simple explanation for when things go wrong and being simple it is satisfying. But it is rarely right. When a patient suffers a patient safety incident, the contributory factors of environment, equipment, the way people work together in the team and the way the whole organisation works with other organisations in the system are the factors that contribute to the incident. System factors, not individual members of staff are to blame. ","Response to blame -   The response of blaming our colleagues for problems with systems can be very damaging both to them and to ourselves. It creates a culture in which people are fearful and so they do not raise important issues about safety that involve themselves and their colleagues, for fear that they will be held responsible. That means we do not learn from our colleagues and important safety information is missed. ","Blame suppresses learning -   We need to avoid inappropriate blame and instead move to a just culture where the role that systems play in things going wrong is recognised. In a just culture people are not afraid of inappropriate blame and so feel safer in pointing out where things can be improved. This does not mean they are not accountable. Where people wilfully harm or neglect others then action must be taken but those situations are thankfully very unusual. "]',
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		),
		(int) 19 => array(
			'id' => '3484',
			'course_id' => '116',
			'course_lesson_id' => '545',
			'field_type' => 'media-field',
			'field_label' => ' Risk ',
			'description' => 'We are all aware that risks to patients are everywhere. It may be the risk of falling when a patient is unsteady on their feet or the risk of pressure ulcers developing when someone is immobile for a long period. It may be an unknown allergic reaction to a medication. 

Staff in all professions, whether patient facing or not, will use their professional knowledge to identify risks to their patients and try to manage those risks. This includes clinicians, managers and administrative staff who all contribute to patient safety by creating and delivering systems and processes that seek to minimise risks to patients.  

However, no one person can see the whole picture. That means that everyone caring for patients and service users must be aware of how things might go wrong. The risks might be in their immediate workspace but also in the larger system that delivers care to patients through our healthcare systems.​ 

Patients themselves, their families, carers and representatives will recognise many risk factors that may be hidden from staff. Their involvement in safety and the management of risk is vital in forming a complete picture of risk and safe, compassionate care. ​ ',
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		),
		(int) 20 => array(
			'id' => '3485',
			'course_id' => '116',
			'course_lesson_id' => '545',
			'field_type' => 'image-bullets',
			'field_label' => 'Identifying risks proactively',
			'description' => '',
			'field_order' => '1',
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			'field_choices' => '["Identifying risks -   The NHS Patient Safety Syllabus [4] is focused on identifying risks proactively in addition to making better use of learning from previous investigations. In other words, identifying risks before harm has occurred.      Preventing harm requires an understanding of, and a focus on, risk. It is better to develop a full picture of hazards and their associated risks to patients and to monitor these than to have to ask why a harmful event occurred after the fact. ","Managing risks -   Other safety-critical industries have for many years focused on risk proactively and in this way have become safer and safer.   If we can identify risks upfront in our systems, then we have a good chance of managing them by designing them out or by changing our systems to avoid or minimise our risks. ","Key to safety -   This approach, where risks are identified proactively, is the key to being safe. The NHS Patient Safety Syllabus provides tools and techniques for staff to manage risk proactively and help reduce harm to patients. ","Expand awareness -   This is something that can be done by every single member of staff. If we are allowed to raise concerns without fear of rejection or inappropriate blame, then the NHS expands its awareness by encouraging risk awareness. Not only do we expand our awareness, we unlock the potential for everyone to improve how they and their colleagues do their jobs"]',
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		(int) 21 => array(
			'id' => '3486',
			'course_id' => '116',
			'course_lesson_id' => '546',
			'field_type' => 'media-field',
			'field_label' => 'Raising concerns: patients ',
			'description' => 'In our busy workplaces, many things can be missed just in the course of a normal day. When things get busier still, when the pressure is on, then more and more things are likely to be missed and actively raising concerns about patients becomes more and more valuable. 

For example 

“I don't think Mr Gibson is responding to treatment.” 

“Mrs Jones looks like she might be in pain.” ',
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		(int) 22 => array(
			'id' => '3487',
			'course_id' => '116',
			'course_lesson_id' => '546',
			'field_type' => 'media-field',
			'field_label' => 'Raising concerns: organisation ',
			'description' => 'At an organisational level, many members of staff will recognise deficiencies in the way our systems interact or in how information is dealt with. There are many examples of systems where people were aware of risks or concerns, but these were not raised in a timely fashion, were not fully recognised or even ignored and that led to patient safety incidents. 

For example 

“I've not had training on how to use this software.” 

“We don't have enough staff working on the ward today.” ',
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		(int) 23 => array(
			'id' => '3488',
			'course_id' => '116',
			'course_lesson_id' => '546',
			'field_type' => 'paragraph',
			'field_label' => 'Should you raise a concern? ',
			'description' => 'Do you think raising concerns is always a good thing? 

In every case, raising concerns is a good thing and should be welcomed as such by everyone. Listening to patients, watching them on their journey and informing your colleagues, or your line manager, or one of the team caring for the patient is everyone’s opportunity to create safety in our busy NHS or in other care settings. 

If you are a member of staff to whom the concern is raised, remember our joint responsibility to look after patients and welcome the concern. We have a collective responsibility to manage risk proactively and to welcome the input of all members of staff. 

Freedom to Speak Up Guardians 

Every organisation has a process for raising concerns, for example, through Freedom To Speak Up Guardians who provide independent support and advice to staff who want to raise concerns [5]. 

Make sure that you are aware of Freedom To Speak Up systems or whistle-blower systems, as they are sometimes called and use these responsibly and confidentially to help improve the way we work. ',
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		(int) 24 => array(
			'id' => '3489',
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			'field_type' => 'paragraph',
			'field_label' => 'Summary and next steps ',
			'description' => 'We have covered 4 main areas in this session: 

- the need for a systems approach 

- how a systems approach shows that inappropriate blame is damaging 

- the need to address future risk as well as past harm 

- the importance of raising concerns where necessary 

We have also seen how systems failures can cause tragic events for patients and the critical importance of a patient-centred approach to care. All of these points and many more are explained more fully in further learning sessions of the NHS Patient Safety Syllabus. 

One thing we haven't covered in this session are the local safety priorities where you work. That's because these will be different depending on where you are. It's important to know what they are; your local organisation has been asked to provide the materials you need, either on paper or through your local intranet. 

You have now reached the end of the learning session. 

 ',
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		(int) 25 => array(
			'id' => '3490',
			'course_id' => '116',
			'course_lesson_id' => '548',
			'field_type' => 'paragraph',
			'field_label' => 'References',
			'description' => '1. Panagioti M, Khan K, Keers RN et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ 2019;366:l4185.  

2. Hogan H, Zipfel R, Neuburger J et al. Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. BMJ 2015;351:h3239.  

3. The National Reporting and Learning System (NRLS).  

4. Health Education England. NHS Patient Safety Syllabus. 

5. NHS England. Freedom to speak up.  ',
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		),
		(int) 26 => array(
			'id' => '3491',
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			'course_lesson_id' => '548',
			'field_type' => 'paragraph',
			'field_label' => 'Case study: paediatric meningitis  ',
			'description' => 'Background 

The hospital where these events occurred is a busy NHS hospital. There is an emergency department unit for minor injuries and a full emergency department unit for children only. 

Normal staffing on the children's emergency department consists of 4 nurses, a ward leader, 1 receptionist, a junior doctor and a consultant on call. In practice, because the unit has a number of beds for admissions directly, a consultant is frequently available at short notice. The morale and appearance of the unit are very high and there is a clear team spirit between all staff which is obvious to patients and visitors. 

The events 

Visit 1 

After calling their GP practice, the family of the 8-month-old baby boy were told that no appointments were available in the next 2 days and that if the family were worried, they should take the baby to the emergency department at the local hospital. The baby felt hot, had been vomiting and seemed generally unwell. 

The family first visited the paediatric emergency department unit at 4 pm in the afternoon on a weekday. Mother, grandfather and 8-month-old baby boy came to the unit and after a short wait at reception were seen by a triage nurse (Nurse 1, 4.25pm).  

The baby presented with a high temperature, vomiting, and a slight rash, very much like a large number of patients (up to 35 per day with these symptoms) seen in paediatric emergency department on a daily basis. 

The triage nurse had access to a triage system on her computer. This was not used in this case, reflecting a common view that the system was difficult and long-winded, and that it tended to err on the cautious side when used. The triage nurse was qualified according to the local system to conduct triage, having observed and participated in five sessions with the sister, who signed off on her competence in this role. 

The nurse spoke mostly to the mother. The nurse did not remove the baby from its pram or examine him directly. It was a busy time, and the nurse was coming to the end of a long shift. She was happy to rely on the description of the baby's condition provided by mother and grandfather. She coded the child as 'green', requiring that the patient should be seen within 2 hours. 

The baby was seen after a wait of 1.5 hours by a junior doctor, who picked up the card for the patient and noted the 'green' coding. The doctor observed a faint rash and the fact that it was fully blanching. Despite this, the doctor had concerns about the baby's general lack of responsiveness and slow capillary refill. She therefore contacted her consultant by telephone. After discussion, the consultant concluded that there was no immediate danger, although both the doctor and the consultant were worried about the child. The junior doctor sent the patient home (6.55pm) and instructed the family to check on the baby every hour. The patient was prescribed a paracetamol suspension and the parents told to watch the baby closely and bring him back if the condition worsened. 

Visit 2 

At 9 am on the following morning, mother, father and baby returned to the emergency department. A different triage nurse met with the family at 9.25am but again did not use the computer triage system for the same reasons as other staff. Though the baby was described as worse by the family, the nurse omitted a capillary refill check and any direct examination of the baby (who was asleep on the chest on the father) and graded the infant 'green' to be attended to 'within 2 hours'. The family settled down to wait. 

Unusually, the unit was empty at this point and the baby was seen by a doctor, the same junior doctor as the previous evening, within 6 minutes. It was immediately clear to the doctor that the infant was seriously ill, with poor colour, poor respiration and lack of responsiveness. The baby was immediately taken to resuscitation where he was placed on fluids and antibiotics, transferring to the HDU (High Dependency Unit) of the hospital after 2 hours. The doctor later estimated that the baby was 30 to 60 minutes from death.  

The baby was transferred to a tertiary care centre where he remained for 2 weeks. Though in a critical condition, the baby survived, but is likely to suffer from deafness. He was diagnosed later with bacterial meningitis. 

Other relevant points 

None of the staff involved in this case were described as inexperienced. Both the junior doctor and the consultant said that after the event, they 'knew' there was something wrong with the child but could not support this view with objective evidence. 

Key issues and discussion points  

For this case study, we have set out some key discussion points that can form a basis for personal reflection or for a group review and discussion of the case. The aims are to consider how systems and culture affect the way we care for patients. 

Let's remind ourselves of the timeline of events for the case study. 

Parents arrive at the hospital at 4pm with their baby who has a high temperature and is vomiting. 

The triage nurse grades the baby as green. 

The FY2 doctor examines the baby and calls the consultant. 

The FY2 doctor and consultant discuss the case. The consultant prescribes paracetamol and sends the baby and parents home at 6.55pm. 

At 9am the following day, the parents return to the hospital with their baby. 

At 9.25am, a different triage nurse grades the baby as green. 

The FY2 doctor examines the baby and transfers them to resus. Fluids and antibiotics are administered at 9.35am. 

The baby in transferred to the high dependency unit (HDU) and then to the specialist unit. 

Triage 

In both visits, the baby was triaged by a nurse qualified in triage under local procedures. Neither nurse examined the baby directly but questioned his carers instead. Neither nurse used the computer-based support programme for the triage systems the department had adopted.  

Key questions: 

Should the nurses have examined the baby? 

Should the nurses have used the computer-based triage system? 

Why did both nurses act in the same way at triage? 

Would you consider any failings here to be individually based, systems-based or both? 

Diagnosis 

The junior doctor conducted the appropriate tests used commonly for serious meningitis; the chief risk associated with this presentation. Though she concluded that the criteria for a positive diagnosis had not been met (and the consultant agreed), she was not wholly satisfied that the condition wasn't more serious than a simple viral infection. Nevertheless, the baby was discharged to be cared for by his family, with a paracetamol suspension. 

Key questions: 

Were the doctors correct in their decision to discharge the baby? 

What factors might have mitigated against a decision to admit the baby? 

What role does the disquiet of the doctors play here? Should 'feelings' or 'intuition' play a part in caring for patients? 

Handover of care 

The doctors, after visit 1, handed the care of the baby over to his family. They were asked to check on him hourly and bring him back to the emergency department if he became more poorly and prescribed paediatric paracetamol to treat the fever. Though the family said he had worsened overnight, he wasn't brought in again until he was acutely, dangerously unwell. 

Key questions: 

Was the handover of care effective? 

What does 'check on him every hour' mean to a doctor or a nurse? 

What does 'check on him every hour' mean to a parent or a carer? 

Failures and risks in the care of the baby 

Now let's look at different factors relevant to the care of the baby. 

Triage 

The baby was triaged at 2 different points by 2 different triage nurses; at 4pm when the baby 1st arrived and then again at 9.25am the following morning. Each time the baby was graded as green.  

Consider the following: 

Ergonomics. Usability of the computer-based triage system. 

Training. Was training and certification of triage adequate?  

Procedures and job support. Were triage procedures clear, fit-for-purpose and usable in real situations? Were any visual supports or guides required? 

Communications and decision-making. Why had the staff problems with the triage screen not been addressed? 

Culture. Both nurses acted in the same way. Was this an indication of a widespread cultural problem? 

Diagnosis and decision to discharge 

After examining the baby when they were first admitted, the FY2 doctor discussed the case with the consultant, prescribed paracetamol and sent the baby home.  

Consider the following: 

Decision-making. Did the doctors decide correctly to discharge the baby? Was the slow capillary refill a concern? Had they managed the risks of further deterioration adequately? 

Organisational culture. The organisation was sometimes reluctant to admit in these cases. Did this culture affect clinical decisions? 

Handover of care 

The baby returned home with their parents at 6.55pm.  

Consider the following: 

Communications. Did the doctor give the right instructions to the family? 

Communications. Did the family have the ability to listen carefully to the doctor while worried and concerned? 

Communications. Would written guidance have helped the family to check on the baby more effectively? 

Organisational learning 

What lessons were learned from this case?  

Consider the following: 

Reporting. Was the incident recorded? 

Systems analysis. Were the issues raised and addressed through an investigation? 

Organisational learning. Were these issues discussed more widely across and between Trusts? ',
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CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


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			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 16:18:21'
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		'record_id' => '124',
		'type' => 'course',
		'created_user_id' => '8779',
		'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg',
		'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
		'mime_type' => 'image/jpeg',
		'title' => '',
		'alt_text' => '',
		'description' => '',
		'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg"}',
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$attachmentId = '1532'
$termId = (int) 6
$taxTerms = array(
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		(int) 3 => 'Primary',
		(int) 2 => 'KS3 (11-14)',
		(int) 1 => 'KS4 (14-16)',
		(int) 13 => 'KS5 (16-18)',
		(int) 5 => 'Young people not in education or work',
		(int) 18 => 'Graduates',
		(int) 19 => 'Employability programmes',
		(int) 20 => 'Career change',
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	),
	'Course Type' => array(
		(int) 62 => 'Profession',
		(int) 63 => 'Work Experience',
		(int) 61 => 'Careers',
		(int) 59 => 'Creating Careers: A Step Ahead  Programme',
		(int) 21 => 'In person experiences',
		(int) 9 => 'Interactive',
		(int) 10 => 'Live Sessions',
		(int) 22 => 'Non-accredited programme',
		(int) 11 => 'Podcasts',
		(int) 60 => 'Skills in the Workplace',
		(int) 12 => 'Webinars'
	),
	'Age Bracket' => array(
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		(int) 58 => '12 - 13',
		(int) 17 => '14 - 16',
		(int) 7 => '16 - 18',
		(int) 6 => '18+'
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)
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	(int) 244 => '3',
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	(int) 285 => '5',
	(int) 201 => '6',
	(int) 200 => '7',
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	(int) 679 => '25',
	(int) 944 => '26',
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	(int) 681 => '30',
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	(int) 1521 => '39',
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	(int) 5264 => '60',
	(int) 6359 => '61',
	(int) 6357 => '62',
	(int) 5774 => '63',
	(int) 6356 => '64'
)
$terms = array(
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)
$termName = 'Age Bracket'
$name = '18+'
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$termGroups = array(
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)
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		(int) 8 => '12',
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		(int) 10 => '6'
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	(int) 120 => array(
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		(int) 2 => '18',
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		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
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		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
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		'CourseLesson' => array(
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				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
				[maximum depth reached]
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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			(int) 6 => array(
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			(int) 7 => array(
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			(int) 8 => array(
				[maximum depth reached]
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			(int) 9 => array(
				[maximum depth reached]
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		),
		'CourseLessonField' => array(
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				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
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			(int) 4 => array(
				[maximum depth reached]
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			(int) 5 => array(
				[maximum depth reached]
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			(int) 6 => array(
				[maximum depth reached]
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			(int) 7 => array(
				[maximum depth reached]
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			(int) 8 => array(
				[maximum depth reached]
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			(int) 9 => array(
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			(int) 10 => array(
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			(int) 11 => array(
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			(int) 12 => array(
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			(int) 13 => array(
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			(int) 14 => array(
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			(int) 15 => array(
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			(int) 17 => array(
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			(int) 18 => array(
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			(int) 19 => array(
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			(int) 20 => array(
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			(int) 21 => array(
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			(int) 25 => array(
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			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
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				[maximum depth reached]
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			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
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			(int) 579 => array(
				[maximum depth reached]
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			(int) 580 => array(
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			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3640',
			(int) 1 => '3641',
			(int) 2 => '3642',
			(int) 3 => '3643',
			(int) 4 => '3644',
			(int) 5 => '3645',
			(int) 6 => '3646',
			(int) 7 => '3647',
			(int) 8 => '3648',
			(int) 9 => '3649',
			(int) 10 => '3650',
			(int) 11 => '3651',
			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
		)
	),
	(int) 2 => array(
		'Course' => array(
			'id' => '122',
			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
			'banner_media_id' => '1721',
			'thumbnail_media_id' => '1722',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3561',
			(int) 1 => '3562',
			(int) 2 => '3563',
			(int) 3 => '3564',
			(int) 4 => '3565',
			(int) 5 => '3566',
			(int) 6 => '3567',
			(int) 7 => '3568',
			(int) 8 => '3569',
			(int) 9 => '3570',
			(int) 10 => '3571',
			(int) 11 => '3572',
			(int) 12 => '3573',
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			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
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			'created' => '2024-08-07 09:50:04',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
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			(int) 25 => array(
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			),
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				[maximum depth reached]
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			(int) 30 => array(
				[maximum depth reached]
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				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
			'banner_media_id' => '1616',
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			'created_user_id' => '8779',
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			'expired' => '0',
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			'created' => '2024-08-06 14:59:06',
			'modified' => '2024-08-07 14:26:42',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'field_count' => (int) 52,
			'answer_count' => (int) 0,
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			(int) 5 => array(
				[maximum depth reached]
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			(int) 6 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
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			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
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			(int) 17 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 19 => array(
				[maximum depth reached]
			),
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			(int) 13 => array(
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
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			),
			(int) 32 => array(
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			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			)
		),
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				[maximum depth reached]
			),
			(int) 528 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 531 => array(
				[maximum depth reached]
			)
		),
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			(int) 5 => array(
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			),
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				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			)
		),
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			(int) 2 => '3310',
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			(int) 5 => '3313',
			(int) 6 => '3314',
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			(int) 10 => '3318',
			(int) 11 => '3319',
			(int) 12 => '3320',
			(int) 13 => '3321',
			(int) 14 => '3322',
			(int) 15 => '3323',
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			(int) 17 => '3325',
			(int) 18 => '3326',
			(int) 19 => '3327',
			(int) 20 => '3328',
			(int) 21 => '3329',
			(int) 22 => '3330',
			(int) 23 => '3331',
			(int) 24 => '3332',
			(int) 25 => '3333',
			(int) 26 => '3334',
			(int) 27 => '3335',
			(int) 28 => '3336',
			(int) 29 => '3337',
			(int) 30 => '3338',
			(int) 31 => '3339',
			(int) 32 => '3340',
			(int) 33 => '3341',
			(int) 34 => '3342',
			(int) 35 => '3343',
			(int) 36 => '3344',
			(int) 37 => '3345',
			(int) 38 => '3346',
			(int) 39 => '3347',
			(int) 40 => '3348',
			(int) 41 => '3349',
			(int) 42 => '3350',
			(int) 43 => '3351'
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	),
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		'Course' => array(
			'id' => '116',
			'course_title' => 'Patient Safety Syllabus Training, Level 1',
			'description' => 'The information is for everyone in the service. &nbsp;<br />It's about:&nbsp;&nbsp;<br />listening to patients and raising concerns&nbsp;<br />the systems approach to safety, where instead of focusing on the performance of individual members of staff, we try to improve the way we work&nbsp;<br />avoiding inappropriate blame when things don't go well&nbsp;<br />creating a just culture that prioritises safety and is open to learning about risk and safety&nbsp;<br />Further sessions in this syllabus build on these essentials so that staff may become Patient Safety Practitioners or Advanced Practitioners or simply strengthen their approach to patient safety.',
			'banner_media_id' => '1655',
			'thumbnail_media_id' => null,
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			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 11:46:11',
			'modified' => '2024-08-07 14:22:11',
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			'thumbnail_src' => '',
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			),
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			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
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			(int) 13 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
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		),
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			(int) 3 => '3468',
			(int) 4 => '3469',
			(int) 5 => '3470',
			(int) 6 => '3471',
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			(int) 8 => '3473',
			(int) 9 => '3474',
			(int) 10 => '3475',
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			(int) 12 => '3477',
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			(int) 14 => '3479',
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			(int) 23 => '3488',
			(int) 24 => '3489',
			(int) 25 => '3490',
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	),
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		'Course' => array(
			'id' => '115',
			'course_title' => 'Manual Handling Module A&B',
			'description' => 'Welcome to this e-Learning package, Manual Handling.&nbsp;&nbsp;<br />This is for all staff including contractors, unpaid and voluntary.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1534',
			'thumbnail_media_id' => '1532',
			'logo_media_id' => null,
			'banner_align_id' => '5',
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			'created_user_id' => '8779',
			'course_length' => '40 minutes',
			'expiry_date' => null,
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			'active' => '1',
			'created' => '2024-08-06 09:47:13',
			'modified' => '2024-08-07 14:25:44',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'field_count' => (int) 48
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				[maximum depth reached]
			),
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			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
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			),
			(int) 47 => array(
				[maximum depth reached]
			)
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				[maximum depth reached]
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			),
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				[maximum depth reached]
			),
			(int) 524 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			)
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				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
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			(int) 3 => array(
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			),
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			(int) 11 => array(
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			),
			(int) 12 => array(
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			),
			(int) 13 => array(
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			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
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			'course_title' => 'Infection Prevention & Control (Core Skills) 2',
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			'course_length' => '60 minutes',
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			'active' => '1',
			'created' => '2024-08-05 14:33:41',
			'modified' => '2024-08-07 14:25:02'
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			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23'
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			'course_lesson_id' => '520',
			'field_type' => 'paragraph',
			'field_label' => 'What you will learn in this session ',
			'description' => 'Why correct moving and handling is important  

What the law says about moving and handling: the legislation, policies and procedures   

The TRUST’S (your employer) responsibilities around moving and handling, and the steps THEY must take to protect you  

YOUR responsibilities around moving and handling, and the steps YOU must take to protect you and those around you  

To recognise risk factors that may cause injury  

The correct posture for safer moving and handling  

The importance of good back care  

How to carry out a risk assessment  

How to control risk  

The importance of good communication and a team approach ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:49:12',
			'modified' => '2024-08-06 09:49:12'
		),
		(int) 1 => array(
			'id' => '3257',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'text-image',
			'field_label' => 'Why this is important ',
			'description' => 'Moving and handling is an everyday activity both at work and at home.  

Around 5000 moving and handling injuries are reported each year in health and care services.  

40% of work related sickness in health and social care settings is due to moving and handling injuries. ',
			'field_order' => '0',
			'attachment_id' => '1499',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 2 => array(
			'id' => '3258',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'paragraph',
			'field_label' => 'What the law says ',
			'description' => 'Moving and handling is covered by the in order to protect employers, employees and the public.  

Moving and handling is legislated by The Health & Safety, etc. Act (1974) and Manual Handling Operations Regulations (1992 - amended 2004) ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 3 => array(
			'id' => '3259',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'text-image',
			'field_label' => 'For moving and handing, the Trust has a responsibility to: ',
			'description' => 'AVOID moving and handling activities if there is a risk of injury to you;  

ASSESS moving and handling activities, if it cannot be avoided;  

REDUCE the risk of injury to employees as far as reasonably possible, and to;  

REVIEW risk assessments regularly.',
			'field_order' => '2',
			'attachment_id' => '1501',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 4 => array(
			'id' => '3260',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'paragraph',
			'field_label' => 'The TRUST must take the following steps to protect you: ',
			'description' => 'Have policies and procedures in place and available to all employees. 

Specialist roles, such as moving and handling advisors, to be available for advice and provide support. 

Complete risk assessments and regular audits; act upon any findings and make these available to employees. 

Provide training and guidance. 

Provide the correct equipment for safe moving and handling activities. 

Provide support services, such as Occupational Health. ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 5 => array(
			'id' => '3261',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'media-field',
			'field_label' => 'You have a responsibility to: ',
			'description' => 'Follow all policies, procedure, and guidance. 

Read and follow the Trust’s moving and handling policy. 

Use the equipment provided properly. 

NOT misuse or interfere with equipment provided for your safety. 

Co-operate with the Trust and the specialist roles on moving and handling matters. 

Tell your line manager, or other relevant staff member, if you identify any moving and handling issues or defect in equipment. 

Ensure that your activities, or omissions, do not put you or others at risk. ',
			'field_order' => '4',
			'attachment_id' => '1502',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 6 => array(
			'id' => '3262',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'media-field',
			'field_label' => 'Moving and handling defined: ',
			'description' => '“ ...any transporting or supporting of a load  (including the lifting, putting down, pushing, pulling, carrying or moving thereof) by hand or bodily force.”   

 “A load is defined as an object, a person or an animal.”   

 (Manual Handling Operations Regulations, 1992) ',
			'field_order' => '5',
			'attachment_id' => '1503',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 7 => array(
			'id' => '3263',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'media-field',
			'field_label' => 'Moving and handling help, guidance, and support ',
			'description' => 'MANUAL HANDLING CHAMPIONS Each ward/department should have a manual and handling champion. They are there to support you in any moving and handling queries. You can find the details of your Champion on your ward/departmental staff notice board. 

THE HEALTH AND SAFETY TEAM The Health and safety Team are available to give further support and guidance. 

PRACTICE EDUCATORS Provide training days and drop in sessions throughout the year.  

THE HEALTH AND SAFETY WEBSITE There is guidance on moving and handling available on the webpage - accessed via the Home page / Corporate Departments / Governance / Health and Safety. 

PROCEDURAL DOCUMENT LIBRARY Search for ‘Manual Handling Techniques’ to access the most up-to-date document. ',
			'field_order' => '6',
			'attachment_id' => '1505',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 8 => array(
			'id' => '3264',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'paragraph',
			'field_label' => 'Hard Copies',
			'description' => 'Please do not rely on paper ‘hard copies’ of the Manual Handling Techniques Standard Operating Procedure , which may be available in departmental staff rooms, as these may not be the latest version, meaning that the information may be out-of-date and incorrect.  

All Trust policies, procedures, risk assessments, and standard operating procedures are available on the Trust’s Procedure Document Library via the staff intranet page. ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 9 => array(
			'id' => '3265',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'media-field',
			'field_label' => 'The spine and back',
			'description' => 'The spine consists of:  

- Spinal cord  

- Vertebrae  

- Intervertebral discs  

- Ligaments  

- Tendons  

- Muscles     

Ensuring good musculo-skeletal health is essential to enable safe moving and handling. ',
			'field_order' => '1',
			'attachment_id' => '1506',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 10 => array(
			'id' => '3266',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'media-field',
			'field_label' => 'Most common injuries',
			'description' => 'Musculoskeletal disorders to the back and limbs including damage to:   

- Joints  

- Muscles  

- Tendons & ligaments  

- Intervertebral discs  

- Repetitive Strain Injury  

- Hernias  

- Abrasions/bruises  

- Wear and tear  

- Fractures ',
			'field_order' => '2',
			'attachment_id' => '1507',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 11 => array(
			'id' => '3267',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'media-field',
			'field_label' => 'Promoting healthy back care ',
			'description' => 'Key activities include:     

- Always ensure a good posture  

- Try to use a chair with a backrest   

- Change how you sit every few minutes    

- Stay active and exercise  

- Particularly strengthen abdominal and back muscles    

- Maintain a healthy weight  

- Quit smoking  

- Reduce stress   

(NHS Choices) ',
			'field_order' => '3',
			'attachment_id' => '1508',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 12 => array(
			'id' => '3268',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'ergonomic: designing and arranging things people use so that they interact most efficiently and safely  ',
			'description' => 'Fitting the job to the person rather than the person to the job  

TILE 

Task 

Individual capability 

Load 

Environment ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 13 => array(
			'id' => '3269',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Questions to ask',
			'description' => 'Task 

- Why am I moving the person / load?  

- Can the move be avoided in some way?  

- How often will I perform this task?  

- Where am I going to and from?  

- What is the most effective / safest way of fulfilling the task? ',
			'field_order' => '1',
			'attachment_id' => '1509',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 14 => array(
			'id' => '3270',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'Individual capability ',
			'description' => '- Does it need unusual capabilities?  (e.g. greater strength, increased knowledge of moves)  

- Am I the best person to do this?  

- Does my health affect my ability?  

- Do I require specific information/training?  

- Does it require a team approach?  

- Do I require protective clothing and will this hinder me? ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 15 => array(
			'id' => '3271',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Load ',
			'description' => '- Heavy?  

- Bulky or unwieldy?  

- An odd shape?  

- Difficult to grasp?  

- Unstable or unpredictable?  

- Hot or cold?  

- Sharp?  

- Slippery? ',
			'field_order' => '3',
			'attachment_id' => '1510',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 16 => array(
			'id' => '3272',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Environment ',
			'description' => 'Consider the following:  

- Lack of space to move  

- High or low work surfaces  

- Uneven or slippery floors  

- Steps  

- Inadequate lighting  

- Cold, hot or humid  

- Obstructions',
			'field_order' => '4',
			'attachment_id' => '1511',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 17 => array(
			'id' => '3273',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'Other possible risk factors ',
			'description' => 'Consider:  

- Previous or existing injuries  

- Psycho / social factors  

- Availability of equipment  

- Use of protective clothing ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 18 => array(
			'id' => '3274',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Key Point:    ',
			'description' => 'You are expected to be aware of and use the Principles of Safer Handling to promote your safety. 

-- Stop and think 

- Stable base 

- Assess the load 

- Prepare the area 

- Spine in line 

- Firm hold 

- Hold the load close to the body 

- Lead with the head up 

- Clear commands 

Move smoothly ',
			'field_order' => '6',
			'attachment_id' => '1512',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 19 => array(
			'id' => '3275',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'Assessment leads to a plan ',
			'description' => 'STOP 

THINK 

PROBLEM SOLVE ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 20 => array(
			'id' => '3276',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => ' Position your feet correctly',
			'description' => '- Position your feet apart  

- Place the leading leg as far forward as is comfortable  

- Try to position the leading leg  in the direction you intend to go  

- Wear suitable footwear ',
			'field_order' => '8',
			'attachment_id' => '1513',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 21 => array(
			'id' => '3277',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => ' Adopt a good posture ',
			'description' => '- Keep your spine in line. Maintain normal curve  

- Bend your knees  

- Don’t over-flex your joints  

- Keep your shoulders level  

- Raise your head  

- Face same direction as the hips ',
			'field_order' => '9',
			'attachment_id' => '1514',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 22 => array(
			'id' => '3278',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Get a good hold',
			'description' => '- Keep arms within the boundary formed by your legs  

- Keep the load as close to your centre of gravity as possible  

- Get a firm grip  

- Is the load hot or cold?  

- Do you need gloves? ',
			'field_order' => '10',
			'attachment_id' => '1515',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 23 => array(
			'id' => '3279',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Use equipment to move objects ',
			'description' => '- Keep arms within the boundary formed by your legs  

- Keep the load as close to your centre of gravity as possible  

- Get a firm grip  

- Is the load hot or cold?  

- Do you need gloves? ',
			'field_order' => '11',
			'attachment_id' => '1516',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 24 => array(
			'id' => '3284',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'media-field',
			'field_label' => 'HSE: Numerical guidelines for lifting and lowering loads ',
			'description' => '1kg = 1 bag of sugar or 1 litre of fluid 

WOMEN 

- Shoulder height: 

- Arm’s length: 3kg 

- Close to the body: 7kg 

- Elbow height:  

- Arm’s length: 7kg 

- Close to the body: 13kg 

- Knuckle height:  

- Arm’s length: 10kg 

- Close to the body: 16kg 

- Mid lower leg height: 

- Arm’s length: 7kg 

- Close to the body: 13kg 

- Floor height: 

- Arm’s length: 3kg 

- Close to the body: 7kg 

MEN 

- Shoulder height: 

- Arm’s length: 5kg 

- Close to the body: 10kg 

- Elbow height:  

- Arm’s length: 10kg 

- Close to the body: 20kg 

- Knuckle height:  

- Arm’s length: 15kg 

- Close to the body: 25kg 

- Mid lower leg height: 

- Arm’s length: 10kg 

- Close to the body: 20kg 

- Floor height: 

- Arm’s length: 5kg 

- Close to the body: 10kg 

KEY POINT:  

Weights to be lifted may need to be reduced below the guideline values if there are any factors that could affect the moving and handling activity ',
			'field_order' => '0',
			'attachment_id' => '1519',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 25 => array(
			'id' => '3285',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'media-field',
			'field_label' => 'Pushing and pulling guidelines ',
			'description' => 'Assuming force applied with hands between knuckles and shoulder height, the figures below highlight the recommended maximum amount of force that needs to be applied to push / pull a load. 

GUIDELINES FOR STOPPING/STARTING A LOAD 

MALE 

20kgs (i.e. about 200 newtons) 

FEMALE 

15kgs (i.e. about 150 newtons) 

GUIDELINES FOR KEEPING THE LOAD IN MOTION 

MALE 

10kgs (i.e. about 100 newtons) 

FEMALE 

7kgs (i.e. about 70 newtons) 

e.g. 1 x full metal 1100 litre wheeled bin requires 70 Newtons 

OVER THE STATED GUIDELINES AN ASSESSMENT HAS TO BE UNDERTAKEN. ',
			'field_order' => '2',
			'attachment_id' => '1520',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 26 => array(
			'id' => '3286',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'paragraph',
			'field_label' => 'Guidelines for handling whilst seated',
			'description' => 'MALE 

5kg  = approx 5 reams of A4 printer paper 

FEMALE 

3kg  = approx 3 reams of A4 printer paper ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 27 => array(
			'id' => '3287',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'media-field',
			'field_label' => 'Team handling',
			'description' => 'Lifting as a team does not mean you can lift lots more weight!  

Two people cannot lift twice as much, only 2/3 the sum of their individual capabilities. 

Three people cannot lift three times as much, only 1/2 the sum of their individual capabilities. 

Think about the dignity and safety of everyone. 

Identify the lead to coordinate the move. ',
			'field_order' => '3',
			'attachment_id' => '1521',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 28 => array(
			'id' => '3288',
			'course_id' => '115',
			'course_lesson_id' => '525',
			'field_type' => 'text-links',
			'field_label' => 'Sources of information',
			'description' => 'Your local Moving and Handling Advisor  <br><br>Health and Safety Executive:    <br><br><a href="http://www.hse.gov.uk">www.hse.gov.uk</a> <br><br>National Back Exchange:  <br><br><a href="http://www.nationalbackexchange.org">www.nationalbackexchange.org</a> ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:00:49',
			'modified' => '2024-08-06 11:00:49'
		),
		(int) 29 => array(
			'id' => '3289',
			'course_id' => '115',
			'course_lesson_id' => '525',
			'field_type' => 'paragraph',
			'field_label' => 'Further Training',
			'description' => 'For all newly appointed staff who will be involved in patient care, a further practical session will be provided for you to attend in order for you to comply with the Trust’s Manual Handling Techniques SOP. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:00:49',
			'modified' => '2024-08-06 11:00:49'
		),
		(int) 30 => array(
			'id' => '3290',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => ' Which of the following are considered risk factors in the development of musculoskeletal disorders?',
			'description' => 'select one or more answers',
			'field_order' => '0',
			'attachment_id' => '1522',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Heavy manual labour ","Awkward postures ","Pushing and pulling equipment ","Previous or existing injuries "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 31 => array(
			'id' => '3291',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'Safe moving and handling breaks an activity into 4 key areas, known as TILE. Which is the correct combination of the 4 key areas?',
			'description' => 'select an answer ',
			'field_order' => '1',
			'attachment_id' => '1524',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Task \/ Individual \/ Load \/ Environment  ","Task \/ Individual \/ Lifting \/ Equipment  ","Task \/ Individual \/ Lifting \/ Environment  "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 32 => array(
			'id' => '3292',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'The ergonomic approach to manual handling can be defined as which of the following: ',
			'description' => 'select an answer',
			'field_order' => '2',
			'attachment_id' => '1523',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Fitting the job to the person rather than the person to the job ","The specific weight limits a woman can pick up ","The specific weight limits a man can pick up ","Pulling something instead picking it up "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 33 => array(
			'id' => '3293',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'What should you do if a load is sharp or very hot or cold?',
			'description' => 'select an answer',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Use protective equipment (e.g. gloves, mask) ","Hold the load away from your body ","Break it down into smaller loads  "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 34 => array(
			'id' => '3294',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following may have a serious impact on the way in which manual handling is carried out? ',
			'description' => 'select one or more answers',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Uneven floors ","Restrictive clothing ","Harsh lighting ","Hot environment ","Inappropriate footwear "]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 35 => array(
			'id' => '3295',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'When conducting a moving and handling procedure you should position your feet apart and place the leading leg as far forward as is comfortable. ',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => '1525',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 36 => array(
			'id' => '3296',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'A load becomes more difficult to handle if it is held in which of the following ways: ',
			'description' => 'select one or more answers ',
			'field_order' => '6',
			'attachment_id' => '1526',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Above the shoulders ","Below your knees ","Away from the body (i.e. with arms stretched out) "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 37 => array(
			'id' => '3297',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'When using equipment to move an object you should:',
			'description' => 'select one or more answers ',
			'field_order' => '7',
			'attachment_id' => '1527',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Be trained to use handling equipment ","Always check equipment prior to use ","Report any concerns regarding damage ","Check it is suitable for the task  "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 38 => array(
			'id' => '3298',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'According to HSE Guidelines two people working as a team can lift twice as much as one person. ',
			'description' => 'select an answer',
			'field_order' => '8',
			'attachment_id' => '1528',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 39 => array(
			'id' => '3299',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'There are legal responsibilities on both the employer and the employee to ensure safe moving and handling practices. ',
			'description' => 'select an answer',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 40 => array(
			'id' => '3300',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where can you find information that would help you to reduce the risk of injury to yourself and others when moving and handling? ',
			'description' => 'select one or more answers',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Your employer\u2019s policies and procedures ","The Health and Safety Executive website ","Occupational Health ","The NHS Jobs website "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 41 => array(
			'id' => '3301',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are the potential adverse consequences of not carrying out an adequate risk assessment? ',
			'description' => 'select one or more answers',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Serious harm or injury to others ","Serious harm or injury to employees ","Raised levels of sickness absence ","Legal action against the organisation ","Additional unnecessary costs to the Trust ","Saving time and money for all concerned "]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 42 => array(
			'id' => '3302',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'Your knees must always be straight when lifting. ',
			'description' => 'select an answer ',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 43 => array(
			'id' => '3303',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'Staying active, exercising and maintaining a healthy weight reduces the risk of the occurrence of injury during moving and handling procedures. ',
			'description' => 'select an answer',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 44 => array(
			'id' => '3304',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => ' Where should the Manual Handling Techniques Safe Operating Procedures NOT be found?',
			'description' => 'select one or more answers ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A printed copy kept in the ward\/department office ","In the departments\u2019 break room ","The Trust Procedural Library "]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 45 => array(
			'id' => '3305',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'As an employer, which of the following is the Trust responsible for regarding manual handling? ',
			'description' => 'select one or more answers',
			'field_order' => '15',
			'attachment_id' => '1529',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Avoid manual handling activities were deemed possible ","Assess manual handling activities if not avoidable ","Reduce the risk of injury ","Review Risk Assessments regularly ","Save money by not providing equipment and correct PPE "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 46 => array(
			'id' => '3306',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following will help prevent back issues? ',
			'description' => 'select one or more answers',
			'field_order' => '16',
			'attachment_id' => '1530',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Maintaining a good posture ","Staying active and exercising ","Quitting smoking ","Maintaining a healthy weight ","Reducing stress "]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
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			'created' => '2024-08-06 11:41:15',
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		),
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			'id' => '3307',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => ' Who can you contact if you have a manual handling issue? ',
			'description' => 'select one or more answers',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The Trust manual handling trainer","The Health and Safety Department ","The department Manual Handling Champion ","Practice educators "]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
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			'course_id' => '115',
			'course_lesson_id' => '520',
			'field_type' => 'paragraph',
			'field_label' => 'What you will learn in this session ',
			'description' => 'Why correct moving and handling is important  

What the law says about moving and handling: the legislation, policies and procedures   

The TRUST’S (your employer) responsibilities around moving and handling, and the steps THEY must take to protect you  

YOUR responsibilities around moving and handling, and the steps YOU must take to protect you and those around you  

To recognise risk factors that may cause injury  

The correct posture for safer moving and handling  

The importance of good back care  

How to carry out a risk assessment  

How to control risk  

The importance of good communication and a team approach ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'active' => '1',
			'created' => '2024-08-06 09:49:12',
			'modified' => '2024-08-06 09:49:12'
		),
		(int) 1 => array(
			'id' => '3257',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'text-image',
			'field_label' => 'Why this is important ',
			'description' => 'Moving and handling is an everyday activity both at work and at home.  

Around 5000 moving and handling injuries are reported each year in health and care services.  

40% of work related sickness in health and social care settings is due to moving and handling injuries. ',
			'field_order' => '0',
			'attachment_id' => '1499',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 2 => array(
			'id' => '3258',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'paragraph',
			'field_label' => 'What the law says ',
			'description' => 'Moving and handling is covered by the in order to protect employers, employees and the public.  

Moving and handling is legislated by The Health & Safety, etc. Act (1974) and Manual Handling Operations Regulations (1992 - amended 2004) ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 3 => array(
			'id' => '3259',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'text-image',
			'field_label' => 'For moving and handing, the Trust has a responsibility to: ',
			'description' => 'AVOID moving and handling activities if there is a risk of injury to you;  

ASSESS moving and handling activities, if it cannot be avoided;  

REDUCE the risk of injury to employees as far as reasonably possible, and to;  

REVIEW risk assessments regularly.',
			'field_order' => '2',
			'attachment_id' => '1501',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 4 => array(
			'id' => '3260',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'paragraph',
			'field_label' => 'The TRUST must take the following steps to protect you: ',
			'description' => 'Have policies and procedures in place and available to all employees. 

Specialist roles, such as moving and handling advisors, to be available for advice and provide support. 

Complete risk assessments and regular audits; act upon any findings and make these available to employees. 

Provide training and guidance. 

Provide the correct equipment for safe moving and handling activities. 

Provide support services, such as Occupational Health. ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 5 => array(
			'id' => '3261',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'media-field',
			'field_label' => 'You have a responsibility to: ',
			'description' => 'Follow all policies, procedure, and guidance. 

Read and follow the Trust’s moving and handling policy. 

Use the equipment provided properly. 

NOT misuse or interfere with equipment provided for your safety. 

Co-operate with the Trust and the specialist roles on moving and handling matters. 

Tell your line manager, or other relevant staff member, if you identify any moving and handling issues or defect in equipment. 

Ensure that your activities, or omissions, do not put you or others at risk. ',
			'field_order' => '4',
			'attachment_id' => '1502',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 6 => array(
			'id' => '3262',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'media-field',
			'field_label' => 'Moving and handling defined: ',
			'description' => '“ ...any transporting or supporting of a load  (including the lifting, putting down, pushing, pulling, carrying or moving thereof) by hand or bodily force.”   

 “A load is defined as an object, a person or an animal.”   

 (Manual Handling Operations Regulations, 1992) ',
			'field_order' => '5',
			'attachment_id' => '1503',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 7 => array(
			'id' => '3263',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'media-field',
			'field_label' => 'Moving and handling help, guidance, and support ',
			'description' => 'MANUAL HANDLING CHAMPIONS Each ward/department should have a manual and handling champion. They are there to support you in any moving and handling queries. You can find the details of your Champion on your ward/departmental staff notice board. 

THE HEALTH AND SAFETY TEAM The Health and safety Team are available to give further support and guidance. 

PRACTICE EDUCATORS Provide training days and drop in sessions throughout the year.  

THE HEALTH AND SAFETY WEBSITE There is guidance on moving and handling available on the webpage - accessed via the Home page / Corporate Departments / Governance / Health and Safety. 

PROCEDURAL DOCUMENT LIBRARY Search for ‘Manual Handling Techniques’ to access the most up-to-date document. ',
			'field_order' => '6',
			'attachment_id' => '1505',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 8 => array(
			'id' => '3264',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'paragraph',
			'field_label' => 'Hard Copies',
			'description' => 'Please do not rely on paper ‘hard copies’ of the Manual Handling Techniques Standard Operating Procedure , which may be available in departmental staff rooms, as these may not be the latest version, meaning that the information may be out-of-date and incorrect.  

All Trust policies, procedures, risk assessments, and standard operating procedures are available on the Trust’s Procedure Document Library via the staff intranet page. ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 9 => array(
			'id' => '3265',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'media-field',
			'field_label' => 'The spine and back',
			'description' => 'The spine consists of:  

- Spinal cord  

- Vertebrae  

- Intervertebral discs  

- Ligaments  

- Tendons  

- Muscles     

Ensuring good musculo-skeletal health is essential to enable safe moving and handling. ',
			'field_order' => '1',
			'attachment_id' => '1506',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 10 => array(
			'id' => '3266',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'media-field',
			'field_label' => 'Most common injuries',
			'description' => 'Musculoskeletal disorders to the back and limbs including damage to:   

- Joints  

- Muscles  

- Tendons & ligaments  

- Intervertebral discs  

- Repetitive Strain Injury  

- Hernias  

- Abrasions/bruises  

- Wear and tear  

- Fractures ',
			'field_order' => '2',
			'attachment_id' => '1507',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 11 => array(
			'id' => '3267',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'media-field',
			'field_label' => 'Promoting healthy back care ',
			'description' => 'Key activities include:     

- Always ensure a good posture  

- Try to use a chair with a backrest   

- Change how you sit every few minutes    

- Stay active and exercise  

- Particularly strengthen abdominal and back muscles    

- Maintain a healthy weight  

- Quit smoking  

- Reduce stress   

(NHS Choices) ',
			'field_order' => '3',
			'attachment_id' => '1508',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 12 => array(
			'id' => '3268',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'ergonomic: designing and arranging things people use so that they interact most efficiently and safely  ',
			'description' => 'Fitting the job to the person rather than the person to the job  

TILE 

Task 

Individual capability 

Load 

Environment ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 13 => array(
			'id' => '3269',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Questions to ask',
			'description' => 'Task 

- Why am I moving the person / load?  

- Can the move be avoided in some way?  

- How often will I perform this task?  

- Where am I going to and from?  

- What is the most effective / safest way of fulfilling the task? ',
			'field_order' => '1',
			'attachment_id' => '1509',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 14 => array(
			'id' => '3270',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'Individual capability ',
			'description' => '- Does it need unusual capabilities?  (e.g. greater strength, increased knowledge of moves)  

- Am I the best person to do this?  

- Does my health affect my ability?  

- Do I require specific information/training?  

- Does it require a team approach?  

- Do I require protective clothing and will this hinder me? ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 15 => array(
			'id' => '3271',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Load ',
			'description' => '- Heavy?  

- Bulky or unwieldy?  

- An odd shape?  

- Difficult to grasp?  

- Unstable or unpredictable?  

- Hot or cold?  

- Sharp?  

- Slippery? ',
			'field_order' => '3',
			'attachment_id' => '1510',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 16 => array(
			'id' => '3272',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Environment ',
			'description' => 'Consider the following:  

- Lack of space to move  

- High or low work surfaces  

- Uneven or slippery floors  

- Steps  

- Inadequate lighting  

- Cold, hot or humid  

- Obstructions',
			'field_order' => '4',
			'attachment_id' => '1511',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 17 => array(
			'id' => '3273',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'Other possible risk factors ',
			'description' => 'Consider:  

- Previous or existing injuries  

- Psycho / social factors  

- Availability of equipment  

- Use of protective clothing ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 18 => array(
			'id' => '3274',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Key Point:    ',
			'description' => 'You are expected to be aware of and use the Principles of Safer Handling to promote your safety. 

-- Stop and think 

- Stable base 

- Assess the load 

- Prepare the area 

- Spine in line 

- Firm hold 

- Hold the load close to the body 

- Lead with the head up 

- Clear commands 

Move smoothly ',
			'field_order' => '6',
			'attachment_id' => '1512',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 19 => array(
			'id' => '3275',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'Assessment leads to a plan ',
			'description' => 'STOP 

THINK 

PROBLEM SOLVE ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 20 => array(
			'id' => '3276',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => ' Position your feet correctly',
			'description' => '- Position your feet apart  

- Place the leading leg as far forward as is comfortable  

- Try to position the leading leg  in the direction you intend to go  

- Wear suitable footwear ',
			'field_order' => '8',
			'attachment_id' => '1513',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 21 => array(
			'id' => '3277',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => ' Adopt a good posture ',
			'description' => '- Keep your spine in line. Maintain normal curve  

- Bend your knees  

- Don’t over-flex your joints  

- Keep your shoulders level  

- Raise your head  

- Face same direction as the hips ',
			'field_order' => '9',
			'attachment_id' => '1514',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 22 => array(
			'id' => '3278',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Get a good hold',
			'description' => '- Keep arms within the boundary formed by your legs  

- Keep the load as close to your centre of gravity as possible  

- Get a firm grip  

- Is the load hot or cold?  

- Do you need gloves? ',
			'field_order' => '10',
			'attachment_id' => '1515',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 23 => array(
			'id' => '3279',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Use equipment to move objects ',
			'description' => '- Keep arms within the boundary formed by your legs  

- Keep the load as close to your centre of gravity as possible  

- Get a firm grip  

- Is the load hot or cold?  

- Do you need gloves? ',
			'field_order' => '11',
			'attachment_id' => '1516',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 24 => array(
			'id' => '3284',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'media-field',
			'field_label' => 'HSE: Numerical guidelines for lifting and lowering loads ',
			'description' => '1kg = 1 bag of sugar or 1 litre of fluid 

WOMEN 

- Shoulder height: 

- Arm’s length: 3kg 

- Close to the body: 7kg 

- Elbow height:  

- Arm’s length: 7kg 

- Close to the body: 13kg 

- Knuckle height:  

- Arm’s length: 10kg 

- Close to the body: 16kg 

- Mid lower leg height: 

- Arm’s length: 7kg 

- Close to the body: 13kg 

- Floor height: 

- Arm’s length: 3kg 

- Close to the body: 7kg 

MEN 

- Shoulder height: 

- Arm’s length: 5kg 

- Close to the body: 10kg 

- Elbow height:  

- Arm’s length: 10kg 

- Close to the body: 20kg 

- Knuckle height:  

- Arm’s length: 15kg 

- Close to the body: 25kg 

- Mid lower leg height: 

- Arm’s length: 10kg 

- Close to the body: 20kg 

- Floor height: 

- Arm’s length: 5kg 

- Close to the body: 10kg 

KEY POINT:  

Weights to be lifted may need to be reduced below the guideline values if there are any factors that could affect the moving and handling activity ',
			'field_order' => '0',
			'attachment_id' => '1519',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 25 => array(
			'id' => '3286',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'paragraph',
			'field_label' => 'Guidelines for handling whilst seated',
			'description' => 'MALE 

5kg  = approx 5 reams of A4 printer paper 

FEMALE 

3kg  = approx 3 reams of A4 printer paper ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 26 => array(
			'id' => '3285',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'media-field',
			'field_label' => 'Pushing and pulling guidelines ',
			'description' => 'Assuming force applied with hands between knuckles and shoulder height, the figures below highlight the recommended maximum amount of force that needs to be applied to push / pull a load. 

GUIDELINES FOR STOPPING/STARTING A LOAD 

MALE 

20kgs (i.e. about 200 newtons) 

FEMALE 

15kgs (i.e. about 150 newtons) 

GUIDELINES FOR KEEPING THE LOAD IN MOTION 

MALE 

10kgs (i.e. about 100 newtons) 

FEMALE 

7kgs (i.e. about 70 newtons) 

e.g. 1 x full metal 1100 litre wheeled bin requires 70 Newtons 

OVER THE STATED GUIDELINES AN ASSESSMENT HAS TO BE UNDERTAKEN. ',
			'field_order' => '2',
			'attachment_id' => '1520',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 27 => array(
			'id' => '3287',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'media-field',
			'field_label' => 'Team handling',
			'description' => 'Lifting as a team does not mean you can lift lots more weight!  

Two people cannot lift twice as much, only 2/3 the sum of their individual capabilities. 

Three people cannot lift three times as much, only 1/2 the sum of their individual capabilities. 

Think about the dignity and safety of everyone. 

Identify the lead to coordinate the move. ',
			'field_order' => '3',
			'attachment_id' => '1521',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 28 => array(
			'id' => '3288',
			'course_id' => '115',
			'course_lesson_id' => '525',
			'field_type' => 'text-links',
			'field_label' => 'Sources of information',
			'description' => 'Your local Moving and Handling Advisor  <br><br>Health and Safety Executive:    <br><br><a href="http://www.hse.gov.uk">www.hse.gov.uk</a> <br><br>National Back Exchange:  <br><br><a href="http://www.nationalbackexchange.org">www.nationalbackexchange.org</a> ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:00:49',
			'modified' => '2024-08-06 11:00:49'
		),
		(int) 29 => array(
			'id' => '3289',
			'course_id' => '115',
			'course_lesson_id' => '525',
			'field_type' => 'paragraph',
			'field_label' => 'Further Training',
			'description' => 'For all newly appointed staff who will be involved in patient care, a further practical session will be provided for you to attend in order for you to comply with the Trust’s Manual Handling Techniques SOP. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:00:49',
			'modified' => '2024-08-06 11:00:49'
		),
		(int) 30 => array(
			'id' => '3290',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => ' Which of the following are considered risk factors in the development of musculoskeletal disorders?',
			'description' => 'select one or more answers',
			'field_order' => '0',
			'attachment_id' => '1522',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Heavy manual labour ","Awkward postures ","Pushing and pulling equipment ","Previous or existing injuries "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 31 => array(
			'id' => '3291',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'Safe moving and handling breaks an activity into 4 key areas, known as TILE. Which is the correct combination of the 4 key areas?',
			'description' => 'select an answer ',
			'field_order' => '1',
			'attachment_id' => '1524',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Task \/ Individual \/ Load \/ Environment  ","Task \/ Individual \/ Lifting \/ Equipment  ","Task \/ Individual \/ Lifting \/ Environment  "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 32 => array(
			'id' => '3292',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'The ergonomic approach to manual handling can be defined as which of the following: ',
			'description' => 'select an answer',
			'field_order' => '2',
			'attachment_id' => '1523',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Fitting the job to the person rather than the person to the job ","The specific weight limits a woman can pick up ","The specific weight limits a man can pick up ","Pulling something instead picking it up "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 33 => array(
			'id' => '3293',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'What should you do if a load is sharp or very hot or cold?',
			'description' => 'select an answer',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Use protective equipment (e.g. gloves, mask) ","Hold the load away from your body ","Break it down into smaller loads  "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 34 => array(
			'id' => '3294',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following may have a serious impact on the way in which manual handling is carried out? ',
			'description' => 'select one or more answers',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Uneven floors ","Restrictive clothing ","Harsh lighting ","Hot environment ","Inappropriate footwear "]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 35 => array(
			'id' => '3295',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'When conducting a moving and handling procedure you should position your feet apart and place the leading leg as far forward as is comfortable. ',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => '1525',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 36 => array(
			'id' => '3296',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'A load becomes more difficult to handle if it is held in which of the following ways: ',
			'description' => 'select one or more answers ',
			'field_order' => '6',
			'attachment_id' => '1526',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Above the shoulders ","Below your knees ","Away from the body (i.e. with arms stretched out) "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 37 => array(
			'id' => '3297',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'When using equipment to move an object you should:',
			'description' => 'select one or more answers ',
			'field_order' => '7',
			'attachment_id' => '1527',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Be trained to use handling equipment ","Always check equipment prior to use ","Report any concerns regarding damage ","Check it is suitable for the task  "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 38 => array(
			'id' => '3298',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'According to HSE Guidelines two people working as a team can lift twice as much as one person. ',
			'description' => 'select an answer',
			'field_order' => '8',
			'attachment_id' => '1528',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 39 => array(
			'id' => '3299',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'There are legal responsibilities on both the employer and the employee to ensure safe moving and handling practices. ',
			'description' => 'select an answer',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 40 => array(
			'id' => '3300',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where can you find information that would help you to reduce the risk of injury to yourself and others when moving and handling? ',
			'description' => 'select one or more answers',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Your employer\u2019s policies and procedures ","The Health and Safety Executive website ","Occupational Health ","The NHS Jobs website "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 41 => array(
			'id' => '3301',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are the potential adverse consequences of not carrying out an adequate risk assessment? ',
			'description' => 'select one or more answers',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Serious harm or injury to others ","Serious harm or injury to employees ","Raised levels of sickness absence ","Legal action against the organisation ","Additional unnecessary costs to the Trust ","Saving time and money for all concerned "]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 42 => array(
			'id' => '3302',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'Your knees must always be straight when lifting. ',
			'description' => 'select an answer ',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 43 => array(
			'id' => '3303',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'Staying active, exercising and maintaining a healthy weight reduces the risk of the occurrence of injury during moving and handling procedures. ',
			'description' => 'select an answer',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 44 => array(
			'id' => '3304',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => ' Where should the Manual Handling Techniques Safe Operating Procedures NOT be found?',
			'description' => 'select one or more answers ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A printed copy kept in the ward\/department office ","In the departments\u2019 break room ","The Trust Procedural Library "]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 45 => array(
			'id' => '3305',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'As an employer, which of the following is the Trust responsible for regarding manual handling? ',
			'description' => 'select one or more answers',
			'field_order' => '15',
			'attachment_id' => '1529',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Avoid manual handling activities were deemed possible ","Assess manual handling activities if not avoidable ","Reduce the risk of injury ","Review Risk Assessments regularly ","Save money by not providing equipment and correct PPE "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 46 => array(
			'id' => '3306',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following will help prevent back issues? ',
			'description' => 'select one or more answers',
			'field_order' => '16',
			'attachment_id' => '1530',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Maintaining a good posture ","Staying active and exercising ","Quitting smoking ","Maintaining a healthy weight ","Reducing stress "]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 47 => array(
			'id' => '3307',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => ' Who can you contact if you have a manual handling issue? ',
			'description' => 'select one or more answers',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The Trust manual handling trainer","The Health and Safety Department ","The department Manual Handling Champion ","Practice educators "]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3256',
		(int) 1 => '3257',
		(int) 2 => '3258',
		(int) 3 => '3259',
		(int) 4 => '3260',
		(int) 5 => '3261',
		(int) 6 => '3262',
		(int) 7 => '3263',
		(int) 8 => '3264',
		(int) 9 => '3265',
		(int) 10 => '3266',
		(int) 11 => '3267',
		(int) 12 => '3268',
		(int) 13 => '3269',
		(int) 14 => '3270',
		(int) 15 => '3271',
		(int) 16 => '3272',
		(int) 17 => '3273',
		(int) 18 => '3274',
		(int) 19 => '3275',
		(int) 20 => '3276',
		(int) 21 => '3277',
		(int) 22 => '3278',
		(int) 23 => '3279',
		(int) 24 => '3284',
		(int) 25 => '3286',
		(int) 26 => '3285',
		(int) 27 => '3287',
		(int) 28 => '3288',
		(int) 29 => '3289',
		(int) 30 => '3290',
		(int) 31 => '3291',
		(int) 32 => '3292',
		(int) 33 => '3293',
		(int) 34 => '3294',
		(int) 35 => '3295',
		(int) 36 => '3296',
		(int) 37 => '3297',
		(int) 38 => '3298',
		(int) 39 => '3299',
		(int) 40 => '3300',
		(int) 41 => '3301',
		(int) 42 => '3302',
		(int) 43 => '3303',
		(int) 44 => '3304',
		(int) 45 => '3305',
		(int) 46 => '3306',
		(int) 47 => '3307'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '115'
$k = (int) 9
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:53:24'
		)
	),
	(int) 6 => array(
		'Attachment' => array(
			'id' => '1598',
			'record_id' => '117',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:55:19'
		)
	),
	(int) 7 => array(
		'Attachment' => array(
			'id' => '1617',
			'record_id' => '119',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 15:57:54'
		)
	),
	(int) 8 => array(
		'Attachment' => array(
			'id' => '1648',
			'record_id' => '111',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:36:24'
		)
	),
	(int) 9 => array(
		'Attachment' => array(
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				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3640',
			(int) 1 => '3641',
			(int) 2 => '3642',
			(int) 3 => '3643',
			(int) 4 => '3644',
			(int) 5 => '3645',
			(int) 6 => '3646',
			(int) 7 => '3647',
			(int) 8 => '3648',
			(int) 9 => '3649',
			(int) 10 => '3650',
			(int) 11 => '3651',
			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
		)
	),
	(int) 2 => array(
		'Course' => array(
			'id' => '122',
			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
			'banner_media_id' => '1721',
			'thumbnail_media_id' => '1722',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3561',
			(int) 1 => '3562',
			(int) 2 => '3563',
			(int) 3 => '3564',
			(int) 4 => '3565',
			(int) 5 => '3566',
			(int) 6 => '3567',
			(int) 7 => '3568',
			(int) 8 => '3569',
			(int) 9 => '3570',
			(int) 10 => '3571',
			(int) 11 => '3572',
			(int) 12 => '3573',
			(int) 13 => '3574',
			(int) 14 => '3575',
			(int) 15 => '3576',
			(int) 16 => '3577',
			(int) 17 => '3578',
			(int) 18 => '3580',
			(int) 19 => '3581',
			(int) 20 => '3582',
			(int) 21 => '3583',
			(int) 22 => '3585',
			(int) 23 => '3586',
			(int) 24 => '3584',
			(int) 25 => '3587',
			(int) 26 => '3588',
			(int) 27 => '3589',
			(int) 28 => '3590',
			(int) 29 => '3591',
			(int) 30 => '3592',
			(int) 31 => '3593',
			(int) 32 => '3594',
			(int) 33 => '3595',
			(int) 34 => '3596',
			(int) 35 => '3597',
			(int) 36 => '3598',
			(int) 37 => '3599',
			(int) 38 => '3600',
			(int) 39 => '3601',
			(int) 40 => '3602',
			(int) 41 => '3603',
			(int) 42 => '3604',
			(int) 43 => '3605',
			(int) 44 => '3606',
			(int) 45 => '3607',
			(int) 46 => '3608',
			(int) 47 => '3609',
			(int) 48 => '3610',
			(int) 49 => '3611',
			(int) 50 => '3612',
			(int) 51 => '3613',
			(int) 52 => '3614',
			(int) 53 => '3615',
			(int) 54 => '3619',
			(int) 55 => '3618',
			(int) 56 => '3617',
			(int) 57 => '3616',
			(int) 58 => '3622',
			(int) 59 => '3621',
			(int) 60 => '3620',
			(int) 61 => '3623',
			(int) 62 => '3624',
			(int) 63 => '3625',
			(int) 64 => '3626',
			(int) 65 => '3627',
			(int) 66 => '3628',
			(int) 67 => '3629',
			(int) 68 => '3630',
			(int) 69 => '3631',
			(int) 70 => '3632',
			(int) 71 => '3633',
			(int) 72 => '3634',
			(int) 73 => '3635',
			(int) 74 => '3636',
			(int) 75 => '3637',
			(int) 76 => '3638',
			(int) 77 => '3639'
		)
	),
	(int) 3 => array(
		'Course' => array(
			'id' => '121',
			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'field_count' => (int) 30,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 556 => array(
				[maximum depth reached]
			),
			(int) 557 => array(
				[maximum depth reached]
			),
			(int) 558 => array(
				[maximum depth reached]
			),
			(int) 559 => array(
				[maximum depth reached]
			),
			(int) 560 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3531',
			(int) 1 => '3532',
			(int) 2 => '3533',
			(int) 3 => '3534',
			(int) 4 => '3535',
			(int) 5 => '3536',
			(int) 6 => '3537',
			(int) 7 => '3538',
			(int) 8 => '3539',
			(int) 9 => '3540',
			(int) 10 => '3541',
			(int) 11 => '3542',
			(int) 12 => '3543',
			(int) 13 => '3544',
			(int) 14 => '3545',
			(int) 15 => '3546',
			(int) 16 => '3547',
			(int) 17 => '3548',
			(int) 18 => '3549',
			(int) 19 => '3550',
			(int) 20 => '3551',
			(int) 21 => '3552',
			(int) 22 => '3553',
			(int) 23 => '3554',
			(int) 24 => '3555',
			(int) 25 => '3556',
			(int) 26 => '3557',
			(int) 27 => '3558',
			(int) 28 => '3559',
			(int) 29 => '3560'
		)
	),
	(int) 4 => array(
		'Course' => array(
			'id' => '120',
			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'field_count' => (int) 39,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 549 => array(
				[maximum depth reached]
			),
			(int) 550 => array(
				[maximum depth reached]
			),
			(int) 551 => array(
				[maximum depth reached]
			),
			(int) 552 => array(
				[maximum depth reached]
			),
			(int) 553 => array(
				[maximum depth reached]
			),
			(int) 554 => array(
				[maximum depth reached]
			),
			(int) 555 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
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			'course_title' => 'Safeguarding Adults Level 2',
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				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 520 => array(
				[maximum depth reached]
			),
			(int) 521 => array(
				[maximum depth reached]
			),
			(int) 522 => array(
				[maximum depth reached]
			),
			(int) 523 => array(
				[maximum depth reached]
			),
			(int) 524 => array(
				[maximum depth reached]
			),
			(int) 525 => array(
				[maximum depth reached]
			),
			(int) 526 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3256',
			(int) 1 => '3257',
			(int) 2 => '3258',
			(int) 3 => '3259',
			(int) 4 => '3260',
			(int) 5 => '3261',
			(int) 6 => '3262',
			(int) 7 => '3263',
			(int) 8 => '3264',
			(int) 9 => '3265',
			(int) 10 => '3266',
			(int) 11 => '3267',
			(int) 12 => '3268',
			(int) 13 => '3269',
			(int) 14 => '3270',
			(int) 15 => '3271',
			(int) 16 => '3272',
			(int) 17 => '3273',
			(int) 18 => '3274',
			(int) 19 => '3275',
			(int) 20 => '3276',
			(int) 21 => '3277',
			(int) 22 => '3278',
			(int) 23 => '3279',
			(int) 24 => '3284',
			(int) 25 => '3286',
			(int) 26 => '3285',
			(int) 27 => '3287',
			(int) 28 => '3288',
			(int) 29 => '3289',
			(int) 30 => '3290',
			(int) 31 => '3291',
			(int) 32 => '3292',
			(int) 33 => '3293',
			(int) 34 => '3294',
			(int) 35 => '3295',
			(int) 36 => '3296',
			(int) 37 => '3297',
			(int) 38 => '3298',
			(int) 39 => '3299',
			(int) 40 => '3300',
			(int) 41 => '3301',
			(int) 42 => '3302',
			(int) 43 => '3303',
			(int) 44 => '3304',
			(int) 45 => '3305',
			(int) 46 => '3306',
			(int) 47 => '3307'
		)
	),
	(int) 10 => array(
		'Course' => array(
			'id' => '114',
			'course_title' => 'Infection Prevention & Control (Core Skills) 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />This session has been updated with infection, prevention and control guidance in light of the Coronavirus (COVID-19) pandemic. We recommend that you visit the Personal Protective Equipment (PPE) chapter for new guidance.<br /><br />For up-to-date guidance search:<br /><br />COVID-19: infection prevention and control<br />COVID-19: guidance for Ambulance Trusts<br /><br />Your health and safety and that of others is very important. During this pandemic you must take care of yourself and stay at home if you exhibit any symptoms of the Coronavirus or if those you live with are unwell. you must stay at home if you are an individual who is &lsquo;shielded&rsquo;.<br /><br />If you are working in a health and care environment and if you are well, you can attend your work but must follow the guidance given to you by your organisation.',
			'banner_media_id' => '1483',
			'thumbnail_media_id' => '1482',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 14:33:41',
			'modified' => '2024-08-07 14:25:02'
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		)
	),
	(int) 11 => array(
		'Course' => array(
			'id' => '113',
			'course_title' => 'Health & Safety (NHS Core Skills)',
			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
			'banner_media_id' => '1418',
			'thumbnail_media_id' => '1419',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23'
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
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			'created' => '2024-08-05 09:12:40',
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				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			)
		)
	)
)
$courseIds = array(
	(int) 0 => '124',
	(int) 1 => '123',
	(int) 2 => '122',
	(int) 3 => '121',
	(int) 4 => '120',
	(int) 5 => '119',
	(int) 6 => '118',
	(int) 7 => '117',
	(int) 8 => '116',
	(int) 9 => '115',
	(int) 10 => '114',
	(int) 11 => '113',
	(int) 12 => '112',
	(int) 13 => '111',
	(int) 14 => '110',
	(int) 15 => '109'
)
$course = array(
	'Course' => array(
		'id' => '115',
		'course_title' => 'Manual Handling Module A&B',
		'description' => 'Welcome to this e-Learning package, Manual Handling.&nbsp;&nbsp;<br />This is for all staff including contractors, unpaid and voluntary.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
		'banner_media_id' => '1534',
		'thumbnail_media_id' => '1532',
		'logo_media_id' => null,
		'banner_align_id' => '5',
		'type_id' => '0',
		'created_user_id' => '8779',
		'course_length' => '40 minutes',
		'expiry_date' => null,
		'expired' => '0',
		'active' => '1',
		'created' => '2024-08-06 09:47:13',
		'modified' => '2024-08-07 14:25:44'
	),
	'CourseLesson' => array(
		(int) 0 => array(
			'id' => '520',
			'course_id' => '115',
			'lesson_title' => 'Session overview',
			'description' => 'Overview of the topics going to be covered.',
			'lesson_order' => '0',
			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 09:48:47',
			'modified' => '2024-08-06 09:48:47'
		),
		(int) 1 => array(
			'id' => '521',
			'course_id' => '115',
			'lesson_title' => 'What is Moving and Handling?',
			'description' => 'Moving and handling defined, why it is important, the law and whose responsilbilities.',
			'lesson_order' => '1',
			'created_user_id' => '8779',
			'session_length' => '7 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 09:52:45',
			'modified' => '2024-08-06 10:58:31'
		),
		(int) 2 => array(
			'id' => '522',
			'course_id' => '115',
			'lesson_title' => 'The Manual Handling Techniques Standard Operating Procedure ',
			'description' => 'Techniques and injuries.',
			'lesson_order' => '2',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 10:03:33',
			'modified' => '2024-08-06 10:03:33'
		),
		(int) 3 => array(
			'id' => '523',
			'course_id' => '115',
			'lesson_title' => 'Ergonomic approach to assessment of risk ',
			'description' => 'How to assess risk when moving and handling.',
			'lesson_order' => '3',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 10:12:50',
			'modified' => '2024-08-06 10:12:50'
		),
		(int) 4 => array(
			'id' => '524',
			'course_id' => '115',
			'lesson_title' => 'Guidelines',
			'description' => 'Guidelines on moving and handling.',
			'lesson_order' => '4',
			'created_user_id' => '8779',
			'session_length' => '6 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 10:35:37',
			'modified' => '2024-08-06 10:35:37'
		),
		(int) 5 => array(
			'id' => '525',
			'course_id' => '115',
			'lesson_title' => 'Sources of Information and Further Training',
			'description' => 'More info and training.',
			'lesson_order' => '5',
			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 10:59:25',
			'modified' => '2024-08-06 10:59:25'
		),
		(int) 6 => array(
			'id' => '526',
			'course_id' => '115',
			'lesson_title' => 'Quiz',
			'description' => 'This quiz is made up of 18 questions. All questions must be answered correctly to pass.&nbsp;&nbsp;&nbsp;<br />Once you've started, select the correct option or options for ea<br />If you don&rsquo;t pass the quiz, you can take it again or return to the materials to refresh your knowledge.&nbsp;&nbsp;ch question.',
			'lesson_order' => '6',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-06 11:01:36',
			'modified' => '2024-08-06 11:01:36'
		)
	),
	'CourseLessonField' => array(
		(int) 0 => array(
			'id' => '3256',
			'course_id' => '115',
			'course_lesson_id' => '520',
			'field_type' => 'paragraph',
			'field_label' => 'What you will learn in this session ',
			'description' => 'Why correct moving and handling is important  

What the law says about moving and handling: the legislation, policies and procedures   

The TRUST’S (your employer) responsibilities around moving and handling, and the steps THEY must take to protect you  

YOUR responsibilities around moving and handling, and the steps YOU must take to protect you and those around you  

To recognise risk factors that may cause injury  

The correct posture for safer moving and handling  

The importance of good back care  

How to carry out a risk assessment  

How to control risk  

The importance of good communication and a team approach ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:49:12',
			'modified' => '2024-08-06 09:49:12'
		),
		(int) 1 => array(
			'id' => '3257',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'text-image',
			'field_label' => 'Why this is important ',
			'description' => 'Moving and handling is an everyday activity both at work and at home.  

Around 5000 moving and handling injuries are reported each year in health and care services.  

40% of work related sickness in health and social care settings is due to moving and handling injuries. ',
			'field_order' => '0',
			'attachment_id' => '1499',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 2 => array(
			'id' => '3258',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'paragraph',
			'field_label' => 'What the law says ',
			'description' => 'Moving and handling is covered by the in order to protect employers, employees and the public.  

Moving and handling is legislated by The Health & Safety, etc. Act (1974) and Manual Handling Operations Regulations (1992 - amended 2004) ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 3 => array(
			'id' => '3259',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'text-image',
			'field_label' => 'For moving and handing, the Trust has a responsibility to: ',
			'description' => 'AVOID moving and handling activities if there is a risk of injury to you;  

ASSESS moving and handling activities, if it cannot be avoided;  

REDUCE the risk of injury to employees as far as reasonably possible, and to;  

REVIEW risk assessments regularly.',
			'field_order' => '2',
			'attachment_id' => '1501',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 4 => array(
			'id' => '3260',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'paragraph',
			'field_label' => 'The TRUST must take the following steps to protect you: ',
			'description' => 'Have policies and procedures in place and available to all employees. 

Specialist roles, such as moving and handling advisors, to be available for advice and provide support. 

Complete risk assessments and regular audits; act upon any findings and make these available to employees. 

Provide training and guidance. 

Provide the correct equipment for safe moving and handling activities. 

Provide support services, such as Occupational Health. ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 5 => array(
			'id' => '3261',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'media-field',
			'field_label' => 'You have a responsibility to: ',
			'description' => 'Follow all policies, procedure, and guidance. 

Read and follow the Trust’s moving and handling policy. 

Use the equipment provided properly. 

NOT misuse or interfere with equipment provided for your safety. 

Co-operate with the Trust and the specialist roles on moving and handling matters. 

Tell your line manager, or other relevant staff member, if you identify any moving and handling issues or defect in equipment. 

Ensure that your activities, or omissions, do not put you or others at risk. ',
			'field_order' => '4',
			'attachment_id' => '1502',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 6 => array(
			'id' => '3262',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'media-field',
			'field_label' => 'Moving and handling defined: ',
			'description' => '“ ...any transporting or supporting of a load  (including the lifting, putting down, pushing, pulling, carrying or moving thereof) by hand or bodily force.”   

 “A load is defined as an object, a person or an animal.”   

 (Manual Handling Operations Regulations, 1992) ',
			'field_order' => '5',
			'attachment_id' => '1503',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 7 => array(
			'id' => '3263',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'media-field',
			'field_label' => 'Moving and handling help, guidance, and support ',
			'description' => 'MANUAL HANDLING CHAMPIONS Each ward/department should have a manual and handling champion. They are there to support you in any moving and handling queries. You can find the details of your Champion on your ward/departmental staff notice board. 

THE HEALTH AND SAFETY TEAM The Health and safety Team are available to give further support and guidance. 

PRACTICE EDUCATORS Provide training days and drop in sessions throughout the year.  

THE HEALTH AND SAFETY WEBSITE There is guidance on moving and handling available on the webpage - accessed via the Home page / Corporate Departments / Governance / Health and Safety. 

PROCEDURAL DOCUMENT LIBRARY Search for ‘Manual Handling Techniques’ to access the most up-to-date document. ',
			'field_order' => '6',
			'attachment_id' => '1505',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 8 => array(
			'id' => '3264',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'paragraph',
			'field_label' => 'Hard Copies',
			'description' => 'Please do not rely on paper ‘hard copies’ of the Manual Handling Techniques Standard Operating Procedure , which may be available in departmental staff rooms, as these may not be the latest version, meaning that the information may be out-of-date and incorrect.  

All Trust policies, procedures, risk assessments, and standard operating procedures are available on the Trust’s Procedure Document Library via the staff intranet page. ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 9 => array(
			'id' => '3265',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'media-field',
			'field_label' => 'The spine and back',
			'description' => 'The spine consists of:  

- Spinal cord  

- Vertebrae  

- Intervertebral discs  

- Ligaments  

- Tendons  

- Muscles     

Ensuring good musculo-skeletal health is essential to enable safe moving and handling. ',
			'field_order' => '1',
			'attachment_id' => '1506',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 10 => array(
			'id' => '3266',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'media-field',
			'field_label' => 'Most common injuries',
			'description' => 'Musculoskeletal disorders to the back and limbs including damage to:   

- Joints  

- Muscles  

- Tendons & ligaments  

- Intervertebral discs  

- Repetitive Strain Injury  

- Hernias  

- Abrasions/bruises  

- Wear and tear  

- Fractures ',
			'field_order' => '2',
			'attachment_id' => '1507',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 11 => array(
			'id' => '3267',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'media-field',
			'field_label' => 'Promoting healthy back care ',
			'description' => 'Key activities include:     

- Always ensure a good posture  

- Try to use a chair with a backrest   

- Change how you sit every few minutes    

- Stay active and exercise  

- Particularly strengthen abdominal and back muscles    

- Maintain a healthy weight  

- Quit smoking  

- Reduce stress   

(NHS Choices) ',
			'field_order' => '3',
			'attachment_id' => '1508',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 12 => array(
			'id' => '3268',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'ergonomic: designing and arranging things people use so that they interact most efficiently and safely  ',
			'description' => 'Fitting the job to the person rather than the person to the job  

TILE 

Task 

Individual capability 

Load 

Environment ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 13 => array(
			'id' => '3269',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Questions to ask',
			'description' => 'Task 

- Why am I moving the person / load?  

- Can the move be avoided in some way?  

- How often will I perform this task?  

- Where am I going to and from?  

- What is the most effective / safest way of fulfilling the task? ',
			'field_order' => '1',
			'attachment_id' => '1509',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 14 => array(
			'id' => '3270',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'Individual capability ',
			'description' => '- Does it need unusual capabilities?  (e.g. greater strength, increased knowledge of moves)  

- Am I the best person to do this?  

- Does my health affect my ability?  

- Do I require specific information/training?  

- Does it require a team approach?  

- Do I require protective clothing and will this hinder me? ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 15 => array(
			'id' => '3271',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Load ',
			'description' => '- Heavy?  

- Bulky or unwieldy?  

- An odd shape?  

- Difficult to grasp?  

- Unstable or unpredictable?  

- Hot or cold?  

- Sharp?  

- Slippery? ',
			'field_order' => '3',
			'attachment_id' => '1510',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 16 => array(
			'id' => '3272',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Environment ',
			'description' => 'Consider the following:  

- Lack of space to move  

- High or low work surfaces  

- Uneven or slippery floors  

- Steps  

- Inadequate lighting  

- Cold, hot or humid  

- Obstructions',
			'field_order' => '4',
			'attachment_id' => '1511',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 17 => array(
			'id' => '3273',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'Other possible risk factors ',
			'description' => 'Consider:  

- Previous or existing injuries  

- Psycho / social factors  

- Availability of equipment  

- Use of protective clothing ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 18 => array(
			'id' => '3274',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Key Point:    ',
			'description' => 'You are expected to be aware of and use the Principles of Safer Handling to promote your safety. 

-- Stop and think 

- Stable base 

- Assess the load 

- Prepare the area 

- Spine in line 

- Firm hold 

- Hold the load close to the body 

- Lead with the head up 

- Clear commands 

Move smoothly ',
			'field_order' => '6',
			'attachment_id' => '1512',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 19 => array(
			'id' => '3275',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'Assessment leads to a plan ',
			'description' => 'STOP 

THINK 

PROBLEM SOLVE ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 20 => array(
			'id' => '3276',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => ' Position your feet correctly',
			'description' => '- Position your feet apart  

- Place the leading leg as far forward as is comfortable  

- Try to position the leading leg  in the direction you intend to go  

- Wear suitable footwear ',
			'field_order' => '8',
			'attachment_id' => '1513',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 21 => array(
			'id' => '3277',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => ' Adopt a good posture ',
			'description' => '- Keep your spine in line. Maintain normal curve  

- Bend your knees  

- Don’t over-flex your joints  

- Keep your shoulders level  

- Raise your head  

- Face same direction as the hips ',
			'field_order' => '9',
			'attachment_id' => '1514',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 22 => array(
			'id' => '3278',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Get a good hold',
			'description' => '- Keep arms within the boundary formed by your legs  

- Keep the load as close to your centre of gravity as possible  

- Get a firm grip  

- Is the load hot or cold?  

- Do you need gloves? ',
			'field_order' => '10',
			'attachment_id' => '1515',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 23 => array(
			'id' => '3279',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Use equipment to move objects ',
			'description' => '- Keep arms within the boundary formed by your legs  

- Keep the load as close to your centre of gravity as possible  

- Get a firm grip  

- Is the load hot or cold?  

- Do you need gloves? ',
			'field_order' => '11',
			'attachment_id' => '1516',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 24 => array(
			'id' => '3284',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'media-field',
			'field_label' => 'HSE: Numerical guidelines for lifting and lowering loads ',
			'description' => '1kg = 1 bag of sugar or 1 litre of fluid 

WOMEN 

- Shoulder height: 

- Arm’s length: 3kg 

- Close to the body: 7kg 

- Elbow height:  

- Arm’s length: 7kg 

- Close to the body: 13kg 

- Knuckle height:  

- Arm’s length: 10kg 

- Close to the body: 16kg 

- Mid lower leg height: 

- Arm’s length: 7kg 

- Close to the body: 13kg 

- Floor height: 

- Arm’s length: 3kg 

- Close to the body: 7kg 

MEN 

- Shoulder height: 

- Arm’s length: 5kg 

- Close to the body: 10kg 

- Elbow height:  

- Arm’s length: 10kg 

- Close to the body: 20kg 

- Knuckle height:  

- Arm’s length: 15kg 

- Close to the body: 25kg 

- Mid lower leg height: 

- Arm’s length: 10kg 

- Close to the body: 20kg 

- Floor height: 

- Arm’s length: 5kg 

- Close to the body: 10kg 

KEY POINT:  

Weights to be lifted may need to be reduced below the guideline values if there are any factors that could affect the moving and handling activity ',
			'field_order' => '0',
			'attachment_id' => '1519',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 25 => array(
			'id' => '3285',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'media-field',
			'field_label' => 'Pushing and pulling guidelines ',
			'description' => 'Assuming force applied with hands between knuckles and shoulder height, the figures below highlight the recommended maximum amount of force that needs to be applied to push / pull a load. 

GUIDELINES FOR STOPPING/STARTING A LOAD 

MALE 

20kgs (i.e. about 200 newtons) 

FEMALE 

15kgs (i.e. about 150 newtons) 

GUIDELINES FOR KEEPING THE LOAD IN MOTION 

MALE 

10kgs (i.e. about 100 newtons) 

FEMALE 

7kgs (i.e. about 70 newtons) 

e.g. 1 x full metal 1100 litre wheeled bin requires 70 Newtons 

OVER THE STATED GUIDELINES AN ASSESSMENT HAS TO BE UNDERTAKEN. ',
			'field_order' => '2',
			'attachment_id' => '1520',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 26 => array(
			'id' => '3286',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'paragraph',
			'field_label' => 'Guidelines for handling whilst seated',
			'description' => 'MALE 

5kg  = approx 5 reams of A4 printer paper 

FEMALE 

3kg  = approx 3 reams of A4 printer paper ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 27 => array(
			'id' => '3287',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'media-field',
			'field_label' => 'Team handling',
			'description' => 'Lifting as a team does not mean you can lift lots more weight!  

Two people cannot lift twice as much, only 2/3 the sum of their individual capabilities. 

Three people cannot lift three times as much, only 1/2 the sum of their individual capabilities. 

Think about the dignity and safety of everyone. 

Identify the lead to coordinate the move. ',
			'field_order' => '3',
			'attachment_id' => '1521',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 28 => array(
			'id' => '3288',
			'course_id' => '115',
			'course_lesson_id' => '525',
			'field_type' => 'text-links',
			'field_label' => 'Sources of information',
			'description' => 'Your local Moving and Handling Advisor  <br><br>Health and Safety Executive:    <br><br><a href="http://www.hse.gov.uk">www.hse.gov.uk</a> <br><br>National Back Exchange:  <br><br><a href="http://www.nationalbackexchange.org">www.nationalbackexchange.org</a> ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:00:49',
			'modified' => '2024-08-06 11:00:49'
		),
		(int) 29 => array(
			'id' => '3289',
			'course_id' => '115',
			'course_lesson_id' => '525',
			'field_type' => 'paragraph',
			'field_label' => 'Further Training',
			'description' => 'For all newly appointed staff who will be involved in patient care, a further practical session will be provided for you to attend in order for you to comply with the Trust’s Manual Handling Techniques SOP. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:00:49',
			'modified' => '2024-08-06 11:00:49'
		),
		(int) 30 => array(
			'id' => '3290',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => ' Which of the following are considered risk factors in the development of musculoskeletal disorders?',
			'description' => 'select one or more answers',
			'field_order' => '0',
			'attachment_id' => '1522',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Heavy manual labour ","Awkward postures ","Pushing and pulling equipment ","Previous or existing injuries "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 31 => array(
			'id' => '3291',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'Safe moving and handling breaks an activity into 4 key areas, known as TILE. Which is the correct combination of the 4 key areas?',
			'description' => 'select an answer ',
			'field_order' => '1',
			'attachment_id' => '1524',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Task \/ Individual \/ Load \/ Environment  ","Task \/ Individual \/ Lifting \/ Equipment  ","Task \/ Individual \/ Lifting \/ Environment  "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 32 => array(
			'id' => '3292',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'The ergonomic approach to manual handling can be defined as which of the following: ',
			'description' => 'select an answer',
			'field_order' => '2',
			'attachment_id' => '1523',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Fitting the job to the person rather than the person to the job ","The specific weight limits a woman can pick up ","The specific weight limits a man can pick up ","Pulling something instead picking it up "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 33 => array(
			'id' => '3293',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'What should you do if a load is sharp or very hot or cold?',
			'description' => 'select an answer',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Use protective equipment (e.g. gloves, mask) ","Hold the load away from your body ","Break it down into smaller loads  "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 34 => array(
			'id' => '3294',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following may have a serious impact on the way in which manual handling is carried out? ',
			'description' => 'select one or more answers',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Uneven floors ","Restrictive clothing ","Harsh lighting ","Hot environment ","Inappropriate footwear "]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 35 => array(
			'id' => '3295',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'When conducting a moving and handling procedure you should position your feet apart and place the leading leg as far forward as is comfortable. ',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => '1525',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 36 => array(
			'id' => '3296',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'A load becomes more difficult to handle if it is held in which of the following ways: ',
			'description' => 'select one or more answers ',
			'field_order' => '6',
			'attachment_id' => '1526',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Above the shoulders ","Below your knees ","Away from the body (i.e. with arms stretched out) "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 37 => array(
			'id' => '3297',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'When using equipment to move an object you should:',
			'description' => 'select one or more answers ',
			'field_order' => '7',
			'attachment_id' => '1527',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Be trained to use handling equipment ","Always check equipment prior to use ","Report any concerns regarding damage ","Check it is suitable for the task  "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 38 => array(
			'id' => '3298',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'According to HSE Guidelines two people working as a team can lift twice as much as one person. ',
			'description' => 'select an answer',
			'field_order' => '8',
			'attachment_id' => '1528',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 39 => array(
			'id' => '3299',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'There are legal responsibilities on both the employer and the employee to ensure safe moving and handling practices. ',
			'description' => 'select an answer',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 40 => array(
			'id' => '3300',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where can you find information that would help you to reduce the risk of injury to yourself and others when moving and handling? ',
			'description' => 'select one or more answers',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Your employer\u2019s policies and procedures ","The Health and Safety Executive website ","Occupational Health ","The NHS Jobs website "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 41 => array(
			'id' => '3301',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are the potential adverse consequences of not carrying out an adequate risk assessment? ',
			'description' => 'select one or more answers',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Serious harm or injury to others ","Serious harm or injury to employees ","Raised levels of sickness absence ","Legal action against the organisation ","Additional unnecessary costs to the Trust ","Saving time and money for all concerned "]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 42 => array(
			'id' => '3302',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'Your knees must always be straight when lifting. ',
			'description' => 'select an answer ',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 43 => array(
			'id' => '3303',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'Staying active, exercising and maintaining a healthy weight reduces the risk of the occurrence of injury during moving and handling procedures. ',
			'description' => 'select an answer',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 44 => array(
			'id' => '3304',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => ' Where should the Manual Handling Techniques Safe Operating Procedures NOT be found?',
			'description' => 'select one or more answers ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A printed copy kept in the ward\/department office ","In the departments\u2019 break room ","The Trust Procedural Library "]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 45 => array(
			'id' => '3305',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'As an employer, which of the following is the Trust responsible for regarding manual handling? ',
			'description' => 'select one or more answers',
			'field_order' => '15',
			'attachment_id' => '1529',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Avoid manual handling activities were deemed possible ","Assess manual handling activities if not avoidable ","Reduce the risk of injury ","Review Risk Assessments regularly ","Save money by not providing equipment and correct PPE "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 46 => array(
			'id' => '3306',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following will help prevent back issues? ',
			'description' => 'select one or more answers',
			'field_order' => '16',
			'attachment_id' => '1530',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Maintaining a good posture ","Staying active and exercising ","Quitting smoking ","Maintaining a healthy weight ","Reducing stress "]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 47 => array(
			'id' => '3307',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => ' Who can you contact if you have a manual handling issue? ',
			'description' => 'select one or more answers',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The Trust manual handling trainer","The Health and Safety Department ","The department Manual Handling Champion ","Practice educators "]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		)
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			'course_id' => '115',
			'course_lesson_id' => '520',
			'field_type' => 'paragraph',
			'field_label' => 'What you will learn in this session ',
			'description' => 'Why correct moving and handling is important  

What the law says about moving and handling: the legislation, policies and procedures   

The TRUST’S (your employer) responsibilities around moving and handling, and the steps THEY must take to protect you  

YOUR responsibilities around moving and handling, and the steps YOU must take to protect you and those around you  

To recognise risk factors that may cause injury  

The correct posture for safer moving and handling  

The importance of good back care  

How to carry out a risk assessment  

How to control risk  

The importance of good communication and a team approach ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:49:12',
			'modified' => '2024-08-06 09:49:12'
		),
		(int) 1 => array(
			'id' => '3257',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'text-image',
			'field_label' => 'Why this is important ',
			'description' => 'Moving and handling is an everyday activity both at work and at home.  

Around 5000 moving and handling injuries are reported each year in health and care services.  

40% of work related sickness in health and social care settings is due to moving and handling injuries. ',
			'field_order' => '0',
			'attachment_id' => '1499',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 2 => array(
			'id' => '3258',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'paragraph',
			'field_label' => 'What the law says ',
			'description' => 'Moving and handling is covered by the in order to protect employers, employees and the public.  

Moving and handling is legislated by The Health & Safety, etc. Act (1974) and Manual Handling Operations Regulations (1992 - amended 2004) ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 3 => array(
			'id' => '3259',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'text-image',
			'field_label' => 'For moving and handing, the Trust has a responsibility to: ',
			'description' => 'AVOID moving and handling activities if there is a risk of injury to you;  

ASSESS moving and handling activities, if it cannot be avoided;  

REDUCE the risk of injury to employees as far as reasonably possible, and to;  

REVIEW risk assessments regularly.',
			'field_order' => '2',
			'attachment_id' => '1501',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 4 => array(
			'id' => '3260',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'paragraph',
			'field_label' => 'The TRUST must take the following steps to protect you: ',
			'description' => 'Have policies and procedures in place and available to all employees. 

Specialist roles, such as moving and handling advisors, to be available for advice and provide support. 

Complete risk assessments and regular audits; act upon any findings and make these available to employees. 

Provide training and guidance. 

Provide the correct equipment for safe moving and handling activities. 

Provide support services, such as Occupational Health. ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 5 => array(
			'id' => '3261',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'media-field',
			'field_label' => 'You have a responsibility to: ',
			'description' => 'Follow all policies, procedure, and guidance. 

Read and follow the Trust’s moving and handling policy. 

Use the equipment provided properly. 

NOT misuse or interfere with equipment provided for your safety. 

Co-operate with the Trust and the specialist roles on moving and handling matters. 

Tell your line manager, or other relevant staff member, if you identify any moving and handling issues or defect in equipment. 

Ensure that your activities, or omissions, do not put you or others at risk. ',
			'field_order' => '4',
			'attachment_id' => '1502',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 6 => array(
			'id' => '3262',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'media-field',
			'field_label' => 'Moving and handling defined: ',
			'description' => '“ ...any transporting or supporting of a load  (including the lifting, putting down, pushing, pulling, carrying or moving thereof) by hand or bodily force.”   

 “A load is defined as an object, a person or an animal.”   

 (Manual Handling Operations Regulations, 1992) ',
			'field_order' => '5',
			'attachment_id' => '1503',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 7 => array(
			'id' => '3263',
			'course_id' => '115',
			'course_lesson_id' => '521',
			'field_type' => 'media-field',
			'field_label' => 'Moving and handling help, guidance, and support ',
			'description' => 'MANUAL HANDLING CHAMPIONS Each ward/department should have a manual and handling champion. They are there to support you in any moving and handling queries. You can find the details of your Champion on your ward/departmental staff notice board. 

THE HEALTH AND SAFETY TEAM The Health and safety Team are available to give further support and guidance. 

PRACTICE EDUCATORS Provide training days and drop in sessions throughout the year.  

THE HEALTH AND SAFETY WEBSITE There is guidance on moving and handling available on the webpage - accessed via the Home page / Corporate Departments / Governance / Health and Safety. 

PROCEDURAL DOCUMENT LIBRARY Search for ‘Manual Handling Techniques’ to access the most up-to-date document. ',
			'field_order' => '6',
			'attachment_id' => '1505',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:02:08',
			'modified' => '2024-08-06 10:02:08'
		),
		(int) 8 => array(
			'id' => '3264',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'paragraph',
			'field_label' => 'Hard Copies',
			'description' => 'Please do not rely on paper ‘hard copies’ of the Manual Handling Techniques Standard Operating Procedure , which may be available in departmental staff rooms, as these may not be the latest version, meaning that the information may be out-of-date and incorrect.  

All Trust policies, procedures, risk assessments, and standard operating procedures are available on the Trust’s Procedure Document Library via the staff intranet page. ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 9 => array(
			'id' => '3265',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'media-field',
			'field_label' => 'The spine and back',
			'description' => 'The spine consists of:  

- Spinal cord  

- Vertebrae  

- Intervertebral discs  

- Ligaments  

- Tendons  

- Muscles     

Ensuring good musculo-skeletal health is essential to enable safe moving and handling. ',
			'field_order' => '1',
			'attachment_id' => '1506',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 10 => array(
			'id' => '3266',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'media-field',
			'field_label' => 'Most common injuries',
			'description' => 'Musculoskeletal disorders to the back and limbs including damage to:   

- Joints  

- Muscles  

- Tendons & ligaments  

- Intervertebral discs  

- Repetitive Strain Injury  

- Hernias  

- Abrasions/bruises  

- Wear and tear  

- Fractures ',
			'field_order' => '2',
			'attachment_id' => '1507',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 11 => array(
			'id' => '3267',
			'course_id' => '115',
			'course_lesson_id' => '522',
			'field_type' => 'media-field',
			'field_label' => 'Promoting healthy back care ',
			'description' => 'Key activities include:     

- Always ensure a good posture  

- Try to use a chair with a backrest   

- Change how you sit every few minutes    

- Stay active and exercise  

- Particularly strengthen abdominal and back muscles    

- Maintain a healthy weight  

- Quit smoking  

- Reduce stress   

(NHS Choices) ',
			'field_order' => '3',
			'attachment_id' => '1508',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:11:02',
			'modified' => '2024-08-06 10:11:02'
		),
		(int) 12 => array(
			'id' => '3268',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'ergonomic: designing and arranging things people use so that they interact most efficiently and safely  ',
			'description' => 'Fitting the job to the person rather than the person to the job  

TILE 

Task 

Individual capability 

Load 

Environment ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 13 => array(
			'id' => '3269',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Questions to ask',
			'description' => 'Task 

- Why am I moving the person / load?  

- Can the move be avoided in some way?  

- How often will I perform this task?  

- Where am I going to and from?  

- What is the most effective / safest way of fulfilling the task? ',
			'field_order' => '1',
			'attachment_id' => '1509',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 14 => array(
			'id' => '3270',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'Individual capability ',
			'description' => '- Does it need unusual capabilities?  (e.g. greater strength, increased knowledge of moves)  

- Am I the best person to do this?  

- Does my health affect my ability?  

- Do I require specific information/training?  

- Does it require a team approach?  

- Do I require protective clothing and will this hinder me? ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 15 => array(
			'id' => '3271',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Load ',
			'description' => '- Heavy?  

- Bulky or unwieldy?  

- An odd shape?  

- Difficult to grasp?  

- Unstable or unpredictable?  

- Hot or cold?  

- Sharp?  

- Slippery? ',
			'field_order' => '3',
			'attachment_id' => '1510',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 16 => array(
			'id' => '3272',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Environment ',
			'description' => 'Consider the following:  

- Lack of space to move  

- High or low work surfaces  

- Uneven or slippery floors  

- Steps  

- Inadequate lighting  

- Cold, hot or humid  

- Obstructions',
			'field_order' => '4',
			'attachment_id' => '1511',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 17 => array(
			'id' => '3273',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'Other possible risk factors ',
			'description' => 'Consider:  

- Previous or existing injuries  

- Psycho / social factors  

- Availability of equipment  

- Use of protective clothing ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 18 => array(
			'id' => '3274',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Key Point:    ',
			'description' => 'You are expected to be aware of and use the Principles of Safer Handling to promote your safety. 

-- Stop and think 

- Stable base 

- Assess the load 

- Prepare the area 

- Spine in line 

- Firm hold 

- Hold the load close to the body 

- Lead with the head up 

- Clear commands 

Move smoothly ',
			'field_order' => '6',
			'attachment_id' => '1512',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 19 => array(
			'id' => '3275',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'paragraph',
			'field_label' => 'Assessment leads to a plan ',
			'description' => 'STOP 

THINK 

PROBLEM SOLVE ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 20 => array(
			'id' => '3276',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => ' Position your feet correctly',
			'description' => '- Position your feet apart  

- Place the leading leg as far forward as is comfortable  

- Try to position the leading leg  in the direction you intend to go  

- Wear suitable footwear ',
			'field_order' => '8',
			'attachment_id' => '1513',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 21 => array(
			'id' => '3277',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => ' Adopt a good posture ',
			'description' => '- Keep your spine in line. Maintain normal curve  

- Bend your knees  

- Don’t over-flex your joints  

- Keep your shoulders level  

- Raise your head  

- Face same direction as the hips ',
			'field_order' => '9',
			'attachment_id' => '1514',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 22 => array(
			'id' => '3278',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Get a good hold',
			'description' => '- Keep arms within the boundary formed by your legs  

- Keep the load as close to your centre of gravity as possible  

- Get a firm grip  

- Is the load hot or cold?  

- Do you need gloves? ',
			'field_order' => '10',
			'attachment_id' => '1515',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 23 => array(
			'id' => '3279',
			'course_id' => '115',
			'course_lesson_id' => '523',
			'field_type' => 'media-field',
			'field_label' => 'Use equipment to move objects ',
			'description' => '- Keep arms within the boundary formed by your legs  

- Keep the load as close to your centre of gravity as possible  

- Get a firm grip  

- Is the load hot or cold?  

- Do you need gloves? ',
			'field_order' => '11',
			'attachment_id' => '1516',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:32:30',
			'modified' => '2024-08-06 10:32:30'
		),
		(int) 24 => array(
			'id' => '3284',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'media-field',
			'field_label' => 'HSE: Numerical guidelines for lifting and lowering loads ',
			'description' => '1kg = 1 bag of sugar or 1 litre of fluid 

WOMEN 

- Shoulder height: 

- Arm’s length: 3kg 

- Close to the body: 7kg 

- Elbow height:  

- Arm’s length: 7kg 

- Close to the body: 13kg 

- Knuckle height:  

- Arm’s length: 10kg 

- Close to the body: 16kg 

- Mid lower leg height: 

- Arm’s length: 7kg 

- Close to the body: 13kg 

- Floor height: 

- Arm’s length: 3kg 

- Close to the body: 7kg 

MEN 

- Shoulder height: 

- Arm’s length: 5kg 

- Close to the body: 10kg 

- Elbow height:  

- Arm’s length: 10kg 

- Close to the body: 20kg 

- Knuckle height:  

- Arm’s length: 15kg 

- Close to the body: 25kg 

- Mid lower leg height: 

- Arm’s length: 10kg 

- Close to the body: 20kg 

- Floor height: 

- Arm’s length: 5kg 

- Close to the body: 10kg 

KEY POINT:  

Weights to be lifted may need to be reduced below the guideline values if there are any factors that could affect the moving and handling activity ',
			'field_order' => '0',
			'attachment_id' => '1519',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 25 => array(
			'id' => '3286',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'paragraph',
			'field_label' => 'Guidelines for handling whilst seated',
			'description' => 'MALE 

5kg  = approx 5 reams of A4 printer paper 

FEMALE 

3kg  = approx 3 reams of A4 printer paper ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 26 => array(
			'id' => '3285',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'media-field',
			'field_label' => 'Pushing and pulling guidelines ',
			'description' => 'Assuming force applied with hands between knuckles and shoulder height, the figures below highlight the recommended maximum amount of force that needs to be applied to push / pull a load. 

GUIDELINES FOR STOPPING/STARTING A LOAD 

MALE 

20kgs (i.e. about 200 newtons) 

FEMALE 

15kgs (i.e. about 150 newtons) 

GUIDELINES FOR KEEPING THE LOAD IN MOTION 

MALE 

10kgs (i.e. about 100 newtons) 

FEMALE 

7kgs (i.e. about 70 newtons) 

e.g. 1 x full metal 1100 litre wheeled bin requires 70 Newtons 

OVER THE STATED GUIDELINES AN ASSESSMENT HAS TO BE UNDERTAKEN. ',
			'field_order' => '2',
			'attachment_id' => '1520',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 27 => array(
			'id' => '3287',
			'course_id' => '115',
			'course_lesson_id' => '524',
			'field_type' => 'media-field',
			'field_label' => 'Team handling',
			'description' => 'Lifting as a team does not mean you can lift lots more weight!  

Two people cannot lift twice as much, only 2/3 the sum of their individual capabilities. 

Three people cannot lift three times as much, only 1/2 the sum of their individual capabilities. 

Think about the dignity and safety of everyone. 

Identify the lead to coordinate the move. ',
			'field_order' => '3',
			'attachment_id' => '1521',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 10:57:55',
			'modified' => '2024-08-06 10:57:55'
		),
		(int) 28 => array(
			'id' => '3288',
			'course_id' => '115',
			'course_lesson_id' => '525',
			'field_type' => 'text-links',
			'field_label' => 'Sources of information',
			'description' => 'Your local Moving and Handling Advisor  <br><br>Health and Safety Executive:    <br><br><a href="http://www.hse.gov.uk">www.hse.gov.uk</a> <br><br>National Back Exchange:  <br><br><a href="http://www.nationalbackexchange.org">www.nationalbackexchange.org</a> ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:00:49',
			'modified' => '2024-08-06 11:00:49'
		),
		(int) 29 => array(
			'id' => '3289',
			'course_id' => '115',
			'course_lesson_id' => '525',
			'field_type' => 'paragraph',
			'field_label' => 'Further Training',
			'description' => 'For all newly appointed staff who will be involved in patient care, a further practical session will be provided for you to attend in order for you to comply with the Trust’s Manual Handling Techniques SOP. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:00:49',
			'modified' => '2024-08-06 11:00:49'
		),
		(int) 30 => array(
			'id' => '3290',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => ' Which of the following are considered risk factors in the development of musculoskeletal disorders?',
			'description' => 'select one or more answers',
			'field_order' => '0',
			'attachment_id' => '1522',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Heavy manual labour ","Awkward postures ","Pushing and pulling equipment ","Previous or existing injuries "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 31 => array(
			'id' => '3291',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'Safe moving and handling breaks an activity into 4 key areas, known as TILE. Which is the correct combination of the 4 key areas?',
			'description' => 'select an answer ',
			'field_order' => '1',
			'attachment_id' => '1524',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Task \/ Individual \/ Load \/ Environment  ","Task \/ Individual \/ Lifting \/ Equipment  ","Task \/ Individual \/ Lifting \/ Environment  "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 32 => array(
			'id' => '3292',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'The ergonomic approach to manual handling can be defined as which of the following: ',
			'description' => 'select an answer',
			'field_order' => '2',
			'attachment_id' => '1523',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Fitting the job to the person rather than the person to the job ","The specific weight limits a woman can pick up ","The specific weight limits a man can pick up ","Pulling something instead picking it up "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 33 => array(
			'id' => '3293',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'What should you do if a load is sharp or very hot or cold?',
			'description' => 'select an answer',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Use protective equipment (e.g. gloves, mask) ","Hold the load away from your body ","Break it down into smaller loads  "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 34 => array(
			'id' => '3294',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following may have a serious impact on the way in which manual handling is carried out? ',
			'description' => 'select one or more answers',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Uneven floors ","Restrictive clothing ","Harsh lighting ","Hot environment ","Inappropriate footwear "]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 35 => array(
			'id' => '3295',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'When conducting a moving and handling procedure you should position your feet apart and place the leading leg as far forward as is comfortable. ',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => '1525',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 36 => array(
			'id' => '3296',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'A load becomes more difficult to handle if it is held in which of the following ways: ',
			'description' => 'select one or more answers ',
			'field_order' => '6',
			'attachment_id' => '1526',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Above the shoulders ","Below your knees ","Away from the body (i.e. with arms stretched out) "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 37 => array(
			'id' => '3297',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'When using equipment to move an object you should:',
			'description' => 'select one or more answers ',
			'field_order' => '7',
			'attachment_id' => '1527',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Be trained to use handling equipment ","Always check equipment prior to use ","Report any concerns regarding damage ","Check it is suitable for the task  "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 38 => array(
			'id' => '3298',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'According to HSE Guidelines two people working as a team can lift twice as much as one person. ',
			'description' => 'select an answer',
			'field_order' => '8',
			'attachment_id' => '1528',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 39 => array(
			'id' => '3299',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'There are legal responsibilities on both the employer and the employee to ensure safe moving and handling practices. ',
			'description' => 'select an answer',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 40 => array(
			'id' => '3300',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where can you find information that would help you to reduce the risk of injury to yourself and others when moving and handling? ',
			'description' => 'select one or more answers',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Your employer\u2019s policies and procedures ","The Health and Safety Executive website ","Occupational Health ","The NHS Jobs website "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 41 => array(
			'id' => '3301',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following are the potential adverse consequences of not carrying out an adequate risk assessment? ',
			'description' => 'select one or more answers',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Serious harm or injury to others ","Serious harm or injury to employees ","Raised levels of sickness absence ","Legal action against the organisation ","Additional unnecessary costs to the Trust ","Saving time and money for all concerned "]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 42 => array(
			'id' => '3302',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'Your knees must always be straight when lifting. ',
			'description' => 'select an answer ',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 43 => array(
			'id' => '3303',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'single-choice',
			'field_label' => 'Staying active, exercising and maintaining a healthy weight reduces the risk of the occurrence of injury during moving and handling procedures. ',
			'description' => 'select an answer',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 44 => array(
			'id' => '3304',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => ' Where should the Manual Handling Techniques Safe Operating Procedures NOT be found?',
			'description' => 'select one or more answers ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A printed copy kept in the ward\/department office ","In the departments\u2019 break room ","The Trust Procedural Library "]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 45 => array(
			'id' => '3305',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'As an employer, which of the following is the Trust responsible for regarding manual handling? ',
			'description' => 'select one or more answers',
			'field_order' => '15',
			'attachment_id' => '1529',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Avoid manual handling activities were deemed possible ","Assess manual handling activities if not avoidable ","Reduce the risk of injury ","Review Risk Assessments regularly ","Save money by not providing equipment and correct PPE "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 46 => array(
			'id' => '3306',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following will help prevent back issues? ',
			'description' => 'select one or more answers',
			'field_order' => '16',
			'attachment_id' => '1530',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Maintaining a good posture ","Staying active and exercising ","Quitting smoking ","Maintaining a healthy weight ","Reducing stress "]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		),
		(int) 47 => array(
			'id' => '3307',
			'course_id' => '115',
			'course_lesson_id' => '526',
			'field_type' => 'multiple-choice',
			'field_label' => ' Who can you contact if you have a manual handling issue? ',
			'description' => 'select one or more answers',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The Trust manual handling trainer","The Health and Safety Department ","The department Manual Handling Champion ","Practice educators "]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 11:41:15',
			'modified' => '2024-08-06 11:41:15'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3256',
		(int) 1 => '3257',
		(int) 2 => '3258',
		(int) 3 => '3259',
		(int) 4 => '3260',
		(int) 5 => '3261',
		(int) 6 => '3262',
		(int) 7 => '3263',
		(int) 8 => '3264',
		(int) 9 => '3265',
		(int) 10 => '3266',
		(int) 11 => '3267',
		(int) 12 => '3268',
		(int) 13 => '3269',
		(int) 14 => '3270',
		(int) 15 => '3271',
		(int) 16 => '3272',
		(int) 17 => '3273',
		(int) 18 => '3274',
		(int) 19 => '3275',
		(int) 20 => '3276',
		(int) 21 => '3277',
		(int) 22 => '3278',
		(int) 23 => '3279',
		(int) 24 => '3284',
		(int) 25 => '3286',
		(int) 26 => '3285',
		(int) 27 => '3287',
		(int) 28 => '3288',
		(int) 29 => '3289',
		(int) 30 => '3290',
		(int) 31 => '3291',
		(int) 32 => '3292',
		(int) 33 => '3293',
		(int) 34 => '3294',
		(int) 35 => '3295',
		(int) 36 => '3296',
		(int) 37 => '3297',
		(int) 38 => '3298',
		(int) 39 => '3299',
		(int) 40 => '3300',
		(int) 41 => '3301',
		(int) 42 => '3302',
		(int) 43 => '3303',
		(int) 44 => '3304',
		(int) 45 => '3305',
		(int) 46 => '3306',
		(int) 47 => '3307'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '115'
$k = (int) 9
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
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		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 120 => array(
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		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
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		(int) 8 => '12',
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		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 123 => array(
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		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
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		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
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		'Course' => array(
			'id' => '124',
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			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
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		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
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			(int) 2 => array(
				[maximum depth reached]
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			(int) 3 => array(
				[maximum depth reached]
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			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
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			(int) 1 => array(
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			(int) 2 => array(
				[maximum depth reached]
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			(int) 3 => array(
				[maximum depth reached]
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			(int) 4 => array(
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			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
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			(int) 9 => array(
				[maximum depth reached]
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			(int) 10 => array(
				[maximum depth reached]
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			(int) 11 => array(
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			(int) 12 => array(
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			(int) 13 => array(
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			(int) 14 => array(
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			(int) 15 => array(
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			(int) 16 => array(
				[maximum depth reached]
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			(int) 17 => array(
				[maximum depth reached]
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			(int) 18 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 20 => array(
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			(int) 21 => array(
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			(int) 23 => array(
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			(int) 24 => array(
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			(int) 25 => array(
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			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
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			),
			(int) 32 => array(
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			),
			(int) 33 => array(
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			),
			(int) 34 => array(
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			(int) 35 => array(
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			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
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			),
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			),
			(int) 41 => array(
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			),
			(int) 42 => array(
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			),
			(int) 43 => array(
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			(int) 44 => array(
				[maximum depth reached]
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			(int) 45 => array(
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			(int) 46 => array(
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			(int) 48 => array(
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			),
			(int) 49 => array(
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			),
			(int) 50 => array(
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			),
			(int) 51 => array(
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			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
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			(int) 54 => array(
				[maximum depth reached]
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			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
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			),
			(int) 57 => array(
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			),
			(int) 58 => array(
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			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
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				[maximum depth reached]
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			(int) 576 => array(
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			(int) 577 => array(
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			(int) 579 => array(
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			(int) 580 => array(
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			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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			(int) 6 => array(
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			(int) 7 => array(
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			(int) 8 => array(
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			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
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			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
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			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
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			(int) 15 => '3667',
			(int) 16 => '3666',
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			(int) 18 => '3676',
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			(int) 21 => '3680',
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			(int) 24 => '3683',
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			(int) 27 => '3685',
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			(int) 33 => '3694',
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			(int) 35 => '3693',
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			(int) 37 => '3691',
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			(int) 48 => '3706',
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			(int) 50 => '3707',
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			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
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			'percent_complete' => (int) 0
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		'CourseLesson' => array(
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			(int) 2 => array(
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			(int) 3 => array(
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		'CourseLessonField' => array(
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			(int) 2 => array(
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			(int) 3 => array(
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			),
			(int) 16 => array(
				[maximum depth reached]
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			(int) 573 => array(
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			(int) 1 => array(
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			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78,
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			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3561',
			(int) 1 => '3562',
			(int) 2 => '3563',
			(int) 3 => '3564',
			(int) 4 => '3565',
			(int) 5 => '3566',
			(int) 6 => '3567',
			(int) 7 => '3568',
			(int) 8 => '3569',
			(int) 9 => '3570',
			(int) 10 => '3571',
			(int) 11 => '3572',
			(int) 12 => '3573',
			(int) 13 => '3574',
			(int) 14 => '3575',
			(int) 15 => '3576',
			(int) 16 => '3577',
			(int) 17 => '3578',
			(int) 18 => '3580',
			(int) 19 => '3581',
			(int) 20 => '3582',
			(int) 21 => '3583',
			(int) 22 => '3585',
			(int) 23 => '3586',
			(int) 24 => '3584',
			(int) 25 => '3587',
			(int) 26 => '3588',
			(int) 27 => '3589',
			(int) 28 => '3590',
			(int) 29 => '3591',
			(int) 30 => '3592',
			(int) 31 => '3593',
			(int) 32 => '3594',
			(int) 33 => '3595',
			(int) 34 => '3596',
			(int) 35 => '3597',
			(int) 36 => '3598',
			(int) 37 => '3599',
			(int) 38 => '3600',
			(int) 39 => '3601',
			(int) 40 => '3602',
			(int) 41 => '3603',
			(int) 42 => '3604',
			(int) 43 => '3605',
			(int) 44 => '3606',
			(int) 45 => '3607',
			(int) 46 => '3608',
			(int) 47 => '3609',
			(int) 48 => '3610',
			(int) 49 => '3611',
			(int) 50 => '3612',
			(int) 51 => '3613',
			(int) 52 => '3614',
			(int) 53 => '3615',
			(int) 54 => '3619',
			(int) 55 => '3618',
			(int) 56 => '3617',
			(int) 57 => '3616',
			(int) 58 => '3622',
			(int) 59 => '3621',
			(int) 60 => '3620',
			(int) 61 => '3623',
			(int) 62 => '3624',
			(int) 63 => '3625',
			(int) 64 => '3626',
			(int) 65 => '3627',
			(int) 66 => '3628',
			(int) 67 => '3629',
			(int) 68 => '3630',
			(int) 69 => '3631',
			(int) 70 => '3632',
			(int) 71 => '3633',
			(int) 72 => '3634',
			(int) 73 => '3635',
			(int) 74 => '3636',
			(int) 75 => '3637',
			(int) 76 => '3638',
			(int) 77 => '3639'
		)
	),
	(int) 3 => array(
		'Course' => array(
			'id' => '121',
			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'field_count' => (int) 30,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 556 => array(
				[maximum depth reached]
			),
			(int) 557 => array(
				[maximum depth reached]
			),
			(int) 558 => array(
				[maximum depth reached]
			),
			(int) 559 => array(
				[maximum depth reached]
			),
			(int) 560 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3531',
			(int) 1 => '3532',
			(int) 2 => '3533',
			(int) 3 => '3534',
			(int) 4 => '3535',
			(int) 5 => '3536',
			(int) 6 => '3537',
			(int) 7 => '3538',
			(int) 8 => '3539',
			(int) 9 => '3540',
			(int) 10 => '3541',
			(int) 11 => '3542',
			(int) 12 => '3543',
			(int) 13 => '3544',
			(int) 14 => '3545',
			(int) 15 => '3546',
			(int) 16 => '3547',
			(int) 17 => '3548',
			(int) 18 => '3549',
			(int) 19 => '3550',
			(int) 20 => '3551',
			(int) 21 => '3552',
			(int) 22 => '3553',
			(int) 23 => '3554',
			(int) 24 => '3555',
			(int) 25 => '3556',
			(int) 26 => '3557',
			(int) 27 => '3558',
			(int) 28 => '3559',
			(int) 29 => '3560'
		)
	),
	(int) 4 => array(
		'Course' => array(
			'id' => '120',
			'course_title' => 'Safeguarding Adults & Children - Level 1',
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			),
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			),
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				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
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			),
			(int) 29 => array(
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 39 => array(
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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				[maximum depth reached]
			),
			(int) 45 => array(
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			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 36 => array(
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			),
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				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
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			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />This session has been updated with infection, prevention and control guidance in light of the Coronavirus (COVID-19) pandemic. We recommend that you visit the Personal Protective Equipment (PPE) chapter for new guidance.<br /><br />For up-to-date guidance search:<br /><br />COVID-19: infection prevention and control<br />COVID-19: guidance for Ambulance Trusts<br /><br />Your health and safety and that of others is very important. During this pandemic you must take care of yourself and stay at home if you exhibit any symptoms of the Coronavirus or if those you live with are unwell. you must stay at home if you are an individual who is &lsquo;shielded&rsquo;.<br /><br />If you are working in a health and care environment and if you are well, you can attend your work but must follow the guidance given to you by your organisation.',
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			'course_length' => '60 minutes',
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			'created' => '2024-08-05 14:33:41',
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			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3166',
			(int) 1 => '3243',
			(int) 2 => '3244',
			(int) 3 => '3169',
			(int) 4 => '3170',
			(int) 5 => '3171',
			(int) 6 => '3245',
			(int) 7 => '3173',
			(int) 8 => '3174',
			(int) 9 => '3175',
			(int) 10 => '3246',
			(int) 11 => '3247',
			(int) 12 => '3178',
			(int) 13 => '3179',
			(int) 14 => '3248',
			(int) 15 => '3181',
			(int) 16 => '3182',
			(int) 17 => '3183',
			(int) 18 => '3249',
			(int) 19 => '3185',
			(int) 20 => '3186',
			(int) 21 => '3187',
			(int) 22 => '3188',
			(int) 23 => '3189',
			(int) 24 => '3190',
			(int) 25 => '3191',
			(int) 26 => '3192',
			(int) 27 => '3193',
			(int) 28 => '3195',
			(int) 29 => '3196',
			(int) 30 => '3197',
			(int) 31 => '3198',
			(int) 32 => '3250',
			(int) 33 => '3200',
			(int) 34 => '3251',
			(int) 35 => '3203',
			(int) 36 => '3204',
			(int) 37 => '3205',
			(int) 38 => '3208',
			(int) 39 => '3206',
			(int) 40 => '3207',
			(int) 41 => '3209',
			(int) 42 => '3210',
			(int) 43 => '3211',
			(int) 44 => '3212',
			(int) 45 => '3213',
			(int) 46 => '3214',
			(int) 47 => '3215',
			(int) 48 => '3216',
			(int) 49 => '3217',
			(int) 50 => '3219',
			(int) 51 => '3218',
			(int) 52 => '3220',
			(int) 53 => '3221',
			(int) 54 => '3222',
			(int) 55 => '3223',
			(int) 56 => '3224',
			(int) 57 => '3225',
			(int) 58 => '3226',
			(int) 59 => '3227',
			(int) 60 => '3228',
			(int) 61 => '3229',
			(int) 62 => '3230',
			(int) 63 => '3231',
			(int) 64 => '3232',
			(int) 65 => '3233',
			(int) 66 => '3234',
			(int) 67 => '3235',
			(int) 68 => '3237',
			(int) 69 => '3238',
			(int) 70 => '3239',
			(int) 71 => '3240',
			(int) 72 => '3241',
			(int) 73 => '3242'
		)
	),
	(int) 11 => array(
		'Course' => array(
			'id' => '113',
			'course_title' => 'Health & Safety (NHS Core Skills)',
			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
			'banner_media_id' => '1418',
			'thumbnail_media_id' => '1419',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23'
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		)
	),
	(int) 12 => array(
		'Course' => array(
			'id' => '112',
			'course_title' => 'Equality Diversity And Inclusion E-Learning',
			'description' => 'Welcome to this e-Learning package on Equality, Diversity and Human Rights. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1323',
			'thumbnail_media_id' => '1320',
			'logo_media_id' => null,
			'banner_align_id' => '4',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 09:12:40',
			'modified' => '2024-08-07 14:24:36'
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		)
	),
	(int) 13 => array(
		'Course' => array(
			'id' => '111',
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		'course_title' => 'Infection Prevention & Control (Core Skills) 2',
		'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />This session has been updated with infection, prevention and control guidance in light of the Coronavirus (COVID-19) pandemic. We recommend that you visit the Personal Protective Equipment (PPE) chapter for new guidance.<br /><br />For up-to-date guidance search:<br /><br />COVID-19: infection prevention and control<br />COVID-19: guidance for Ambulance Trusts<br /><br />Your health and safety and that of others is very important. During this pandemic you must take care of yourself and stay at home if you exhibit any symptoms of the Coronavirus or if those you live with are unwell. you must stay at home if you are an individual who is &lsquo;shielded&rsquo;.<br /><br />If you are working in a health and care environment and if you are well, you can attend your work but must follow the guidance given to you by your organisation.',
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			'created' => '2024-08-05 14:48:43',
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			'session_length' => '15 minutes',
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			'session_length' => '12 minutes',
			'character_id' => '',
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			'id' => '518',
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			'lesson_title' => 'Session summary ',
			'description' => 'Session summary, key points and next steps.',
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			'session_length' => '3 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 15:52:51',
			'modified' => '2024-08-06 09:18:06'
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			'lesson_title' => 'eAssessment',
			'description' => 'Welcome to the&nbsp;Infection Prevention and Control Level 2 eAssessment.<br />&nbsp;<br />To successfully complete this eAssessment, you need to achieve a score of at least 80%.<br /><br />You should set aside approximately 15 minutes to complete this eAssessment.',
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			'session_length' => '15 minutes',
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			'active' => '1',
			'created' => '2024-08-05 15:57:05',
			'modified' => '2024-08-06 09:18:06'
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			'description' => 'Healthcare is delivered in a range of settings, from hospitals to care delivered in clients' homes or social care settings. Healthcare-associated infections (HCAIs) can occur in any setting where healthcare is delivered. HCAIs are defined as any infection as a result of healthcare interaction that has taken place, or has occurred, 48 hours (general rule) after admission to a healthcare setting.

Healthcare workers, carers and family members are also at risk of acquiring infections when caring for patients. HCAIs can occur in otherwise healthy individuals, especially if invasive procedures or devices are used.

HCAIs can exacerbate existing or underlying conditions, delay recovery and adversely affect quality of life.

During the past two decades, HCAIs have become a significant threat to patient safety. The UK government sees antibiotic resistance as a threat comparable with terrorism.

Patient treatment can be undermined by the transmission of infections within the healthcare settings; particularly problematic are those infections caused by antimicrobial-resistant micro-organisms.',
			'field_order' => '0',
			'attachment_id' => '1420',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 1 => array(
			'id' => '3169',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'image-hotspot',
			'field_label' => 'Obligations of Employers and Employees',
			'description' => 'Not all HCAI can be prevented, but organisations are responsible for providing training, policies and PPE, as well as reporting structures to minimise HCAI as far as possible.

It is everyone's responsibility to maintain consistent infection prevention and control practice and a safe working environment.

Select the icons to find out three important points of personal hygiene.',
			'field_order' => '3',
			'attachment_id' => '1423',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":194.875,"left":450,"annotation":"Bare arms\nHealthcare staff, including those working in community and primary care, must not wear jewellery, rings with stones, acrylic nails, wristbands and watches. Arms should be bare below the elbow to facilitate hand hygiene."},{"top":79.875,"left":254,"annotation":"Presentation\nHealthcare staff, including those working in community and primary care, must look presentable and professional. Staff with long hair must have it tied back and off the collar."},{"top":107.875,"left":95,"annotation":"Uniform\nFor those healthcare staff who are required to wear uniform, including those working in community and primary care, they must wear a clean uniform every day.\n\nAll providers of NHS care must have a uniform policy and this will detail the specific requirements."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 2 => array(
			'id' => '3170',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'image-bullets',
			'field_label' => 'Antimicrobial Resistance',
			'description' => 'ntimicrobial resistance (AMR) is the biggest threat to public health. It happens when micro-organisms (such as bacteria, fungi, viruses and parasites) change when they are exposed to antimicrobial drugs, such as antibiotics, antifungals, antivirals, antimalarials and antihelmintics.',
			'field_order' => '4',
			'attachment_id' => '1485',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Carbapenems are powerful broad-spectrum antibiotics that are often the last line of effective treatment for patients with multidrug-resistant infections, including those caused by ESBL-producing bacteria (extended spectrum beta-lactamases).  Cases of carbapenem resistance in E. coli and Klebsiella in the UK started to increase during 2008 and 2009.","Antimicrobial resistance (AMR) is resistance of a micro-organism to an antimicrobial medicine to which it was previously sensitive. Resistant organisms (they include bacteria and viruses) are able to withstand attack by antimicrobial medicines, such as antibiotics and antivirals, so that standard treatments become ineffective and infections are prolonged, with longer periods of infectivity, and may spread to others. Inappropriate and irrational use of antimicrobial medicines provides favourable conditions for resistant micro-organisms to emerge, spread and persist.","This is the UK Government's 5 year action plan which has been designed to ensure progress towards a 20-year vision on AMR, in which resistance is effectively contained and controlled. The report recognises that no new classes of antibiotic have been discovered since the 1980s and that this, together with the increased and inappropriate use of the drugs already available, means we are heading rapidly towards a world in which antibiotics no longer work.  The report focuses on three keyways of tackling AMR:  Reducing the need for, and unintentional exposure to, antimicrobials Optimising use of antimicrobials Investing in innovation, supply and access"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 3 => array(
			'id' => '3171',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'image-bullets',
			'field_label' => 'Methods of Infection Spread',
			'description' => 'There are a number of ways that infection can spread.',
			'field_order' => '5',
			'attachment_id' => '1425',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Vector - Flies, rats, mice and cockroaches can spread vector-borne diseases. These include dengue fever, West Nile virus, lyme disease and malaria.","Needlestick - A number of infections can be spread by needlestick injuries. This includes hepatitis B, hepatitis C and the human immunodeficiency virus (HIV) which leads to AIDS (acquired immune deficiency syndrome).","Direct contact - Examples of infections that can be spread by skin-to-skin contact (for example, contaminated hands) are MRSA and E. coli. Also, C.difficile spores can be transferred via contaminated hands. E coli is a common cause of urinary tract infection.","Ingestion - Examples of infection acquired by ingestion (eating and drinking) include salmonella, campylobacter and E.coli 0157. C.difficile spores can also be ingested via contaminated hands.","Droplets and Airborne - Influenza is a respiratory illness spread by droplets through coughing and sneezing. This can contaminate surfaces and indirectly spread infection via contaminated hands.   An airborne disease is any disease that is caused by pathogens that can be transmitted through the air, for example measles and chickenpox.","Fomites - Fomites are objects or materials which are likely to carry infection, such as clothes, utensils, and furniture. Dirty commodes are one piece of equipment, if not cleaned thoroughly, can be implicated in spreading infection."]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 4 => array(
			'id' => '3173',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following two patients would you consider high risk?',
			'description' => 'Choose one option.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Young person with no other medical conditions and no previous hospital admissions, no medication. Routine elective surgery when he had his tonsils removed","Woman in her 70s, multiple hospital admissions, antibiotics in community, non-intact skin, recent inpatient tertiary hospital"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 5 => array(
			'id' => '3174',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'image-hotspot',
			'field_label' => 'What Causes Disease?',
			'description' => 'Which infectious agents cause disease?

Select all the images to find out more.',
			'field_order' => '0',
			'attachment_id' => '1427',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":99.0312,"left":77,"annotation":"Bacteria\nBacteria are microscopic single-celled organisms that thrive in diverse environments. Bacteria are prokaryotes. The entire organism consists of a single cell with a simple internal structure. They can live within soil, in the ocean and inside the human gut. Humans' relationship with bacteria is complex.\n\nSometimes they lend a helping hand, by curdling milk into yogurt, or helping with our digestion. At other times they are destructive, causing diseases like pneumonia and MRSA."},{"top":94.0312,"left":319,"annotation":"Virus\nViruses are very tiny agents. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS, smallpox, and Ebola.\n \nViruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system or blood.\n \nWhen you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.\n \nFor most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases."},{"top":255.031,"left":106,"annotation":"Parasites\nA parasite is an organism that lives on or in a host. It gets its food from, or at the expense of, its host.\n\nParasites can cause or transmit disease in humans termed as a ‘parasitic disease’ or ‘parasitosis’. Many parasites do not cause disease.\n\nInfestation refers to parasitic diseases caused by lice, fleas, ticks, and some mites, that live on a host. It can also refer to worms and protozoa that live in the internal organs or tissues of its host.\n\n‘Parasitic disease’ caused by worms and protozoa are sometimes referred to as ‘parasitic infection’."},{"top":200.031,"left":408,"annotation":"Fungal infections\nA fungus is a primitive organism. Mushrooms, mould and mildew are examples. Fungi live in air, in soil, on plants and in water. Some live in the human body. Only about half of all types of fungi are harmful.\n \nSome fungi reproduce through tiny spores in the air. You can inhale the spores or they can land on you. As a result, fungal infections often start in the lungs or on the skin. You are more likely to get a fungal infection if you have a weakened immune system or take antibiotics.\n \nFungi can be difficult to kill. For skin and nail infections, you can apply medicine directly to the infected area. Oral antifungal medicines are also available for serious infections."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 6 => array(
			'id' => '3175',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'text-image',
			'field_label' => 'Reservoirs',
			'description' => 'Reservoirs, shown in the diagram, are where micro-organisms reside and multiply. Without them, infectious agents could not survive and therefore could not be transmitted.

The site of exit provides a way for a micro-organism to leave a reservoir.

For example, in the body this may include any orifice (nose, mouth etc.) via any bodily substance.',
			'field_order' => '1',
			'attachment_id' => '1428',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 7 => array(
			'id' => '3178',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'text-image',
			'field_label' => 'Breaking the Chain of Infection',
			'description' => 'In some instances, the risk of infection may be prevented or reduced by the use of vaccination, for example TB, tetanus, polio, diphtheria, or by the use of prophylactic antibiotics, for example preoperatively.

Generally, the chain of infection can be broken by the effective use of standard precautions which break the ‘route of transmission' link.

 ',
			'field_order' => '0',
			'attachment_id' => '1431',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 8 => array(
			'id' => '3179',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'image-hotspot',
			'field_label' => 'Breaking the Chain of Infection',
			'description' => 'The chain of infection can be broken by taking the following standard precautions.

Select the icons to find out examples of the standard precautions for acute and community workers.',
			'field_order' => '1',
			'attachment_id' => '1433',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":51.7344,"left":22,"annotation":"Hand hygiene\n\nOne of the most effective measures in the prevention of transmission of infection and reducing HCAIs is improving hand hygiene. Hand hygiene can be performed using:\n\nSoap and water\nHand sanitisers\nEnsure that you are aware of, and follow, guidelines in your local organisation for hand hygiene"},{"top":65.7344,"left":59,"annotation":"Personal protective equipment (PPE)\n\nPPE is designed to protect healthcare\nworkers from exposure to potentially\ninfectious material. It also prevents ongoing transmission of infection material to patients.\nMake sure you know and use the\nappropriate PPE for the situation.\n\nPPE equipment includes:\n\nGloves\nAprons/gowns\nMasks\nProtective eyewear\nThis is not an exhaustive list. It is your responsibility to use PPE in line with local policy and the requirements of your role."},{"top":56.7344,"left":113,"annotation":"Linen management\n\nUsed linen can harbour large numbers of potentially infectious agents. Precautions need to be taken at all stages of linen management:\n\nStorage\nHandling\nBagging\nTransporting\nLaundering\nEnsure that re-usable linen is cleaned between patients following the correct standards. All patient linen is laundered at the highest temperature the fabric can withstand. Hospitals follow health service guidance for laundering items at 70oC for 3 minutes."},{"top":71.7344,"left":171,"annotation":"Waste and sharps management\n\n'Sharps' are needles, blades, stitch cutters, scalpels and other medical instruments that are necessary for carrying out healthcare work and could cause an injury by cutting or pricking the skin\nDon’t use a sharp if you don’t have to\nSafer sharps devices must be used and, if not, then a risk assessment must be completed to acknowledge this and minimise risk of injury to the practitioner\nNever re-sheath a needle\nEnsure correct assembly of the sharps container\nDispose of sharps in an approved container at the point of use\nDon’t exceed the fill limit\nEnsure the correct disposal of the container\nRemember to refer to your local protocol and training regarding the safe disposal of sharps and the management of healthcare waste in your trust or organisation."},{"top":68.7344,"left":252,"annotation":"Specimen collection\n\nEnsure that specimens are taken promptly and appropriately when infection is suspected and prior to starting treatment. Ensure that all staff who handle specimens follow the necessary standards and precautions."},{"top":78.7344,"left":316,"annotation":"Environmental cleaning\n\nEnsure that surfaces are dust free and clutter free to facilitate cleaning."},{"top":56.7344,"left":382,"annotation":"Equipment cleaning\n\nEnsure that items that are not single use are cleaned between patients as per manufacturer's instructions."},{"top":86.7344,"left":453,"annotation":"Precautions and measures\n\nTo reduce the risk of infection, it is recommended that patients and the health and social care workforce are:\n\nVaccinated for infectious diseases\nStay hydrated\nHave good nutrition\nThe workforce is also at risk of injury and infection from sharps. This includes those who directly handle sharps but also those who may inadvertently be put at risk when sharps are not stored or disposed of correctly.\n\nHigher risk procedures include using hollow-bore needles and in intra-vascular cannulation, venepuncture and injections and use of IV cannulae, winged steel-butterfly-needles, needles and syringes and phlebotomy needles.\n\nRefer to the Health & Safety Executive website in Resources for more details on the law and regulations regarding sharps."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 9 => array(
			'id' => '3181',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'bullet-points',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care.  Refer to your organisation’s dress code/uniform policy for further clarification and any other specific requirements.',
			'description' => 'To achieve effective hand hygiene, follow the ‘bare below the elbows’ dress code. Avoiding wearing:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Jewellery (especially rings with stones)","Long nails, nail varnish and false nails","Wrist bands","Wrist watches (including fitness trackers)","Long sleeves"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 10 => array(
			'id' => '3182',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'text-links',
			'field_label' => 'One of the most effective measures in the prevention of transmission of infection is improving hand hygiene. Hand hygiene can be performed using:',
			'description' => ' <a href="https://nhscanl.sharepoint.com/sites/InfectionPrevention/Latest%20Training%20Updates/Forms/Smart%20Webpage.aspx?id=%2Fsites%2FInfectionPrevention%2FLatest%20Training%20Updates%2FHand%20Hygiene%20%2D%20hand%20cleaning%20techniques%20%28clean%20your%20hands%20campaign%29%2Epdf&amp;parent=%2Fsites%2FInfectionPrevention%2FLatest%20Training%20Updates">Soap and water<br>   Hand sanitisers</a><br><br>Ensuring you are aware of and follow the guidelines in your organisation for hand hygiene.<br><br>Regular and correct hand washing is vital to help prevent spread of the coronavirus (COVID-19).',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 11 => array(
			'id' => '3183',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'media-field',
			'field_label' => 'Select play to view the correct hand washing technique.',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/4ij1I0OB2hk?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/4ij1I0OB2hk/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 12 => array(
			'id' => '3185',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'multiple-choice',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care. This means to avoid:',
			'description' => 'Choose the correct options ',
			'field_order' => '7',
			'attachment_id' => '1436',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Wearing wrist bands","Wearing jewellery","Short sleeves","Long nails"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 13 => array(
			'id' => '3186',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-image',
			'field_label' => 'Personal Protective Equipment (PPE)',
			'description' => 'Personal protective equipment (PPE) describes items such as gloves, aprons, face masks and eye protection which are used during certain procedures. You must ensure that you use the appropriate PPE when performing a clinical procedure to prevent micro-organisms from coming into contact with you or your clothing.

Since there is a high risk of the PPE becoming contaminated, it is essential to remove it as soon as you have completed the procedure and then to thoroughly clean your hands.

Although the NHS is required to provide suitable equipment, it is the responsibility of the individual concerned to use it correctly and appropriately.

*Important: Please review the additional coronavirus (COVID-19) guidance as you view this chapter.*

Remember that wearing PPE is a requirement of the Health and Safety at Work Act 1974 [7] and the Code of Practice (Health and Social Care Act (2008)) Code of Practice on the prevention and control of infection [8].

It is worn to:

- Protect staff from infection (micro-organisms/blood/body fluids)
- Reduce the spread of micro-organisms to patients

Its use is based on an assessment of the risk of transmission of micro-organisms (to the healthcare worker or the patient) and the risk of contamination of the healthcare worker from the patient’s blood, body fluids, secretions and excretions.

In light of the current coronavirus (Covid-19) pandemic, PPE is vital to protect the healthcare worker and patient. Please follow the guidance.',
			'field_order' => '0',
			'attachment_id' => '1437',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 14 => array(
			'id' => '3187',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-image',
			'field_label' => 'Personal Protective Equipment (PPE)',
			'description' => 'The wearing of gloves is not a substitute for hand hygiene. Wearing gloves inappropriately (i.e. too frequently/for every task) means that valuable hand hygiene opportunities will be missed and the risk of cross-infection to patients will increase. Gloves and aprons are worn for contact with blood or bodily fluid or infectious patients.

Putting on gloves and/or a disposable plastic apron should be the last thing that the healthcare worker does immediately before he or she has direct contact with the patient.

Disposable plastic aprons and non-sterile gloves are only ‘clean’ at the point at which they are put on. Putting them on too soon before the actual task or episode of patient contact means that they will become contaminated and will no longer be clean. Gloves and aprons are not to protect the patient but to protect the healthcare worker.

Staff must not leave a single room/bay wearing gloves and/or an apron unless there is an emergency or they are removing a bedpan/commode or carrying a vomit bowl/urinal, where there is a potential risk of body fluid spillage.',
			'field_order' => '1',
			'attachment_id' => '1438',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 15 => array(
			'id' => '3188',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'paragraph',
			'field_label' => 'Aprons',
			'description' => 'Aprons form part of PPE and must be changed in between each procedure or episode of patient care.

They must be removed as soon as the procedure/episode of care has been completed, and before leaving a side room/bay unless the healthcare worker is taking a commode, bedpan, urinal or dirty/contaminated equipment for disposal.

They must be disposed of as clinical waste after use.

Full, body-length, fluid-repellent gowns should be worn where there is a risk of extensive splashing of blood or body fluids onto the skin or clothing of healthcare workers including contact with infectious patients.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 16 => array(
			'id' => '3189',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'image-hotspot',
			'field_label' => 'Disposable plastic aprons should be worn when in close contact with a patient, materials or equipment, and where there is a risk that clothing or uniform may become contaminated with micro-organisms, blood, body fluids, secretions or excretions.',
			'description' => 'Select all the images for some examples.',
			'field_order' => '3',
			'attachment_id' => '1439',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":49.0312,"left":101,"annotation":"- Assisting with washing or bathing\n- Venepuncture or cannulation"},{"top":87.0156,"left":371,"annotation":"- Cleaning or decontaminating equipment\n- Assisting patients with using a bedpan or commode"},{"top":237.016,"left":189,"annotation":"- Changing soiled or contaminated linen\n- Handling or serving food"},{"top":252.016,"left":462,"annotation":"- Cleaning toilets, bathrooms or ward areas\n- Emptying catheter drainage bags or stoma bags\n- Direct contact with patients who are in ‘isolation’ or cohort nursed\n\nThey are not required for ‘routine’ contact with patients who are not infectious, such as when taking vital signs or assisting with mobility."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 17 => array(
			'id' => '3190',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'image-bullets',
			'field_label' => 'Masks',
			'description' => 'Surgical face masks must be worn for surgery or when in contact with a patient who has a suspected/confirmed transmittable virus. Face masks should also be worn during the coronavirus (COVID-19) pandemic to protect both the healthcare workforce and patient.',
			'field_order' => '4',
			'attachment_id' => '1440',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["They are single-use items of PPE","They need to be secured tightly around the back of the head to ensure that the fit is as close as possible","They are not designed to be worn for long periods","They must be changed when wet","They must be removed following the procedure","They must be disposed of as clinical waste"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 18 => array(
			'id' => '3191',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'bullet-points',
			'field_label' => 'Filtering face piece (FFP) ',
			'description' => 'Healthcare staff need to undergo fit testing to ensure that the FFP3 respirator mask is a suitable and close fit for the shape of their face, and that there are no gaps under or around the mask where unfiltered air can pass through.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Fit testing can only be undertaken by someone who has been trained in the procedure","Each time a FFP3 respirator mask is worn, a fit check needs to be undertaken","The same type of mask must be worn that has been fit-tested for, and a fit-check must be performed each time a new FFP3 is worn","FFP3 respirator masks can be worn for up to 8 hours of continuous care"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 19 => array(
			'id' => '3192',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-image',
			'field_label' => 'Goggles, Visors and Face Shields',
			'description' => 'You must ensure that wrap-around goggles, visors or face shields are worn when there is a risk of blood, body fluids, secretions and excretions splashing into the face or eyes.',
			'field_order' => '6',
			'attachment_id' => '1441',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 20 => array(
			'id' => '3193',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'image-hotspot',
			'field_label' => 'Gloves',
			'description' => 'Sterile or non-sterile gloves should be worn either on their own or in conjunction with other PPE.

Select all the images to view when they should be worn.',
			'field_order' => '7',
			'attachment_id' => '1442',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":131.984,"left":133,"annotation":"Surgery\n\nGloves must be worn during all invasive procedures such as surgery."},{"top":90.9844,"left":336,"annotation":"Contaminated equipment\n\nGloves must be used when in contact with sterile body sites. They must also be worn when handling sharp or contaminated equipment."},{"top":244.984,"left":120,"annotation":"Chemicals\n\nGloves must be worn when in contact with non-intact skin.  They must be worn when handling chemicals or drugs as COSHH Guidance - see Resources for a link to the guidance."},{"top":254,"left":351,"annotation":"Bodily fluids\n\nGloves must be worn when in contact with mucous membranes or where there is a risk of exposure or contact with blood or bodily fluids or micro-organisms."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 21 => array(
			'id' => '3195',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'paragraph',
			'field_label' => 'You must ensure that you know when to use sterile gloves and when to use non-sterile gloves.',
			'description' => 'Sterile gloves should be worn for:

- Any type of surgical procedure
- Lumbar puncture
- Inserting central lines
- Urinary catheterisation
- Vaginal delivery

Non-sterile gloves

Contact with blood, body fluids, micro-organisms, chemicals. For example:

- Direct contact with patients in isolation rooms or cohort bays
- Cannulation
- Venepuncture
- Removal of peripheral cannula or urinary catheter
- Taking a catheter specimen of urine (CSU)
- Taking a wound swab
- IV drug administration
- Emptying or changing stoma bags, nasogastric tube drainage bags, nappies/incontinence pads, commodes, bedpans, urinals and vomit bowls
- Cleaning instruments or equipment
- Cleaning up blood/body fluid spills
- Handling clinical waste/soiled linen',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 22 => array(
			'id' => '3196',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'paragraph',
			'field_label' => 'Putting On and Removing PPE',
			'description' => 'Important Information

Donning (putting on) and doffing (removing) PPE in the right order or sequence is important as it minimises the risk of cross infection and also minimises the risk of, or prevents, inadvertent contamination of the healthcare worker.',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 23 => array(
			'id' => '3197',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-links',
			'field_label' => 'In light of the current coronavirus (COVID-19) pandemic, more resources and guidance regarding PPE have been added. Please select the hyperlinks below to see important information.',
			'description' => '<a href="https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control">COVID-19 personal protective equipment (PPE)</a><br><a href="https://www.youtube.com/watch?v=-GncQ_ed-9w">COVID-19: Donning (putting on) and Doffing (removing) Personal Protective Equipment (PPE) [Public Health England]</a><br><a href="https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-use-for-aerosol-generating-procedures">COVID-19: personal protective equipment use for aerosol generating procedures</a><br><a href="https://www.gov.uk/government/publications/covid-19-guidance-for-ambulance-trusts/covid-19-guidance-for-ambulance-trusts">COVID-19: guidance for Ambulance Trusts</a>',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 24 => array(
			'id' => '3198',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'The physical removal (but not destruction) of contamination from, or with, blood, body fluids, dirt and dust from the environment and/or equipment is not just the responsibility of domestic or cleaning staff.',
			'description' => 'what is the healthcare worker's responsibility?

All healthcare workers have a responsibility for:

- Cleaning equipment in between patient use and storing it appropriately (i.e. in a dedicated area; stored off the floor)
- Ensuring that work and other surfaces (i.e. windowsills/shelves) are not cluttered

How can we help to maintain a clean environment?

In order to help maintain a clean environment, it is important that:

- Floors, work surfaces and cupboards are of a good quality, washable and maintained appropriately
- Walls, work surfaces and patient/bedside furniture (tables, lockers, chairs and foot stools) are intact',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 25 => array(
			'id' => '3200',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'Every organisation will have specific standards for cleaning the environment and equipment. Let's look at some of the generic terminology and the standards for routine cleaning of both the environment and equipment.',
			'description' => '
Different terminology

Different hospitals and healthcare facilities have different terminology for the various types and levels of environmental clean, depending on why the cleaning is being undertaken, for example:

- Red, amber or green clean
- Level 1 or level 2 clean
- Terminal clean
- Clinical clean
- Deep clean
- Infection clean
- Bed-space clean
- Vacation clean

Routine cleaning

Routine cleaning within the general patient environment should be undertaken every day and there should be a service level agreement (SLA) or other document that describes the frequency of cleaning that includes (for example):

- All high and low surfaces, including tables/lockers and work surfaces
- Floors
- Bed frames
- Sinks/wash hand basins
- Soap, alcohol hand rub/gel and moisturiser dispensers
- PPE dispensers
- Toilets/bathrooms
- High-touch surfaces, for example door handles, call bells, bed controls
',
			'field_order' => '2',
			'attachment_id' => '1444',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'field_correct' => null,
			'show_correct' => '0',
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			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 26 => array(
			'id' => '3203',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'What immediate actions should be taken following exposure to blood/body fluids?',
			'description' => 'First Aid

For wounds:

- Encourage bleeding by gently squeezing the site of injury
- Wash the site of injury thoroughly with soap and water
- Cover with a waterproof plaster

For mucous membranes:

- Irrigate contaminated areas thoroughly with normal saline or tap water

Inform person in charge

For all incidents, inform the person in charge immediately, so that they can:

- Make a risk assessment of the exposure
- Arrange for blood to be taken for testing for BBVs from the source of the exposure
- Complete an accident/personal injury form

Contact the occupational health department

Ring the occupational health department within working hours or emergency department out of hours.

Out of hours – healthcare workers (HCW) MUST attend the emergency department and be seen and assessed as a matter of urgency in the following circumstances:

- The HCW has not been immunised against hepatitis B or is unsure of their hepatitis B vaccination status
- The HCW is a non-responder to the hepatitis B vaccine
- The source patient is known or highly suspected to be HIV positive

The on-call microbiologist must be contacted immediately if the source patient is known to be, or strongly suspected to be, HIV positive.

Even if the staff member is seen in the Accident and Emergency Department, he/she should also contact the Occupational Health Department by telephone, leaving a message on the answerphone out of normal working hours.



',
			'field_order' => '4',
			'attachment_id' => '1447',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 27 => array(
			'id' => '3204',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'Exposure to bloodborne pathogens ',
			'description' => 'Exposure to bloodborne pathogens can be through incidents such as a sharps injury, splash of blood to the eyes and mouth or a wound on your skin.

To reduce the risk, you must:

- Handle and dispose of sharps safely
- Wear face (including eye) protection if there is a risk of splashing
- Cover wounds with a waterproof plaster
- Wear Personal Protective Equipment (PPE)

If you get blood or bodily fluids in your mouth, eyes or a wound on the skin:

- Thoroughly rinse with running water
- Inform your manager
- Ring the occupational health department within working hours or A&E out of hours

Please make sure you follow your organisation's incident form procedure.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 28 => array(
			'id' => '3205',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'Linen',
			'description' => 'What precautions should be taken with linen?

Used linen

Used linen should be:

- Handled carefully
- Placed immediately into a white plastic laundry sack
- Stored in a designated area
- Not carried in the arms

In community care settings, where re-usable linen is used, the organisation must either contract with a laundry supplier that meets NHS standards or use disposable items. The use of domestic machines is not acceptable as they will not reach sufficiently high temperatures for soiled or infected linen. Remember that privacy curtains must be changed according to local procedure unless soiled, in which case they must be changed immediately.

Soiled/infected linen

When dealing with soiled or infected linen, you should:

- Wear plastic apron/gloves
- Handle carefully
- Place in a red water-soluble bag and then into the white plastic laundry sack
- Store in a designed area',
			'field_order' => '6',
			'attachment_id' => '1448',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 29 => array(
			'id' => '3206',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'Safe Waste Disposal',
			'description' => 'Waste products contaminated with blood or other bodily fluids are called ‘infectious/potentially infectious clinical waste’ and should be disposed of in a way that avoids potential harm to staff, patients or visitors.

All clinical staff are responsible for the safe and correct disposal of sharps. To facilitate this, small sharps bins should be located at the point of use, to ensure that used sharps can be disposed of immediately. Sharps should have safety features wherever possible and should be disposed of in the appropriate sharps bin.

You must NEVER overfill a sharps bin and NEVER try to re-sheath a needle.

*Remember to refer to your local protocol and training regarding the safe disposal of sharps and the management of healthcare waste in your trust or organisation.*',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 30 => array(
			'id' => '3207',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'image-hotspot',
			'field_label' => 'Aseptic Non-Touch Technique (ANTT)',
			'description' => 'Safe aseptic practice is paramount for protecting patients during invasive clinical procedures, for example, IV therapy, wound care, urinary catheterisation and cannulation.

Select the image for information.',
			'field_order' => '9',
			'attachment_id' => '1449',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":73.0156,"left":65,"annotation":"Micro-organisms can easily be introduced into wounds and/or the bloodstream during invasive procedures such as:\n\n- Peripheral cannulation\n- Peripheral and central intravenous preparation and administration\n- Venepuncture\n- Blood culture collection\n- Wound care\n- Urinary catheterisation\n- PICC line insertion\n\nAseptic non-touch technique (ANTT) ensures that only uncontaminated equipment and fluids come into contact with sterile or susceptible body sites during certain procedures, and should be used for any procedure that bypasses the body’s natural defences."},{"top":85.0156,"left":177,"annotation":"The fundamental concept of ANTT is the protection of key parts and key (critical) sites during an invasive procedure where there is a risk of contamination via the hands of healthcare staff and/or the environment.\n\n- Key parts are the aseptic (sterile) parts of equipment that come into direct contact with a key site and which, if touched either directly or indirectly, could result in infection\n- Key (critical) sites are any portal of entry for micro-organisms, such as wounds and insertion sites"},{"top":78.0156,"left":305,"annotation":"- Always clean hands effectively (hand washing or alcohol hand rub)\n- Non-touch technique is used at all times to protect key parts\n- Touch non-key parts with confidence\n- Take appropriate infection prevention and control precautions\n\nOnly sterile items/equipment can come into contact with key sites. If a key part has to be touched, sterile gloves must be worn."},{"top":58.0156,"left":394,"annotation":"There are two types of ANTT:\n\n- Standard ANTT is used for invasive procedures in which it is technically straightforward not to have to touch key parts and key sites directly. Typical procedures include cannulation, IV therapy, venepuncture, simple wound care\n- Surgical ANTT is used for invasive procedures that are technically complex, long in duration and more invasive. Examples include: surgery and central venous catheter placement and complex or large-scale wound care\n\nAll staff undertaking procedures where ANTT is required must undergo training and competency assessment by a dedicated ANTT trainer within their organisation."}]}',
			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
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		),
		(int) 31 => array(
			'id' => '3208',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Lorem ipsum dolor sit amet.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 32 => array(
			'id' => '3209',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'bullet-points',
			'field_label' => 'Bloodborne Infections',
			'description' => 'Exposure to bloodborne pathogens can be through incidents such as a sharps injury, splash of blood to the eyes and mouth or a wound on your skin. To reduce the risk, you must:',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Wear Personal Protective Equipment (PPE)","Cover wounds with a waterproof plaster","Wear face (including eye) protection if there is a risk of splashing","Handle and dispose of sharps safely"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 33 => array(
			'id' => '3210',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'Bloodborne Infections',
			'description' => 'All healthcare staff are responsible for the care that they give, and are accountable (answerable) to someone else for their actions. They have a legal obligation (duty of care) to ensure that patients in their care do not come to any harm as a result of any acts or omissions. 

Staff need to be compliant with infection prevention and control (IP&C) clinical practice standards, and act in accordance with policies and guidelines. Non-compliance increases the infection risk to patients. 

If IP&C policies/guidelines and practice are not followed and a patient develops an avoidable infection, the care provided could be viewed as negligent, meaning that harm has been caused to the patient as a result of careless omission. ',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 34 => array(
			'id' => '3211',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'Bacterial Infections',
			'description' => 'Remind yourself of the bacterial infections that could occur in a hospital or community setting.

Clostridioides difficile infection

C. difficile (Clostridioides difficile) is a diagnosis in its own right and must be treated as a separate condition to any other conditions/illnesses affecting the patient. Its spectrum of illness/symptoms ranges from mild to potentially life threatening. It is transmitted by the ingestion of spores, which are shed from colonised or infected patients. Those most at risk are older patients and those who have had a recent course of antibiotics.

Pathogenesis of disease

For the disease to occur there must be disturbance of normal flora (loss of colonisation resistance). This happens especially when our 'good bacteria' are killed off by a broad-spectrum antibiotic, for example, Cefuroxime, Ciprofloxacin, Co-amoxiclav. This leaves room for other 'bad bacteria' such as C. difficile to flourish. C. difficile might start to produce toxins. Toxins act on the gut wall to produce disease. Some antibiotics are worse than others at disturbing the 'good bacteria'; also some strains of C. difficile are more aggressive than others.

C. difficile is found in up to 5% of healthy adults.

MRSA 

MRSA stands for Meticillin-Resistant Staphylococcus aureus (S.aureus). MRSA are Staphylococcus aureus bacteria that have become resistant to certain antibiotics. People may be colonised or infected with S.aureus.

Colonisation means that the S.aureus is present in or on the body but is not causing illness.

Infection means that the S.aureus is present and is causing illness.  

How is MRSA spread?

- MRSA is transmitted primarily by contact with a person who has an infection or is colonised with the bacteria
- Skin scales may contaminate the environment
- Sputum droplets/aerosols may contaminate if they become airborne through coughing and sneezing
- Equipment and environment may contribute to the spread of infection if it has not been cleaned effectively

Dealing with MRSA in a hospital

- Standard precautions are essential in preventing cross-infection
- Patients must be managed as per your Trust Policy
- Patients may be commenced on topical treatment which might consist of body wash, nasal ointment and/or mouth wash

In the community:

- MRSA in the community seldom poses a risk; some patients in the community will remain colonised indefinitely. MRSA will live harmlessly on the skin; however, it may pose a risk if a patient needs an invasive procedure or develops a new medical condition. Patients with those with wounds or invasive devices will be at risk of developing infection. For that reason, healthcare workers are reminded to ensure that they record on patients' records their MRSA status and make sure that they communicate it to all healthcare colleagues who are supporting that patient
- In the community, the application of standard precautions for all patients is sufficient to stop the transmission of MRSA between patients. This includes application of hand hygiene, correct use of PPE and effective cleaning between patients
- In the community, there is rarely a need to apply decolonisation treatments for patients unless an invasive procedure is planned - please see local policies

Who should be screened?

- Some patients will be screened for MRSA, but follow your Trust’s Screening protocol
- Remember that in the community, patients rarely require screening for MRSA unless requested by an infection prevention and control expert

Gram-negative bloodstream infections

Gram-negative bloodstream infections (BSIs) are a healthcare safety issue. Since April 2017, there has been an NHS ambition to halve the numbers of healthcare-associated Gram-negative BSIs by 2021.

Key healthcare-associated risk factors

This is not an exhaustive list but should be used as a basis to classify Gram-negative BSIs as healthcare associated:

- Indwelling vascular access devices (insertion, in situ, or removal)
- Urinary catheterisation (insertion, in situ with or without manipulation, or removal)
- Other devices (insertion, in situ with or without manipulation, or removal)
- Invasive procedures (e.g. endoscopic retrograde cholangio-pancreatography, prostate biopsy, surgery including, but not restricted to, gastrointestinal tract surgery)
- Neutropenia (<500/mL at time of bacteraemia)
- Antimicrobial therapy within the previous 28 days
- Hospital admission within the previous 28 days
- E.coli

',
			'field_order' => '12',
			'attachment_id' => '1450',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 35 => array(
			'id' => '3212',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'multiple-choice',
			'field_label' => 'What can primary care staff do to prevent C.difficile infection? ',
			'description' => 'Choose two options',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Avoid broad-spectrum antibiotics","Minimise the use of proton pump inhibitors","Commence patient on topical treatment","Commence patient on antibiotics"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 36 => array(
			'id' => '3213',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'What to do When Ill',
			'description' => 'All staff will be personally accountable for their actions and responsible for ensuring that they comply with infection prevention and control policies of their place of work.

Staff must understand their legal duty to take reasonable care of their health, safety and security and that of other persons who may be affected by their actions and for reporting untoward incidents and areas of concern.

Any breach in infection control policies or practice will place staff, patients and visitors at risk and subsequently the completion of a clinical incident form will be required.

All staff are obligated professionally, contractually and legally to adhere to policies of their place of work that will help to prevent and control infections.

If you are unwell, then refer to your local occupational health department. It offers a range of services including immunisations and advice on health matters. Its staff can advise you about fitness to work if you are suffering from infections such as coughs, colds, flu, diarrhoea or vomiting. It is normally advised that if you have been unwell with an infectious illness, you should not return to work for 48 hours after symptoms have cleared.

Although it is widely believed that flu is very like the common cold, this is not the case. Flu has symptoms which differ from those of a cold, including a high temperature, headache, shivery feelings, lack of energy and aching limbs. Having the flu vaccine yearly will keep you well and protect patients.

You should ask the occupational health department for advice if you suffer from skin conditions such as psoriasis or eczema, especially if this is on your hands. To reduce the risk of infection it is important to use moisturiser to avoid hands becoming dry and cracked.',
			'field_order' => '14',
			'attachment_id' => '1451',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 37 => array(
			'id' => '3214',
			'course_id' => '114',
			'course_lesson_id' => '518',
			'field_type' => 'paragraph',
			'field_label' => 'Session Summary',
			'description' => 'Please ensure you are aware of your organisation's infection prevention policies and procedures. This information may be found on your organisation's intranet or website. For further information please contact your organisation's infection prevention and control lead. National guidance includes:

- National Resource for
- Infection Control (www.nric.org.uk)
- Infection Control Services (www.infection-control-services.co.uk)
- World Health Organization (www.who.int/)
- Infection Prevention Society (www.ips.uk.net)
- Centres for Disease Control (www.cdc.gov)
- Public Health England (www.gov.uk/government/organisations/public-health-england)
- NHS Improvement (https://improvement.nhs.uk)
- Aseptic Non-Touch Technique (www.antt.org/)
Health and Safety Executive  - Health Surveillance (www.hse.gov.uk/health-surveillance)

Organisations already undertake health surveillance for staff on known employment risks to health. As part of this work all organisations should undertake monitoring of sharps injury patterns and incidents in order to inform ongoing risk assessments and evaluate changes to practice. This should be reported within the organisation as part of broader health and safety reporting.  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:48',
			'modified' => '2024-08-06 09:26:48'
		),
		(int) 38 => array(
			'id' => '3215',
			'course_id' => '114',
			'course_lesson_id' => '518',
			'field_type' => 'bullet-points',
			'field_label' => 'Key Points',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The prevention and control of healthcare-associated infections are everybody’s responsibility","It is a legal requirement that all registered providers of health and social care register with the Care Quality Commission (CQC), and it is a requirement of registration that providers comply with the Health and Social Care Act 2008, Code of Practice on the prevention and control of infection","HCAIs are largely preventable and all staff are responsible for ensuring that they comply with IP&C policies/guidance and that they protect patients/clients in their care as far as is practically possible"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:48',
			'modified' => '2024-08-06 09:26:48'
		),
		(int) 39 => array(
			'id' => '3216',
			'course_id' => '114',
			'course_lesson_id' => '518',
			'field_type' => 'paragraph',
			'field_label' => 'Next Steps',
			'description' => 'You have completed the Cleaning chapter which is the final chapter in this learning. Continue to the Infection Prevention and Control Level 2 eAssessment.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:48',
			'modified' => '2024-08-06 09:26:48'
		),
		(int) 40 => array(
			'id' => '3217',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'Who is responsible for infection prevention and control in a healthcare setting?',
			'description' => 'Choose the correct option',
			'field_order' => '0',
			'attachment_id' => '1457',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Only senior managers and clinical staff","Only clinical staff","All staff including NHS trust executives and managers, clinical staff, non-clinical staff and volunteers","All non-clinical staff including volunteers and contract workers"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 41 => array(
			'id' => '3218',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where is information on hand hygiene available?',
			'description' => 'Choose three options',
			'field_order' => '2',
			'attachment_id' => '1456',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["From infection prevention and control staff","On hand hygiene posters","From a national newspaper","From the Organisation's intranet"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 42 => array(
			'id' => '3219',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is the role of your organisation in preventing Healthcare Associated Infections (HCAIs)?',
			'description' => 'Choose three options and select Submit.',
			'field_order' => '1',
			'attachment_id' => '1455',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To prevent all Healthcare Associated Infections","To provide Personal Protective Equipment (PPE)","To design and implement appropriate reporting structures"," To provide appropriate staff training"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 43 => array(
			'id' => '3220',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is a healthcare-associated infection (HCAI)?',
			'description' => 'Choose the correct option ',
			'field_order' => '3',
			'attachment_id' => '1458',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["An infection you bring into work, such as a cold","An infection associated with accessing healthcare","An infection that only occurs in the community","An infection only caught in hospital"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 44 => array(
			'id' => '3221',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Why is it important to reduce the number of healthcare-associated infections (HCAI)?',
			'description' => 'Choose three options',
			'field_order' => '4',
			'attachment_id' => '1459',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" They can protect you from other infections","They can lead to the death of patients"," They increase the length of time patients spend in hospital","They spread easily"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 45 => array(
			'id' => '3222',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is the most effective way of preventing cross infection?',
			'description' => 'Choose the correct option ',
			'field_order' => '5',
			'attachment_id' => '1460',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["By completing your course of antibiotics","By practising good hand hygiene","By avoiding physical contact"," By covering your mouth when sneezing"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 46 => array(
			'id' => '3223',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What are the links which make up the chain of infection?',
			'description' => 'Choose the correct option',
			'field_order' => '6',
			'attachment_id' => '1461',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Infectious agent, reservoir, method of exit, method of transfer, method of entry, susceptible host","Infectious agent, method of exit, method of entry, susceptible host"," Reservoir, method of transfer, method of entry, susceptible host"," Reservoir, method of exit, method of transfer, susceptible host"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 47 => array(
			'id' => '3224',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'How do micro-organisms (germs) enter the body?',
			'description' => 'Choose three options',
			'field_order' => '7',
			'attachment_id' => '1462',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Inhalation (breathing in)","Through unbroken skin"," Sexual transmission","Ingestion (eating)"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 48 => array(
			'id' => '3225',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is the most common means of transmission of micro-organisms in the healthcare environment?',
			'description' => 'Choose the correct option',
			'field_order' => '8',
			'attachment_id' => '1463',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Dirty hands","Dirty toilet facilities","Dirty clothes"," Dirty equipment"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 49 => array(
			'id' => '3226',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the three levels of decontamination of reusable medical devices?',
			'description' => 'Choose three options ',
			'field_order' => '9',
			'attachment_id' => '1464',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Cleaning","Disinfecting","Rinsing","Sterilising"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 50 => array(
			'id' => '3227',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the two methods of disinfection?',
			'description' => 'Choose two options',
			'field_order' => '10',
			'attachment_id' => '1465',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Washing","Heat","Chemical"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 51 => array(
			'id' => '3228',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'A piece of equipment has this symbol on the wrapper. When would it be appropriate to re-use this item?',
			'description' => 'Choose the correct option ',
			'field_order' => '11',
			'attachment_id' => '1466',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["If you are told it is OK by your manager","If it is the last one and you have no more","If it costs more than \u00a320","Never"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 52 => array(
			'id' => '3229',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the reasons for using single-use items?',
			'description' => 'Choose three options ',
			'field_order' => '12',
			'attachment_id' => '1467',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["They protect the patient","They do not have to be clean","They guard against cross contamination"," They prevent the spread of infection"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 53 => array(
			'id' => '3230',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'The 5 Moments for Hand Hygiene approach defines the key moments when healthcare workers should perform hand hygiene to reduce the risks of the spread of infection. The five moments are before touching a patient, after body fluid exposure/risk, after touching a patient, after touching patient surroundings and which other?',
			'description' => 'Choose the correct option',
			'field_order' => '13',
			'attachment_id' => '1471',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["After using the toilet","Before clean\/aseptic procedures","When hands are visibly soiled"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 54 => array(
			'id' => '3231',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which three statements require a local written risk assessment to be undertaken in your clinical or working area?',
			'description' => 'Choose three options ',
			'field_order' => '14',
			'attachment_id' => '1472',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When a patient requires isolation in a room with a door shut and they are at risk of falls","When taking patient details on admission"," Before using latex gloves","When locating alcohol-based hand sanitiser products"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 55 => array(
			'id' => '3232',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'An outbreak of infection should be suspected and advice sought on declaring an outbreak when...',
			'description' => 'Choose the correct option',
			'field_order' => '15',
			'attachment_id' => '1473',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When two or more people associated in time and place have the same infection symptoms","When five or more people with no association in time or place have the same infection symptoms","When 10 or more people associated in time but not place have the same infection symptoms"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 56 => array(
			'id' => '3233',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is the main symptom associated with a clostridium difficile infection?',
			'description' => 'Choose the correct option',
			'field_order' => '16',
			'attachment_id' => '1474',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Profuse diarrhoea"," Vomiting"," Dizziness","Sneezing"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 57 => array(
			'id' => '3234',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'When should you ensure that a patient/service user with diarrhoea is placed into isolation in a healthcare setting?',
			'description' => 'Choose the correct option ',
			'field_order' => '17',
			'attachment_id' => '1475',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When you suspect infectious diarrhoea"," Once the infection is confirmed"," When a side room becomes free"," When told to move the patient"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 58 => array(
			'id' => '3235',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'When managing diarrhoea and vomiting, what must hands be decontaminated with?',
			'description' => 'Choose the correct option ',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Alcohol foam","Alcohol gel"," Water only"," Soap and water"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 59 => array(
			'id' => '3237',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'You have been asked to change soiled bed linen on a ward. What personal protective equipment will you need?',
			'description' => 'Choose two options',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Disposable plastic apron"," Goggles"," Sterile gloves","Non-disposable gown","Full face visor"," Non-sterile gloves"]',
			'field_correct' => '0,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 60 => array(
			'id' => '3238',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'Having assessed the risk, the healthcare setting decided that gloves should be worn when serving patients their lunch. Which are the correct gloves to be worn when serving food?',
			'description' => 'Choose the correct option',
			'field_order' => '20',
			'attachment_id' => '1476',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Heavy-duty","Domestic","Non-sterile polythene or vinyl gloves","Non-sterile nitrile gloves"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 61 => array(
			'id' => '3239',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'How would you manage a spillage of blood in your work environment?',
			'description' => 'Choose two options',
			'field_order' => '21',
			'attachment_id' => '1477',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Leave it as someone will clear it up eventually"," Clean it up if you are appropriately trained","Inform an appropriately trained member of staff","Take no action because a visitor is already cleaning it up"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 62 => array(
			'id' => '3240',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'If you receive the following, which will need to be treated and reported as an Occupational Exposure?',
			'description' => 'Choose four options ',
			'field_order' => '22',
			'attachment_id' => '1478',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A slip or trip at work","Spitting into the eyes or mouth"," A sharps injury that breaks the skin","Blood or body fluid in contact with a break in your skin","A scratch or bite that pierces the skin"]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 63 => array(
			'id' => '3241',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'Who is responsible for cleaning patient care associated equipment?',
			'description' => 'Choose the correct option',
			'field_order' => '23',
			'attachment_id' => '1480',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Domestic cleaning staff","The patient","Visitors","Staff using the equipment to provide care for the patients"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 64 => array(
			'id' => '3242',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements are true?',
			'description' => 'Choose five options',
			'field_order' => '24',
			'attachment_id' => '1481',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" A room needs to have cleaning done when it has been used by a patient with a known infection","Specialist cleaning happens less frequently than routine cleaning and may involve using sodium hypochlorite or another specialist disinfectant","All re-usable items such as dental and surgical instruments must be sterilised","Sterilisation destroys all micro-organisms including spores","Items can be disinfected or sterilised without being cleaned thoroughly","Items can be disinfected by either using heat or chemicals"]',
			'field_correct' => '0,1,2,3,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 65 => array(
			'id' => '3243',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'media-field',
			'field_label' => 'Infections',
			'description' => 'The six most common types of HCAIs found in acute care hospitals are:',
			'field_order' => '1',
			'attachment_id' => '1486',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 66 => array(
			'id' => '3244',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'media-field',
			'field_label' => 'The six most common types of HCAIs found in acute care hospitals are',
			'description' => 'The risk or susceptibility to infection increases when you are living either permanently or temporarily in a shared care setting. So, the risks of infection is lowest in your own home and highest in a hospital due to invasive devices and procedures. Care homes and other settings where people live communally also pose a risk.

Some people are more susceptible to healthcare-associated infections. This could be due to:',
			'field_order' => '2',
			'attachment_id' => '1487',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 67 => array(
			'id' => '3245',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'The transmission of infection depends on six elements which link together like a chain as shown in the diagram. The elements are infectious agent, a reservoir for it to live, a site of exit, and a mode of transmission to a susceptible host via a site of entry.
 
We will explore this more in the next chapter.',
			'field_order' => '6',
			'attachment_id' => '1488',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 68 => array(
			'id' => '3246',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'media-field',
			'field_label' => 'Site of Entry',
			'description' => 'Site of entry is the site through which the micro-organism enters its new host and causes infection.

Infectious agents can enter the body through various portals such as those shown.',
			'field_order' => '2',
			'attachment_id' => '1489',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 69 => array(
			'id' => '3247',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'media-field',
			'field_label' => 'Susceptible Host',
			'description' => 'Remember that somebody is more likely to have been exposed to antimicrobial resistant organisms which can cause HCAI, if they have:

Lived in shared accommodation such as a care home
Been an inpatient in an overseas hospital
Been transferred from another hospital

Some individuals have poor physical resistance and are more susceptible to infection due to:',
			'field_order' => '3',
			'attachment_id' => '1490',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 70 => array(
			'id' => '3248',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'media-field',
			'field_label' => 'Hand Hygiene',
			'description' => 'Here are the ‘5 moments for hand hygiene’:

1. Before touching a patient
2. Before clean/aseptic procedures
3. After body fluid exposure/risk
4. After touching a patient
5. After touching patient surroundings',
			'field_order' => '2',
			'attachment_id' => '1491',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 71 => array(
			'id' => '3249',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'media-field',
			'field_label' => 'If you are unable to view the video, the following diagram summarises the correct hand washing technique:',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1492',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 72 => array(
			'id' => '3250',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'media-field',
			'field_label' => 'Routine day-to-day cleaning of the environment is undertaken using a neutral detergent and disposable cleaning equipment.',
			'description' => '1. Cleaning following the discharge of patients with a known infection involves the use of disinfectants, chlorine or sporicidal agents
2. Cleaning following outbreaks of infections (often called 'deep-cleaning') may involve the use of hydrogen peroxide vapour or ultra-violet light in addition to disinfectants/chlorine
3. Cleaning equipment should be colour-coded to avoid the risk of cross infection',
			'field_order' => '1',
			'attachment_id' => '1493',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 73 => array(
			'id' => '3251',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'media-field',
			'field_label' => 'Fluid Spillages',
			'description' => 'It is everyone’s responsibility to:

- Maintain good personal and hand hygiene
- Keep a clean and safe working environment, including keeping clinical areas tidy, as the presence of unnecessary clutter interferes with the cleaning process. Even if surfaces have been cleaned thoroughly, they may still become contaminated with dust and dirt. Dust contains dead skin cells and fibres where micro-organisms can survive
- Ensure that equipment used is clean and safe

The diagram is a general overview of how to clean up different types of fluids and spillages. Please note that different products may be used in your organisation and it's your responsibility to know which products are available to use in your area, for example, many organisations now use specially-formulated wipes to clean up blood and bodily fluid spills.',
			'field_order' => '3',
			'attachment_id' => '1494',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		)
	),
	'LessonFieldList' => array(
		(int) 513 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		(int) 514 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		(int) 515 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		(int) 516 => array(
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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	),
	'LessonFieldAll' => array(
		(int) 0 => array(
			'id' => '3166',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Healthcare is delivered in a range of settings, from hospitals to care delivered in clients' homes or social care settings. Healthcare-associated infections (HCAIs) can occur in any setting where healthcare is delivered. HCAIs are defined as any infection as a result of healthcare interaction that has taken place, or has occurred, 48 hours (general rule) after admission to a healthcare setting.

Healthcare workers, carers and family members are also at risk of acquiring infections when caring for patients. HCAIs can occur in otherwise healthy individuals, especially if invasive procedures or devices are used.

HCAIs can exacerbate existing or underlying conditions, delay recovery and adversely affect quality of life.

During the past two decades, HCAIs have become a significant threat to patient safety. The UK government sees antibiotic resistance as a threat comparable with terrorism.

Patient treatment can be undermined by the transmission of infections within the healthcare settings; particularly problematic are those infections caused by antimicrobial-resistant micro-organisms.',
			'field_order' => '0',
			'attachment_id' => '1420',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 1 => array(
			'id' => '3243',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'media-field',
			'field_label' => 'Infections',
			'description' => 'The six most common types of HCAIs found in acute care hospitals are:',
			'field_order' => '1',
			'attachment_id' => '1486',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 2 => array(
			'id' => '3244',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'media-field',
			'field_label' => 'The six most common types of HCAIs found in acute care hospitals are',
			'description' => 'The risk or susceptibility to infection increases when you are living either permanently or temporarily in a shared care setting. So, the risks of infection is lowest in your own home and highest in a hospital due to invasive devices and procedures. Care homes and other settings where people live communally also pose a risk.

Some people are more susceptible to healthcare-associated infections. This could be due to:',
			'field_order' => '2',
			'attachment_id' => '1487',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 3 => array(
			'id' => '3169',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'image-hotspot',
			'field_label' => 'Obligations of Employers and Employees',
			'description' => 'Not all HCAI can be prevented, but organisations are responsible for providing training, policies and PPE, as well as reporting structures to minimise HCAI as far as possible.

It is everyone's responsibility to maintain consistent infection prevention and control practice and a safe working environment.

Select the icons to find out three important points of personal hygiene.',
			'field_order' => '3',
			'attachment_id' => '1423',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":194.875,"left":450,"annotation":"Bare arms\nHealthcare staff, including those working in community and primary care, must not wear jewellery, rings with stones, acrylic nails, wristbands and watches. Arms should be bare below the elbow to facilitate hand hygiene."},{"top":79.875,"left":254,"annotation":"Presentation\nHealthcare staff, including those working in community and primary care, must look presentable and professional. Staff with long hair must have it tied back and off the collar."},{"top":107.875,"left":95,"annotation":"Uniform\nFor those healthcare staff who are required to wear uniform, including those working in community and primary care, they must wear a clean uniform every day.\n\nAll providers of NHS care must have a uniform policy and this will detail the specific requirements."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 4 => array(
			'id' => '3170',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'image-bullets',
			'field_label' => 'Antimicrobial Resistance',
			'description' => 'ntimicrobial resistance (AMR) is the biggest threat to public health. It happens when micro-organisms (such as bacteria, fungi, viruses and parasites) change when they are exposed to antimicrobial drugs, such as antibiotics, antifungals, antivirals, antimalarials and antihelmintics.',
			'field_order' => '4',
			'attachment_id' => '1485',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Carbapenems are powerful broad-spectrum antibiotics that are often the last line of effective treatment for patients with multidrug-resistant infections, including those caused by ESBL-producing bacteria (extended spectrum beta-lactamases).  Cases of carbapenem resistance in E. coli and Klebsiella in the UK started to increase during 2008 and 2009.","Antimicrobial resistance (AMR) is resistance of a micro-organism to an antimicrobial medicine to which it was previously sensitive. Resistant organisms (they include bacteria and viruses) are able to withstand attack by antimicrobial medicines, such as antibiotics and antivirals, so that standard treatments become ineffective and infections are prolonged, with longer periods of infectivity, and may spread to others. Inappropriate and irrational use of antimicrobial medicines provides favourable conditions for resistant micro-organisms to emerge, spread and persist.","This is the UK Government's 5 year action plan which has been designed to ensure progress towards a 20-year vision on AMR, in which resistance is effectively contained and controlled. The report recognises that no new classes of antibiotic have been discovered since the 1980s and that this, together with the increased and inappropriate use of the drugs already available, means we are heading rapidly towards a world in which antibiotics no longer work.  The report focuses on three keyways of tackling AMR:  Reducing the need for, and unintentional exposure to, antimicrobials Optimising use of antimicrobials Investing in innovation, supply and access"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 5 => array(
			'id' => '3171',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'image-bullets',
			'field_label' => 'Methods of Infection Spread',
			'description' => 'There are a number of ways that infection can spread.',
			'field_order' => '5',
			'attachment_id' => '1425',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Vector - Flies, rats, mice and cockroaches can spread vector-borne diseases. These include dengue fever, West Nile virus, lyme disease and malaria.","Needlestick - A number of infections can be spread by needlestick injuries. This includes hepatitis B, hepatitis C and the human immunodeficiency virus (HIV) which leads to AIDS (acquired immune deficiency syndrome).","Direct contact - Examples of infections that can be spread by skin-to-skin contact (for example, contaminated hands) are MRSA and E. coli. Also, C.difficile spores can be transferred via contaminated hands. E coli is a common cause of urinary tract infection.","Ingestion - Examples of infection acquired by ingestion (eating and drinking) include salmonella, campylobacter and E.coli 0157. C.difficile spores can also be ingested via contaminated hands.","Droplets and Airborne - Influenza is a respiratory illness spread by droplets through coughing and sneezing. This can contaminate surfaces and indirectly spread infection via contaminated hands.   An airborne disease is any disease that is caused by pathogens that can be transmitted through the air, for example measles and chickenpox.","Fomites - Fomites are objects or materials which are likely to carry infection, such as clothes, utensils, and furniture. Dirty commodes are one piece of equipment, if not cleaned thoroughly, can be implicated in spreading infection."]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 6 => array(
			'id' => '3245',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'The transmission of infection depends on six elements which link together like a chain as shown in the diagram. The elements are infectious agent, a reservoir for it to live, a site of exit, and a mode of transmission to a susceptible host via a site of entry.
 
We will explore this more in the next chapter.',
			'field_order' => '6',
			'attachment_id' => '1488',
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			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 7 => array(
			'id' => '3173',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following two patients would you consider high risk?',
			'description' => 'Choose one option.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Young person with no other medical conditions and no previous hospital admissions, no medication. Routine elective surgery when he had his tonsils removed","Woman in her 70s, multiple hospital admissions, antibiotics in community, non-intact skin, recent inpatient tertiary hospital"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 8 => array(
			'id' => '3174',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'image-hotspot',
			'field_label' => 'What Causes Disease?',
			'description' => 'Which infectious agents cause disease?

Select all the images to find out more.',
			'field_order' => '0',
			'attachment_id' => '1427',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":99.0312,"left":77,"annotation":"Bacteria\nBacteria are microscopic single-celled organisms that thrive in diverse environments. Bacteria are prokaryotes. The entire organism consists of a single cell with a simple internal structure. They can live within soil, in the ocean and inside the human gut. Humans' relationship with bacteria is complex.\n\nSometimes they lend a helping hand, by curdling milk into yogurt, or helping with our digestion. At other times they are destructive, causing diseases like pneumonia and MRSA."},{"top":94.0312,"left":319,"annotation":"Virus\nViruses are very tiny agents. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS, smallpox, and Ebola.\n \nViruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system or blood.\n \nWhen you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.\n \nFor most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases."},{"top":255.031,"left":106,"annotation":"Parasites\nA parasite is an organism that lives on or in a host. It gets its food from, or at the expense of, its host.\n\nParasites can cause or transmit disease in humans termed as a ‘parasitic disease’ or ‘parasitosis’. Many parasites do not cause disease.\n\nInfestation refers to parasitic diseases caused by lice, fleas, ticks, and some mites, that live on a host. It can also refer to worms and protozoa that live in the internal organs or tissues of its host.\n\n‘Parasitic disease’ caused by worms and protozoa are sometimes referred to as ‘parasitic infection’."},{"top":200.031,"left":408,"annotation":"Fungal infections\nA fungus is a primitive organism. Mushrooms, mould and mildew are examples. Fungi live in air, in soil, on plants and in water. Some live in the human body. Only about half of all types of fungi are harmful.\n \nSome fungi reproduce through tiny spores in the air. You can inhale the spores or they can land on you. As a result, fungal infections often start in the lungs or on the skin. You are more likely to get a fungal infection if you have a weakened immune system or take antibiotics.\n \nFungi can be difficult to kill. For skin and nail infections, you can apply medicine directly to the infected area. Oral antifungal medicines are also available for serious infections."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 9 => array(
			'id' => '3175',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'text-image',
			'field_label' => 'Reservoirs',
			'description' => 'Reservoirs, shown in the diagram, are where micro-organisms reside and multiply. Without them, infectious agents could not survive and therefore could not be transmitted.

The site of exit provides a way for a micro-organism to leave a reservoir.

For example, in the body this may include any orifice (nose, mouth etc.) via any bodily substance.',
			'field_order' => '1',
			'attachment_id' => '1428',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 10 => array(
			'id' => '3246',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'media-field',
			'field_label' => 'Site of Entry',
			'description' => 'Site of entry is the site through which the micro-organism enters its new host and causes infection.

Infectious agents can enter the body through various portals such as those shown.',
			'field_order' => '2',
			'attachment_id' => '1489',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 11 => array(
			'id' => '3247',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'media-field',
			'field_label' => 'Susceptible Host',
			'description' => 'Remember that somebody is more likely to have been exposed to antimicrobial resistant organisms which can cause HCAI, if they have:

Lived in shared accommodation such as a care home
Been an inpatient in an overseas hospital
Been transferred from another hospital

Some individuals have poor physical resistance and are more susceptible to infection due to:',
			'field_order' => '3',
			'attachment_id' => '1490',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 12 => array(
			'id' => '3178',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'text-image',
			'field_label' => 'Breaking the Chain of Infection',
			'description' => 'In some instances, the risk of infection may be prevented or reduced by the use of vaccination, for example TB, tetanus, polio, diphtheria, or by the use of prophylactic antibiotics, for example preoperatively.

Generally, the chain of infection can be broken by the effective use of standard precautions which break the ‘route of transmission' link.

 ',
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			'attachment_id' => '1431',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 13 => array(
			'id' => '3179',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'image-hotspot',
			'field_label' => 'Breaking the Chain of Infection',
			'description' => 'The chain of infection can be broken by taking the following standard precautions.

Select the icons to find out examples of the standard precautions for acute and community workers.',
			'field_order' => '1',
			'attachment_id' => '1433',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":51.7344,"left":22,"annotation":"Hand hygiene\n\nOne of the most effective measures in the prevention of transmission of infection and reducing HCAIs is improving hand hygiene. Hand hygiene can be performed using:\n\nSoap and water\nHand sanitisers\nEnsure that you are aware of, and follow, guidelines in your local organisation for hand hygiene"},{"top":65.7344,"left":59,"annotation":"Personal protective equipment (PPE)\n\nPPE is designed to protect healthcare\nworkers from exposure to potentially\ninfectious material. It also prevents ongoing transmission of infection material to patients.\nMake sure you know and use the\nappropriate PPE for the situation.\n\nPPE equipment includes:\n\nGloves\nAprons/gowns\nMasks\nProtective eyewear\nThis is not an exhaustive list. It is your responsibility to use PPE in line with local policy and the requirements of your role."},{"top":56.7344,"left":113,"annotation":"Linen management\n\nUsed linen can harbour large numbers of potentially infectious agents. Precautions need to be taken at all stages of linen management:\n\nStorage\nHandling\nBagging\nTransporting\nLaundering\nEnsure that re-usable linen is cleaned between patients following the correct standards. All patient linen is laundered at the highest temperature the fabric can withstand. Hospitals follow health service guidance for laundering items at 70oC for 3 minutes."},{"top":71.7344,"left":171,"annotation":"Waste and sharps management\n\n'Sharps' are needles, blades, stitch cutters, scalpels and other medical instruments that are necessary for carrying out healthcare work and could cause an injury by cutting or pricking the skin\nDon’t use a sharp if you don’t have to\nSafer sharps devices must be used and, if not, then a risk assessment must be completed to acknowledge this and minimise risk of injury to the practitioner\nNever re-sheath a needle\nEnsure correct assembly of the sharps container\nDispose of sharps in an approved container at the point of use\nDon’t exceed the fill limit\nEnsure the correct disposal of the container\nRemember to refer to your local protocol and training regarding the safe disposal of sharps and the management of healthcare waste in your trust or organisation."},{"top":68.7344,"left":252,"annotation":"Specimen collection\n\nEnsure that specimens are taken promptly and appropriately when infection is suspected and prior to starting treatment. Ensure that all staff who handle specimens follow the necessary standards and precautions."},{"top":78.7344,"left":316,"annotation":"Environmental cleaning\n\nEnsure that surfaces are dust free and clutter free to facilitate cleaning."},{"top":56.7344,"left":382,"annotation":"Equipment cleaning\n\nEnsure that items that are not single use are cleaned between patients as per manufacturer's instructions."},{"top":86.7344,"left":453,"annotation":"Precautions and measures\n\nTo reduce the risk of infection, it is recommended that patients and the health and social care workforce are:\n\nVaccinated for infectious diseases\nStay hydrated\nHave good nutrition\nThe workforce is also at risk of injury and infection from sharps. This includes those who directly handle sharps but also those who may inadvertently be put at risk when sharps are not stored or disposed of correctly.\n\nHigher risk procedures include using hollow-bore needles and in intra-vascular cannulation, venepuncture and injections and use of IV cannulae, winged steel-butterfly-needles, needles and syringes and phlebotomy needles.\n\nRefer to the Health & Safety Executive website in Resources for more details on the law and regulations regarding sharps."}]}',
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			'show_correct' => '0',
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		),
		(int) 14 => array(
			'id' => '3248',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'media-field',
			'field_label' => 'Hand Hygiene',
			'description' => 'Here are the ‘5 moments for hand hygiene’:

1. Before touching a patient
2. Before clean/aseptic procedures
3. After body fluid exposure/risk
4. After touching a patient
5. After touching patient surroundings',
			'field_order' => '2',
			'attachment_id' => '1491',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 15 => array(
			'id' => '3181',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'bullet-points',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care.  Refer to your organisation’s dress code/uniform policy for further clarification and any other specific requirements.',
			'description' => 'To achieve effective hand hygiene, follow the ‘bare below the elbows’ dress code. Avoiding wearing:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Jewellery (especially rings with stones)","Long nails, nail varnish and false nails","Wrist bands","Wrist watches (including fitness trackers)","Long sleeves"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 16 => array(
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			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'text-links',
			'field_label' => 'One of the most effective measures in the prevention of transmission of infection is improving hand hygiene. Hand hygiene can be performed using:',
			'description' => ' <a href="https://nhscanl.sharepoint.com/sites/InfectionPrevention/Latest%20Training%20Updates/Forms/Smart%20Webpage.aspx?id=%2Fsites%2FInfectionPrevention%2FLatest%20Training%20Updates%2FHand%20Hygiene%20%2D%20hand%20cleaning%20techniques%20%28clean%20your%20hands%20campaign%29%2Epdf&amp;parent=%2Fsites%2FInfectionPrevention%2FLatest%20Training%20Updates">Soap and water<br>   Hand sanitisers</a><br><br>Ensuring you are aware of and follow the guidelines in your organisation for hand hygiene.<br><br>Regular and correct hand washing is vital to help prevent spread of the coronavirus (COVID-19).',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 17 => array(
			'id' => '3183',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'media-field',
			'field_label' => 'Select play to view the correct hand washing technique.',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/4ij1I0OB2hk?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/4ij1I0OB2hk/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 18 => array(
			'id' => '3249',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'media-field',
			'field_label' => 'If you are unable to view the video, the following diagram summarises the correct hand washing technique:',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1492',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 19 => array(
			'id' => '3185',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'multiple-choice',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care. This means to avoid:',
			'description' => 'Choose the correct options ',
			'field_order' => '7',
			'attachment_id' => '1436',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Wearing wrist bands","Wearing jewellery","Short sleeves","Long nails"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 20 => array(
			'id' => '3186',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-image',
			'field_label' => 'Personal Protective Equipment (PPE)',
			'description' => 'Personal protective equipment (PPE) describes items such as gloves, aprons, face masks and eye protection which are used during certain procedures. You must ensure that you use the appropriate PPE when performing a clinical procedure to prevent micro-organisms from coming into contact with you or your clothing.

Since there is a high risk of the PPE becoming contaminated, it is essential to remove it as soon as you have completed the procedure and then to thoroughly clean your hands.

Although the NHS is required to provide suitable equipment, it is the responsibility of the individual concerned to use it correctly and appropriately.

*Important: Please review the additional coronavirus (COVID-19) guidance as you view this chapter.*

Remember that wearing PPE is a requirement of the Health and Safety at Work Act 1974 [7] and the Code of Practice (Health and Social Care Act (2008)) Code of Practice on the prevention and control of infection [8].

It is worn to:

- Protect staff from infection (micro-organisms/blood/body fluids)
- Reduce the spread of micro-organisms to patients

Its use is based on an assessment of the risk of transmission of micro-organisms (to the healthcare worker or the patient) and the risk of contamination of the healthcare worker from the patient’s blood, body fluids, secretions and excretions.

In light of the current coronavirus (Covid-19) pandemic, PPE is vital to protect the healthcare worker and patient. Please follow the guidance.',
			'field_order' => '0',
			'attachment_id' => '1437',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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		),
		(int) 21 => array(
			'id' => '3187',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-image',
			'field_label' => 'Personal Protective Equipment (PPE)',
			'description' => 'The wearing of gloves is not a substitute for hand hygiene. Wearing gloves inappropriately (i.e. too frequently/for every task) means that valuable hand hygiene opportunities will be missed and the risk of cross-infection to patients will increase. Gloves and aprons are worn for contact with blood or bodily fluid or infectious patients.

Putting on gloves and/or a disposable plastic apron should be the last thing that the healthcare worker does immediately before he or she has direct contact with the patient.

Disposable plastic aprons and non-sterile gloves are only ‘clean’ at the point at which they are put on. Putting them on too soon before the actual task or episode of patient contact means that they will become contaminated and will no longer be clean. Gloves and aprons are not to protect the patient but to protect the healthcare worker.

Staff must not leave a single room/bay wearing gloves and/or an apron unless there is an emergency or they are removing a bedpan/commode or carrying a vomit bowl/urinal, where there is a potential risk of body fluid spillage.',
			'field_order' => '1',
			'attachment_id' => '1438',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 22 => array(
			'id' => '3188',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'paragraph',
			'field_label' => 'Aprons',
			'description' => 'Aprons form part of PPE and must be changed in between each procedure or episode of patient care.

They must be removed as soon as the procedure/episode of care has been completed, and before leaving a side room/bay unless the healthcare worker is taking a commode, bedpan, urinal or dirty/contaminated equipment for disposal.

They must be disposed of as clinical waste after use.

Full, body-length, fluid-repellent gowns should be worn where there is a risk of extensive splashing of blood or body fluids onto the skin or clothing of healthcare workers including contact with infectious patients.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 23 => array(
			'id' => '3189',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'image-hotspot',
			'field_label' => 'Disposable plastic aprons should be worn when in close contact with a patient, materials or equipment, and where there is a risk that clothing or uniform may become contaminated with micro-organisms, blood, body fluids, secretions or excretions.',
			'description' => 'Select all the images for some examples.',
			'field_order' => '3',
			'attachment_id' => '1439',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":49.0312,"left":101,"annotation":"- Assisting with washing or bathing\n- Venepuncture or cannulation"},{"top":87.0156,"left":371,"annotation":"- Cleaning or decontaminating equipment\n- Assisting patients with using a bedpan or commode"},{"top":237.016,"left":189,"annotation":"- Changing soiled or contaminated linen\n- Handling or serving food"},{"top":252.016,"left":462,"annotation":"- Cleaning toilets, bathrooms or ward areas\n- Emptying catheter drainage bags or stoma bags\n- Direct contact with patients who are in ‘isolation’ or cohort nursed\n\nThey are not required for ‘routine’ contact with patients who are not infectious, such as when taking vital signs or assisting with mobility."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 24 => array(
			'id' => '3190',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'image-bullets',
			'field_label' => 'Masks',
			'description' => 'Surgical face masks must be worn for surgery or when in contact with a patient who has a suspected/confirmed transmittable virus. Face masks should also be worn during the coronavirus (COVID-19) pandemic to protect both the healthcare workforce and patient.',
			'field_order' => '4',
			'attachment_id' => '1440',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["They are single-use items of PPE","They need to be secured tightly around the back of the head to ensure that the fit is as close as possible","They are not designed to be worn for long periods","They must be changed when wet","They must be removed following the procedure","They must be disposed of as clinical waste"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 25 => array(
			'id' => '3191',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'bullet-points',
			'field_label' => 'Filtering face piece (FFP) ',
			'description' => 'Healthcare staff need to undergo fit testing to ensure that the FFP3 respirator mask is a suitable and close fit for the shape of their face, and that there are no gaps under or around the mask where unfiltered air can pass through.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Fit testing can only be undertaken by someone who has been trained in the procedure","Each time a FFP3 respirator mask is worn, a fit check needs to be undertaken","The same type of mask must be worn that has been fit-tested for, and a fit-check must be performed each time a new FFP3 is worn","FFP3 respirator masks can be worn for up to 8 hours of continuous care"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 26 => array(
			'id' => '3192',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-image',
			'field_label' => 'Goggles, Visors and Face Shields',
			'description' => 'You must ensure that wrap-around goggles, visors or face shields are worn when there is a risk of blood, body fluids, secretions and excretions splashing into the face or eyes.',
			'field_order' => '6',
			'attachment_id' => '1441',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 27 => array(
			'id' => '3193',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'image-hotspot',
			'field_label' => 'Gloves',
			'description' => 'Sterile or non-sterile gloves should be worn either on their own or in conjunction with other PPE.

Select all the images to view when they should be worn.',
			'field_order' => '7',
			'attachment_id' => '1442',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":131.984,"left":133,"annotation":"Surgery\n\nGloves must be worn during all invasive procedures such as surgery."},{"top":90.9844,"left":336,"annotation":"Contaminated equipment\n\nGloves must be used when in contact with sterile body sites. They must also be worn when handling sharp or contaminated equipment."},{"top":244.984,"left":120,"annotation":"Chemicals\n\nGloves must be worn when in contact with non-intact skin.  They must be worn when handling chemicals or drugs as COSHH Guidance - see Resources for a link to the guidance."},{"top":254,"left":351,"annotation":"Bodily fluids\n\nGloves must be worn when in contact with mucous membranes or where there is a risk of exposure or contact with blood or bodily fluids or micro-organisms."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 28 => array(
			'id' => '3195',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'paragraph',
			'field_label' => 'You must ensure that you know when to use sterile gloves and when to use non-sterile gloves.',
			'description' => 'Sterile gloves should be worn for:

- Any type of surgical procedure
- Lumbar puncture
- Inserting central lines
- Urinary catheterisation
- Vaginal delivery

Non-sterile gloves

Contact with blood, body fluids, micro-organisms, chemicals. For example:

- Direct contact with patients in isolation rooms or cohort bays
- Cannulation
- Venepuncture
- Removal of peripheral cannula or urinary catheter
- Taking a catheter specimen of urine (CSU)
- Taking a wound swab
- IV drug administration
- Emptying or changing stoma bags, nasogastric tube drainage bags, nappies/incontinence pads, commodes, bedpans, urinals and vomit bowls
- Cleaning instruments or equipment
- Cleaning up blood/body fluid spills
- Handling clinical waste/soiled linen',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 29 => array(
			'id' => '3196',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'paragraph',
			'field_label' => 'Putting On and Removing PPE',
			'description' => 'Important Information

Donning (putting on) and doffing (removing) PPE in the right order or sequence is important as it minimises the risk of cross infection and also minimises the risk of, or prevents, inadvertent contamination of the healthcare worker.',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 30 => array(
			'id' => '3197',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-links',
			'field_label' => 'In light of the current coronavirus (COVID-19) pandemic, more resources and guidance regarding PPE have been added. Please select the hyperlinks below to see important information.',
			'description' => '<a href="https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control">COVID-19 personal protective equipment (PPE)</a><br><a href="https://www.youtube.com/watch?v=-GncQ_ed-9w">COVID-19: Donning (putting on) and Doffing (removing) Personal Protective Equipment (PPE) [Public Health England]</a><br><a href="https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-use-for-aerosol-generating-procedures">COVID-19: personal protective equipment use for aerosol generating procedures</a><br><a href="https://www.gov.uk/government/publications/covid-19-guidance-for-ambulance-trusts/covid-19-guidance-for-ambulance-trusts">COVID-19: guidance for Ambulance Trusts</a>',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 31 => array(
			'id' => '3198',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'The physical removal (but not destruction) of contamination from, or with, blood, body fluids, dirt and dust from the environment and/or equipment is not just the responsibility of domestic or cleaning staff.',
			'description' => 'what is the healthcare worker's responsibility?

All healthcare workers have a responsibility for:

- Cleaning equipment in between patient use and storing it appropriately (i.e. in a dedicated area; stored off the floor)
- Ensuring that work and other surfaces (i.e. windowsills/shelves) are not cluttered

How can we help to maintain a clean environment?

In order to help maintain a clean environment, it is important that:

- Floors, work surfaces and cupboards are of a good quality, washable and maintained appropriately
- Walls, work surfaces and patient/bedside furniture (tables, lockers, chairs and foot stools) are intact',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 32 => array(
			'id' => '3250',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'media-field',
			'field_label' => 'Routine day-to-day cleaning of the environment is undertaken using a neutral detergent and disposable cleaning equipment.',
			'description' => '1. Cleaning following the discharge of patients with a known infection involves the use of disinfectants, chlorine or sporicidal agents
2. Cleaning following outbreaks of infections (often called 'deep-cleaning') may involve the use of hydrogen peroxide vapour or ultra-violet light in addition to disinfectants/chlorine
3. Cleaning equipment should be colour-coded to avoid the risk of cross infection',
			'field_order' => '1',
			'attachment_id' => '1493',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 33 => array(
			'id' => '3200',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'Every organisation will have specific standards for cleaning the environment and equipment. Let's look at some of the generic terminology and the standards for routine cleaning of both the environment and equipment.',
			'description' => '
Different terminology

Different hospitals and healthcare facilities have different terminology for the various types and levels of environmental clean, depending on why the cleaning is being undertaken, for example:

- Red, amber or green clean
- Level 1 or level 2 clean
- Terminal clean
- Clinical clean
- Deep clean
- Infection clean
- Bed-space clean
- Vacation clean

Routine cleaning

Routine cleaning within the general patient environment should be undertaken every day and there should be a service level agreement (SLA) or other document that describes the frequency of cleaning that includes (for example):

- All high and low surfaces, including tables/lockers and work surfaces
- Floors
- Bed frames
- Sinks/wash hand basins
- Soap, alcohol hand rub/gel and moisturiser dispensers
- PPE dispensers
- Toilets/bathrooms
- High-touch surfaces, for example door handles, call bells, bed controls
',
			'field_order' => '2',
			'attachment_id' => '1444',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 34 => array(
			'id' => '3251',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'media-field',
			'field_label' => 'Fluid Spillages',
			'description' => 'It is everyone’s responsibility to:

- Maintain good personal and hand hygiene
- Keep a clean and safe working environment, including keeping clinical areas tidy, as the presence of unnecessary clutter interferes with the cleaning process. Even if surfaces have been cleaned thoroughly, they may still become contaminated with dust and dirt. Dust contains dead skin cells and fibres where micro-organisms can survive
- Ensure that equipment used is clean and safe

The diagram is a general overview of how to clean up different types of fluids and spillages. Please note that different products may be used in your organisation and it's your responsibility to know which products are available to use in your area, for example, many organisations now use specially-formulated wipes to clean up blood and bodily fluid spills.',
			'field_order' => '3',
			'attachment_id' => '1494',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 35 => array(
			'id' => '3203',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'What immediate actions should be taken following exposure to blood/body fluids?',
			'description' => 'First Aid

For wounds:

- Encourage bleeding by gently squeezing the site of injury
- Wash the site of injury thoroughly with soap and water
- Cover with a waterproof plaster

For mucous membranes:

- Irrigate contaminated areas thoroughly with normal saline or tap water

Inform person in charge

For all incidents, inform the person in charge immediately, so that they can:

- Make a risk assessment of the exposure
- Arrange for blood to be taken for testing for BBVs from the source of the exposure
- Complete an accident/personal injury form

Contact the occupational health department

Ring the occupational health department within working hours or emergency department out of hours.

Out of hours – healthcare workers (HCW) MUST attend the emergency department and be seen and assessed as a matter of urgency in the following circumstances:

- The HCW has not been immunised against hepatitis B or is unsure of their hepatitis B vaccination status
- The HCW is a non-responder to the hepatitis B vaccine
- The source patient is known or highly suspected to be HIV positive

The on-call microbiologist must be contacted immediately if the source patient is known to be, or strongly suspected to be, HIV positive.

Even if the staff member is seen in the Accident and Emergency Department, he/she should also contact the Occupational Health Department by telephone, leaving a message on the answerphone out of normal working hours.



',
			'field_order' => '4',
			'attachment_id' => '1447',
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			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
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			'modified' => '2024-08-06 09:26:27'
		),
		(int) 36 => array(
			'id' => '3204',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'Exposure to bloodborne pathogens ',
			'description' => 'Exposure to bloodborne pathogens can be through incidents such as a sharps injury, splash of blood to the eyes and mouth or a wound on your skin.

To reduce the risk, you must:

- Handle and dispose of sharps safely
- Wear face (including eye) protection if there is a risk of splashing
- Cover wounds with a waterproof plaster
- Wear Personal Protective Equipment (PPE)

If you get blood or bodily fluids in your mouth, eyes or a wound on the skin:

- Thoroughly rinse with running water
- Inform your manager
- Ring the occupational health department within working hours or A&E out of hours

Please make sure you follow your organisation's incident form procedure.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 37 => array(
			'id' => '3205',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'Linen',
			'description' => 'What precautions should be taken with linen?

Used linen

Used linen should be:

- Handled carefully
- Placed immediately into a white plastic laundry sack
- Stored in a designated area
- Not carried in the arms

In community care settings, where re-usable linen is used, the organisation must either contract with a laundry supplier that meets NHS standards or use disposable items. The use of domestic machines is not acceptable as they will not reach sufficiently high temperatures for soiled or infected linen. Remember that privacy curtains must be changed according to local procedure unless soiled, in which case they must be changed immediately.

Soiled/infected linen

When dealing with soiled or infected linen, you should:

- Wear plastic apron/gloves
- Handle carefully
- Place in a red water-soluble bag and then into the white plastic laundry sack
- Store in a designed area',
			'field_order' => '6',
			'attachment_id' => '1448',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 38 => array(
			'id' => '3208',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Lorem ipsum dolor sit amet.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 39 => array(
			'id' => '3206',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'Safe Waste Disposal',
			'description' => 'Waste products contaminated with blood or other bodily fluids are called ‘infectious/potentially infectious clinical waste’ and should be disposed of in a way that avoids potential harm to staff, patients or visitors.

All clinical staff are responsible for the safe and correct disposal of sharps. To facilitate this, small sharps bins should be located at the point of use, to ensure that used sharps can be disposed of immediately. Sharps should have safety features wherever possible and should be disposed of in the appropriate sharps bin.

You must NEVER overfill a sharps bin and NEVER try to re-sheath a needle.

*Remember to refer to your local protocol and training regarding the safe disposal of sharps and the management of healthcare waste in your trust or organisation.*',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 40 => array(
			'id' => '3207',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'image-hotspot',
			'field_label' => 'Aseptic Non-Touch Technique (ANTT)',
			'description' => 'Safe aseptic practice is paramount for protecting patients during invasive clinical procedures, for example, IV therapy, wound care, urinary catheterisation and cannulation.

Select the image for information.',
			'field_order' => '9',
			'attachment_id' => '1449',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":73.0156,"left":65,"annotation":"Micro-organisms can easily be introduced into wounds and/or the bloodstream during invasive procedures such as:\n\n- Peripheral cannulation\n- Peripheral and central intravenous preparation and administration\n- Venepuncture\n- Blood culture collection\n- Wound care\n- Urinary catheterisation\n- PICC line insertion\n\nAseptic non-touch technique (ANTT) ensures that only uncontaminated equipment and fluids come into contact with sterile or susceptible body sites during certain procedures, and should be used for any procedure that bypasses the body’s natural defences."},{"top":85.0156,"left":177,"annotation":"The fundamental concept of ANTT is the protection of key parts and key (critical) sites during an invasive procedure where there is a risk of contamination via the hands of healthcare staff and/or the environment.\n\n- Key parts are the aseptic (sterile) parts of equipment that come into direct contact with a key site and which, if touched either directly or indirectly, could result in infection\n- Key (critical) sites are any portal of entry for micro-organisms, such as wounds and insertion sites"},{"top":78.0156,"left":305,"annotation":"- Always clean hands effectively (hand washing or alcohol hand rub)\n- Non-touch technique is used at all times to protect key parts\n- Touch non-key parts with confidence\n- Take appropriate infection prevention and control precautions\n\nOnly sterile items/equipment can come into contact with key sites. If a key part has to be touched, sterile gloves must be worn."},{"top":58.0156,"left":394,"annotation":"There are two types of ANTT:\n\n- Standard ANTT is used for invasive procedures in which it is technically straightforward not to have to touch key parts and key sites directly. Typical procedures include cannulation, IV therapy, venepuncture, simple wound care\n- Surgical ANTT is used for invasive procedures that are technically complex, long in duration and more invasive. Examples include: surgery and central venous catheter placement and complex or large-scale wound care\n\nAll staff undertaking procedures where ANTT is required must undergo training and competency assessment by a dedicated ANTT trainer within their organisation."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 41 => array(
			'id' => '3209',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'bullet-points',
			'field_label' => 'Bloodborne Infections',
			'description' => 'Exposure to bloodborne pathogens can be through incidents such as a sharps injury, splash of blood to the eyes and mouth or a wound on your skin. To reduce the risk, you must:',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Wear Personal Protective Equipment (PPE)","Cover wounds with a waterproof plaster","Wear face (including eye) protection if there is a risk of splashing","Handle and dispose of sharps safely"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 42 => array(
			'id' => '3210',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'Bloodborne Infections',
			'description' => 'All healthcare staff are responsible for the care that they give, and are accountable (answerable) to someone else for their actions. They have a legal obligation (duty of care) to ensure that patients in their care do not come to any harm as a result of any acts or omissions. 

Staff need to be compliant with infection prevention and control (IP&C) clinical practice standards, and act in accordance with policies and guidelines. Non-compliance increases the infection risk to patients. 

If IP&C policies/guidelines and practice are not followed and a patient develops an avoidable infection, the care provided could be viewed as negligent, meaning that harm has been caused to the patient as a result of careless omission. ',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 43 => array(
			'id' => '3211',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'Bacterial Infections',
			'description' => 'Remind yourself of the bacterial infections that could occur in a hospital or community setting.

Clostridioides difficile infection

C. difficile (Clostridioides difficile) is a diagnosis in its own right and must be treated as a separate condition to any other conditions/illnesses affecting the patient. Its spectrum of illness/symptoms ranges from mild to potentially life threatening. It is transmitted by the ingestion of spores, which are shed from colonised or infected patients. Those most at risk are older patients and those who have had a recent course of antibiotics.

Pathogenesis of disease

For the disease to occur there must be disturbance of normal flora (loss of colonisation resistance). This happens especially when our 'good bacteria' are killed off by a broad-spectrum antibiotic, for example, Cefuroxime, Ciprofloxacin, Co-amoxiclav. This leaves room for other 'bad bacteria' such as C. difficile to flourish. C. difficile might start to produce toxins. Toxins act on the gut wall to produce disease. Some antibiotics are worse than others at disturbing the 'good bacteria'; also some strains of C. difficile are more aggressive than others.

C. difficile is found in up to 5% of healthy adults.

MRSA 

MRSA stands for Meticillin-Resistant Staphylococcus aureus (S.aureus). MRSA are Staphylococcus aureus bacteria that have become resistant to certain antibiotics. People may be colonised or infected with S.aureus.

Colonisation means that the S.aureus is present in or on the body but is not causing illness.

Infection means that the S.aureus is present and is causing illness.  

How is MRSA spread?

- MRSA is transmitted primarily by contact with a person who has an infection or is colonised with the bacteria
- Skin scales may contaminate the environment
- Sputum droplets/aerosols may contaminate if they become airborne through coughing and sneezing
- Equipment and environment may contribute to the spread of infection if it has not been cleaned effectively

Dealing with MRSA in a hospital

- Standard precautions are essential in preventing cross-infection
- Patients must be managed as per your Trust Policy
- Patients may be commenced on topical treatment which might consist of body wash, nasal ointment and/or mouth wash

In the community:

- MRSA in the community seldom poses a risk; some patients in the community will remain colonised indefinitely. MRSA will live harmlessly on the skin; however, it may pose a risk if a patient needs an invasive procedure or develops a new medical condition. Patients with those with wounds or invasive devices will be at risk of developing infection. For that reason, healthcare workers are reminded to ensure that they record on patients' records their MRSA status and make sure that they communicate it to all healthcare colleagues who are supporting that patient
- In the community, the application of standard precautions for all patients is sufficient to stop the transmission of MRSA between patients. This includes application of hand hygiene, correct use of PPE and effective cleaning between patients
- In the community, there is rarely a need to apply decolonisation treatments for patients unless an invasive procedure is planned - please see local policies

Who should be screened?

- Some patients will be screened for MRSA, but follow your Trust’s Screening protocol
- Remember that in the community, patients rarely require screening for MRSA unless requested by an infection prevention and control expert

Gram-negative bloodstream infections

Gram-negative bloodstream infections (BSIs) are a healthcare safety issue. Since April 2017, there has been an NHS ambition to halve the numbers of healthcare-associated Gram-negative BSIs by 2021.

Key healthcare-associated risk factors

This is not an exhaustive list but should be used as a basis to classify Gram-negative BSIs as healthcare associated:

- Indwelling vascular access devices (insertion, in situ, or removal)
- Urinary catheterisation (insertion, in situ with or without manipulation, or removal)
- Other devices (insertion, in situ with or without manipulation, or removal)
- Invasive procedures (e.g. endoscopic retrograde cholangio-pancreatography, prostate biopsy, surgery including, but not restricted to, gastrointestinal tract surgery)
- Neutropenia (<500/mL at time of bacteraemia)
- Antimicrobial therapy within the previous 28 days
- Hospital admission within the previous 28 days
- E.coli

',
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			'attachment_id' => '1450',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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		),
		(int) 44 => array(
			'id' => '3212',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'multiple-choice',
			'field_label' => 'What can primary care staff do to prevent C.difficile infection? ',
			'description' => 'Choose two options',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Avoid broad-spectrum antibiotics","Minimise the use of proton pump inhibitors","Commence patient on topical treatment","Commence patient on antibiotics"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 45 => array(
			'id' => '3213',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'What to do When Ill',
			'description' => 'All staff will be personally accountable for their actions and responsible for ensuring that they comply with infection prevention and control policies of their place of work.

Staff must understand their legal duty to take reasonable care of their health, safety and security and that of other persons who may be affected by their actions and for reporting untoward incidents and areas of concern.

Any breach in infection control policies or practice will place staff, patients and visitors at risk and subsequently the completion of a clinical incident form will be required.

All staff are obligated professionally, contractually and legally to adhere to policies of their place of work that will help to prevent and control infections.

If you are unwell, then refer to your local occupational health department. It offers a range of services including immunisations and advice on health matters. Its staff can advise you about fitness to work if you are suffering from infections such as coughs, colds, flu, diarrhoea or vomiting. It is normally advised that if you have been unwell with an infectious illness, you should not return to work for 48 hours after symptoms have cleared.

Although it is widely believed that flu is very like the common cold, this is not the case. Flu has symptoms which differ from those of a cold, including a high temperature, headache, shivery feelings, lack of energy and aching limbs. Having the flu vaccine yearly will keep you well and protect patients.

You should ask the occupational health department for advice if you suffer from skin conditions such as psoriasis or eczema, especially if this is on your hands. To reduce the risk of infection it is important to use moisturiser to avoid hands becoming dry and cracked.',
			'field_order' => '14',
			'attachment_id' => '1451',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 46 => array(
			'id' => '3214',
			'course_id' => '114',
			'course_lesson_id' => '518',
			'field_type' => 'paragraph',
			'field_label' => 'Session Summary',
			'description' => 'Please ensure you are aware of your organisation's infection prevention policies and procedures. This information may be found on your organisation's intranet or website. For further information please contact your organisation's infection prevention and control lead. National guidance includes:

- National Resource for
- Infection Control (www.nric.org.uk)
- Infection Control Services (www.infection-control-services.co.uk)
- World Health Organization (www.who.int/)
- Infection Prevention Society (www.ips.uk.net)
- Centres for Disease Control (www.cdc.gov)
- Public Health England (www.gov.uk/government/organisations/public-health-england)
- NHS Improvement (https://improvement.nhs.uk)
- Aseptic Non-Touch Technique (www.antt.org/)
Health and Safety Executive  - Health Surveillance (www.hse.gov.uk/health-surveillance)

Organisations already undertake health surveillance for staff on known employment risks to health. As part of this work all organisations should undertake monitoring of sharps injury patterns and incidents in order to inform ongoing risk assessments and evaluate changes to practice. This should be reported within the organisation as part of broader health and safety reporting.  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:48',
			'modified' => '2024-08-06 09:26:48'
		),
		(int) 47 => array(
			'id' => '3215',
			'course_id' => '114',
			'course_lesson_id' => '518',
			'field_type' => 'bullet-points',
			'field_label' => 'Key Points',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The prevention and control of healthcare-associated infections are everybody’s responsibility","It is a legal requirement that all registered providers of health and social care register with the Care Quality Commission (CQC), and it is a requirement of registration that providers comply with the Health and Social Care Act 2008, Code of Practice on the prevention and control of infection","HCAIs are largely preventable and all staff are responsible for ensuring that they comply with IP&C policies/guidance and that they protect patients/clients in their care as far as is practically possible"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:48',
			'modified' => '2024-08-06 09:26:48'
		),
		(int) 48 => array(
			'id' => '3216',
			'course_id' => '114',
			'course_lesson_id' => '518',
			'field_type' => 'paragraph',
			'field_label' => 'Next Steps',
			'description' => 'You have completed the Cleaning chapter which is the final chapter in this learning. Continue to the Infection Prevention and Control Level 2 eAssessment.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:48',
			'modified' => '2024-08-06 09:26:48'
		),
		(int) 49 => array(
			'id' => '3217',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'Who is responsible for infection prevention and control in a healthcare setting?',
			'description' => 'Choose the correct option',
			'field_order' => '0',
			'attachment_id' => '1457',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Only senior managers and clinical staff","Only clinical staff","All staff including NHS trust executives and managers, clinical staff, non-clinical staff and volunteers","All non-clinical staff including volunteers and contract workers"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 50 => array(
			'id' => '3219',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is the role of your organisation in preventing Healthcare Associated Infections (HCAIs)?',
			'description' => 'Choose three options and select Submit.',
			'field_order' => '1',
			'attachment_id' => '1455',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To prevent all Healthcare Associated Infections","To provide Personal Protective Equipment (PPE)","To design and implement appropriate reporting structures"," To provide appropriate staff training"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 51 => array(
			'id' => '3218',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where is information on hand hygiene available?',
			'description' => 'Choose three options',
			'field_order' => '2',
			'attachment_id' => '1456',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["From infection prevention and control staff","On hand hygiene posters","From a national newspaper","From the Organisation's intranet"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 52 => array(
			'id' => '3220',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is a healthcare-associated infection (HCAI)?',
			'description' => 'Choose the correct option ',
			'field_order' => '3',
			'attachment_id' => '1458',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["An infection you bring into work, such as a cold","An infection associated with accessing healthcare","An infection that only occurs in the community","An infection only caught in hospital"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 53 => array(
			'id' => '3221',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Why is it important to reduce the number of healthcare-associated infections (HCAI)?',
			'description' => 'Choose three options',
			'field_order' => '4',
			'attachment_id' => '1459',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" They can protect you from other infections","They can lead to the death of patients"," They increase the length of time patients spend in hospital","They spread easily"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 54 => array(
			'id' => '3222',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is the most effective way of preventing cross infection?',
			'description' => 'Choose the correct option ',
			'field_order' => '5',
			'attachment_id' => '1460',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["By completing your course of antibiotics","By practising good hand hygiene","By avoiding physical contact"," By covering your mouth when sneezing"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 55 => array(
			'id' => '3223',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What are the links which make up the chain of infection?',
			'description' => 'Choose the correct option',
			'field_order' => '6',
			'attachment_id' => '1461',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Infectious agent, reservoir, method of exit, method of transfer, method of entry, susceptible host","Infectious agent, method of exit, method of entry, susceptible host"," Reservoir, method of transfer, method of entry, susceptible host"," Reservoir, method of exit, method of transfer, susceptible host"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 56 => array(
			'id' => '3224',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'How do micro-organisms (germs) enter the body?',
			'description' => 'Choose three options',
			'field_order' => '7',
			'attachment_id' => '1462',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Inhalation (breathing in)","Through unbroken skin"," Sexual transmission","Ingestion (eating)"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 57 => array(
			'id' => '3225',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is the most common means of transmission of micro-organisms in the healthcare environment?',
			'description' => 'Choose the correct option',
			'field_order' => '8',
			'attachment_id' => '1463',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Dirty hands","Dirty toilet facilities","Dirty clothes"," Dirty equipment"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 58 => array(
			'id' => '3226',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the three levels of decontamination of reusable medical devices?',
			'description' => 'Choose three options ',
			'field_order' => '9',
			'attachment_id' => '1464',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Cleaning","Disinfecting","Rinsing","Sterilising"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 59 => array(
			'id' => '3227',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the two methods of disinfection?',
			'description' => 'Choose two options',
			'field_order' => '10',
			'attachment_id' => '1465',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Washing","Heat","Chemical"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 60 => array(
			'id' => '3228',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'A piece of equipment has this symbol on the wrapper. When would it be appropriate to re-use this item?',
			'description' => 'Choose the correct option ',
			'field_order' => '11',
			'attachment_id' => '1466',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["If you are told it is OK by your manager","If it is the last one and you have no more","If it costs more than \u00a320","Never"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 61 => array(
			'id' => '3229',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the reasons for using single-use items?',
			'description' => 'Choose three options ',
			'field_order' => '12',
			'attachment_id' => '1467',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["They protect the patient","They do not have to be clean","They guard against cross contamination"," They prevent the spread of infection"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 62 => array(
			'id' => '3230',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'The 5 Moments for Hand Hygiene approach defines the key moments when healthcare workers should perform hand hygiene to reduce the risks of the spread of infection. The five moments are before touching a patient, after body fluid exposure/risk, after touching a patient, after touching patient surroundings and which other?',
			'description' => 'Choose the correct option',
			'field_order' => '13',
			'attachment_id' => '1471',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["After using the toilet","Before clean\/aseptic procedures","When hands are visibly soiled"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 63 => array(
			'id' => '3231',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which three statements require a local written risk assessment to be undertaken in your clinical or working area?',
			'description' => 'Choose three options ',
			'field_order' => '14',
			'attachment_id' => '1472',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When a patient requires isolation in a room with a door shut and they are at risk of falls","When taking patient details on admission"," Before using latex gloves","When locating alcohol-based hand sanitiser products"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 64 => array(
			'id' => '3232',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'An outbreak of infection should be suspected and advice sought on declaring an outbreak when...',
			'description' => 'Choose the correct option',
			'field_order' => '15',
			'attachment_id' => '1473',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When two or more people associated in time and place have the same infection symptoms","When five or more people with no association in time or place have the same infection symptoms","When 10 or more people associated in time but not place have the same infection symptoms"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 65 => array(
			'id' => '3233',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is the main symptom associated with a clostridium difficile infection?',
			'description' => 'Choose the correct option',
			'field_order' => '16',
			'attachment_id' => '1474',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Profuse diarrhoea"," Vomiting"," Dizziness","Sneezing"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 66 => array(
			'id' => '3234',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'When should you ensure that a patient/service user with diarrhoea is placed into isolation in a healthcare setting?',
			'description' => 'Choose the correct option ',
			'field_order' => '17',
			'attachment_id' => '1475',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When you suspect infectious diarrhoea"," Once the infection is confirmed"," When a side room becomes free"," When told to move the patient"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 67 => array(
			'id' => '3235',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'When managing diarrhoea and vomiting, what must hands be decontaminated with?',
			'description' => 'Choose the correct option ',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Alcohol foam","Alcohol gel"," Water only"," Soap and water"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 68 => array(
			'id' => '3237',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'You have been asked to change soiled bed linen on a ward. What personal protective equipment will you need?',
			'description' => 'Choose two options',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Disposable plastic apron"," Goggles"," Sterile gloves","Non-disposable gown","Full face visor"," Non-sterile gloves"]',
			'field_correct' => '0,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 69 => array(
			'id' => '3238',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'Having assessed the risk, the healthcare setting decided that gloves should be worn when serving patients their lunch. Which are the correct gloves to be worn when serving food?',
			'description' => 'Choose the correct option',
			'field_order' => '20',
			'attachment_id' => '1476',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Heavy-duty","Domestic","Non-sterile polythene or vinyl gloves","Non-sterile nitrile gloves"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 70 => array(
			'id' => '3239',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'How would you manage a spillage of blood in your work environment?',
			'description' => 'Choose two options',
			'field_order' => '21',
			'attachment_id' => '1477',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Leave it as someone will clear it up eventually"," Clean it up if you are appropriately trained","Inform an appropriately trained member of staff","Take no action because a visitor is already cleaning it up"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 71 => array(
			'id' => '3240',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'If you receive the following, which will need to be treated and reported as an Occupational Exposure?',
			'description' => 'Choose four options ',
			'field_order' => '22',
			'attachment_id' => '1478',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A slip or trip at work","Spitting into the eyes or mouth"," A sharps injury that breaks the skin","Blood or body fluid in contact with a break in your skin","A scratch or bite that pierces the skin"]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 72 => array(
			'id' => '3241',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'Who is responsible for cleaning patient care associated equipment?',
			'description' => 'Choose the correct option',
			'field_order' => '23',
			'attachment_id' => '1480',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Domestic cleaning staff","The patient","Visitors","Staff using the equipment to provide care for the patients"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 73 => array(
			'id' => '3242',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements are true?',
			'description' => 'Choose five options',
			'field_order' => '24',
			'attachment_id' => '1481',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" A room needs to have cleaning done when it has been used by a patient with a known infection","Specialist cleaning happens less frequently than routine cleaning and may involve using sodium hypochlorite or another specialist disinfectant","All re-usable items such as dental and surgical instruments must be sterilised","Sterilisation destroys all micro-organisms including spores","Items can be disinfected or sterilised without being cleaned thoroughly","Items can be disinfected by either using heat or chemicals"]',
			'field_correct' => '0,1,2,3,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3166',
		(int) 1 => '3243',
		(int) 2 => '3244',
		(int) 3 => '3169',
		(int) 4 => '3170',
		(int) 5 => '3171',
		(int) 6 => '3245',
		(int) 7 => '3173',
		(int) 8 => '3174',
		(int) 9 => '3175',
		(int) 10 => '3246',
		(int) 11 => '3247',
		(int) 12 => '3178',
		(int) 13 => '3179',
		(int) 14 => '3248',
		(int) 15 => '3181',
		(int) 16 => '3182',
		(int) 17 => '3183',
		(int) 18 => '3249',
		(int) 19 => '3185',
		(int) 20 => '3186',
		(int) 21 => '3187',
		(int) 22 => '3188',
		(int) 23 => '3189',
		(int) 24 => '3190',
		(int) 25 => '3191',
		(int) 26 => '3192',
		(int) 27 => '3193',
		(int) 28 => '3195',
		(int) 29 => '3196',
		(int) 30 => '3197',
		(int) 31 => '3198',
		(int) 32 => '3250',
		(int) 33 => '3200',
		(int) 34 => '3251',
		(int) 35 => '3203',
		(int) 36 => '3204',
		(int) 37 => '3205',
		(int) 38 => '3208',
		(int) 39 => '3206',
		(int) 40 => '3207',
		(int) 41 => '3209',
		(int) 42 => '3210',
		(int) 43 => '3211',
		(int) 44 => '3212',
		(int) 45 => '3213',
		(int) 46 => '3214',
		(int) 47 => '3215',
		(int) 48 => '3216',
		(int) 49 => '3217',
		(int) 50 => '3219',
		(int) 51 => '3218',
		(int) 52 => '3220',
		(int) 53 => '3221',
		(int) 54 => '3222',
		(int) 55 => '3223',
		(int) 56 => '3224',
		(int) 57 => '3225',
		(int) 58 => '3226',
		(int) 59 => '3227',
		(int) 60 => '3228',
		(int) 61 => '3229',
		(int) 62 => '3230',
		(int) 63 => '3231',
		(int) 64 => '3232',
		(int) 65 => '3233',
		(int) 66 => '3234',
		(int) 67 => '3235',
		(int) 68 => '3237',
		(int) 69 => '3238',
		(int) 70 => '3239',
		(int) 71 => '3240',
		(int) 72 => '3241',
		(int) 73 => '3242'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '114'
$k = (int) 10
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:53:24'
		)
	),
	(int) 6 => array(
		'Attachment' => array(
			'id' => '1598',
			'record_id' => '117',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/63f8d93d037ef170525bcc4b_2.png"}',
			'active' => '1',
			'created' => '2024-08-06 14:55:19'
		)
	),
	(int) 7 => array(
		'Attachment' => array(
			'id' => '1617',
			'record_id' => '119',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 15:57:54'
		)
	),
	(int) 8 => array(
		'Attachment' => array(
			'id' => '1648',
			'record_id' => '111',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1287613988-612x612_3_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:36:24'
		)
	),
	(int) 9 => array(
		'Attachment' => array(
			'id' => '1650',
			'record_id' => '110',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/4_2.jpg"}',
			'active' => '1',
			'created' => '2024-08-07 09:37:21'
		)
	),
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				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3640',
			(int) 1 => '3641',
			(int) 2 => '3642',
			(int) 3 => '3643',
			(int) 4 => '3644',
			(int) 5 => '3645',
			(int) 6 => '3646',
			(int) 7 => '3647',
			(int) 8 => '3648',
			(int) 9 => '3649',
			(int) 10 => '3650',
			(int) 11 => '3651',
			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
		)
	),
	(int) 2 => array(
		'Course' => array(
			'id' => '122',
			'course_title' => 'Information Governance',
			'description' => 'Data Security Awareness Level 1<br />This e-learning session meets the statutory and mandatory training requirements, compliance and learning outcomes for the:<br />Data Security Awareness Level 1 within the UK Core Skills Training Framework (UK CSTF)<br />Data Security and Protection Toolkit, developed in line with the National Data Guardian data security standards, which your organisation needs to comply with each year',
			'banner_media_id' => '1721',
			'thumbnail_media_id' => '1722',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 11:35:09',
			'modified' => '2024-08-07 14:23:26',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
			'field_count' => (int) 78,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3561',
			(int) 1 => '3562',
			(int) 2 => '3563',
			(int) 3 => '3564',
			(int) 4 => '3565',
			(int) 5 => '3566',
			(int) 6 => '3567',
			(int) 7 => '3568',
			(int) 8 => '3569',
			(int) 9 => '3570',
			(int) 10 => '3571',
			(int) 11 => '3572',
			(int) 12 => '3573',
			(int) 13 => '3574',
			(int) 14 => '3575',
			(int) 15 => '3576',
			(int) 16 => '3577',
			(int) 17 => '3578',
			(int) 18 => '3580',
			(int) 19 => '3581',
			(int) 20 => '3582',
			(int) 21 => '3583',
			(int) 22 => '3585',
			(int) 23 => '3586',
			(int) 24 => '3584',
			(int) 25 => '3587',
			(int) 26 => '3588',
			(int) 27 => '3589',
			(int) 28 => '3590',
			(int) 29 => '3591',
			(int) 30 => '3592',
			(int) 31 => '3593',
			(int) 32 => '3594',
			(int) 33 => '3595',
			(int) 34 => '3596',
			(int) 35 => '3597',
			(int) 36 => '3598',
			(int) 37 => '3599',
			(int) 38 => '3600',
			(int) 39 => '3601',
			(int) 40 => '3602',
			(int) 41 => '3603',
			(int) 42 => '3604',
			(int) 43 => '3605',
			(int) 44 => '3606',
			(int) 45 => '3607',
			(int) 46 => '3608',
			(int) 47 => '3609',
			(int) 48 => '3610',
			(int) 49 => '3611',
			(int) 50 => '3612',
			(int) 51 => '3613',
			(int) 52 => '3614',
			(int) 53 => '3615',
			(int) 54 => '3619',
			(int) 55 => '3618',
			(int) 56 => '3617',
			(int) 57 => '3616',
			(int) 58 => '3622',
			(int) 59 => '3621',
			(int) 60 => '3620',
			(int) 61 => '3623',
			(int) 62 => '3624',
			(int) 63 => '3625',
			(int) 64 => '3626',
			(int) 65 => '3627',
			(int) 66 => '3628',
			(int) 67 => '3629',
			(int) 68 => '3630',
			(int) 69 => '3631',
			(int) 70 => '3632',
			(int) 71 => '3633',
			(int) 72 => '3634',
			(int) 73 => '3635',
			(int) 74 => '3636',
			(int) 75 => '3637',
			(int) 76 => '3638',
			(int) 77 => '3639'
		)
	),
	(int) 3 => array(
		'Course' => array(
			'id' => '121',
			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'field_count' => (int) 30,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 556 => array(
				[maximum depth reached]
			),
			(int) 557 => array(
				[maximum depth reached]
			),
			(int) 558 => array(
				[maximum depth reached]
			),
			(int) 559 => array(
				[maximum depth reached]
			),
			(int) 560 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3531',
			(int) 1 => '3532',
			(int) 2 => '3533',
			(int) 3 => '3534',
			(int) 4 => '3535',
			(int) 5 => '3536',
			(int) 6 => '3537',
			(int) 7 => '3538',
			(int) 8 => '3539',
			(int) 9 => '3540',
			(int) 10 => '3541',
			(int) 11 => '3542',
			(int) 12 => '3543',
			(int) 13 => '3544',
			(int) 14 => '3545',
			(int) 15 => '3546',
			(int) 16 => '3547',
			(int) 17 => '3548',
			(int) 18 => '3549',
			(int) 19 => '3550',
			(int) 20 => '3551',
			(int) 21 => '3552',
			(int) 22 => '3553',
			(int) 23 => '3554',
			(int) 24 => '3555',
			(int) 25 => '3556',
			(int) 26 => '3557',
			(int) 27 => '3558',
			(int) 28 => '3559',
			(int) 29 => '3560'
		)
	),
	(int) 4 => array(
		'Course' => array(
			'id' => '120',
			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'field_count' => (int) 39,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 549 => array(
				[maximum depth reached]
			),
			(int) 550 => array(
				[maximum depth reached]
			),
			(int) 551 => array(
				[maximum depth reached]
			),
			(int) 552 => array(
				[maximum depth reached]
			),
			(int) 553 => array(
				[maximum depth reached]
			),
			(int) 554 => array(
				[maximum depth reached]
			),
			(int) 555 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
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				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 520 => array(
				[maximum depth reached]
			),
			(int) 521 => array(
				[maximum depth reached]
			),
			(int) 522 => array(
				[maximum depth reached]
			),
			(int) 523 => array(
				[maximum depth reached]
			),
			(int) 524 => array(
				[maximum depth reached]
			),
			(int) 525 => array(
				[maximum depth reached]
			),
			(int) 526 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3256',
			(int) 1 => '3257',
			(int) 2 => '3258',
			(int) 3 => '3259',
			(int) 4 => '3260',
			(int) 5 => '3261',
			(int) 6 => '3262',
			(int) 7 => '3263',
			(int) 8 => '3264',
			(int) 9 => '3265',
			(int) 10 => '3266',
			(int) 11 => '3267',
			(int) 12 => '3268',
			(int) 13 => '3269',
			(int) 14 => '3270',
			(int) 15 => '3271',
			(int) 16 => '3272',
			(int) 17 => '3273',
			(int) 18 => '3274',
			(int) 19 => '3275',
			(int) 20 => '3276',
			(int) 21 => '3277',
			(int) 22 => '3278',
			(int) 23 => '3279',
			(int) 24 => '3284',
			(int) 25 => '3286',
			(int) 26 => '3285',
			(int) 27 => '3287',
			(int) 28 => '3288',
			(int) 29 => '3289',
			(int) 30 => '3290',
			(int) 31 => '3291',
			(int) 32 => '3292',
			(int) 33 => '3293',
			(int) 34 => '3294',
			(int) 35 => '3295',
			(int) 36 => '3296',
			(int) 37 => '3297',
			(int) 38 => '3298',
			(int) 39 => '3299',
			(int) 40 => '3300',
			(int) 41 => '3301',
			(int) 42 => '3302',
			(int) 43 => '3303',
			(int) 44 => '3304',
			(int) 45 => '3305',
			(int) 46 => '3306',
			(int) 47 => '3307'
		)
	),
	(int) 10 => array(
		'Course' => array(
			'id' => '114',
			'course_title' => 'Infection Prevention & Control (Core Skills) 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />This session has been updated with infection, prevention and control guidance in light of the Coronavirus (COVID-19) pandemic. We recommend that you visit the Personal Protective Equipment (PPE) chapter for new guidance.<br /><br />For up-to-date guidance search:<br /><br />COVID-19: infection prevention and control<br />COVID-19: guidance for Ambulance Trusts<br /><br />Your health and safety and that of others is very important. During this pandemic you must take care of yourself and stay at home if you exhibit any symptoms of the Coronavirus or if those you live with are unwell. you must stay at home if you are an individual who is &lsquo;shielded&rsquo;.<br /><br />If you are working in a health and care environment and if you are well, you can attend your work but must follow the guidance given to you by your organisation.',
			'banner_media_id' => '1483',
			'thumbnail_media_id' => '1482',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 14:33:41',
			'modified' => '2024-08-07 14:25:02',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'field_count' => (int) 74
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3166',
			(int) 1 => '3243',
			(int) 2 => '3244',
			(int) 3 => '3169',
			(int) 4 => '3170',
			(int) 5 => '3171',
			(int) 6 => '3245',
			(int) 7 => '3173',
			(int) 8 => '3174',
			(int) 9 => '3175',
			(int) 10 => '3246',
			(int) 11 => '3247',
			(int) 12 => '3178',
			(int) 13 => '3179',
			(int) 14 => '3248',
			(int) 15 => '3181',
			(int) 16 => '3182',
			(int) 17 => '3183',
			(int) 18 => '3249',
			(int) 19 => '3185',
			(int) 20 => '3186',
			(int) 21 => '3187',
			(int) 22 => '3188',
			(int) 23 => '3189',
			(int) 24 => '3190',
			(int) 25 => '3191',
			(int) 26 => '3192',
			(int) 27 => '3193',
			(int) 28 => '3195',
			(int) 29 => '3196',
			(int) 30 => '3197',
			(int) 31 => '3198',
			(int) 32 => '3250',
			(int) 33 => '3200',
			(int) 34 => '3251',
			(int) 35 => '3203',
			(int) 36 => '3204',
			(int) 37 => '3205',
			(int) 38 => '3208',
			(int) 39 => '3206',
			(int) 40 => '3207',
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		'course_title' => 'Infection Prevention & Control (Core Skills) 2',
		'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />This session has been updated with infection, prevention and control guidance in light of the Coronavirus (COVID-19) pandemic. We recommend that you visit the Personal Protective Equipment (PPE) chapter for new guidance.<br /><br />For up-to-date guidance search:<br /><br />COVID-19: infection prevention and control<br />COVID-19: guidance for Ambulance Trusts<br /><br />Your health and safety and that of others is very important. During this pandemic you must take care of yourself and stay at home if you exhibit any symptoms of the Coronavirus or if those you live with are unwell. you must stay at home if you are an individual who is &lsquo;shielded&rsquo;.<br /><br />If you are working in a health and care environment and if you are well, you can attend your work but must follow the guidance given to you by your organisation.',
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		'created' => '2024-08-05 14:33:41',
		'modified' => '2024-08-07 14:25:02'
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			'created_user_id' => '8779',
			'session_length' => '7 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 14:35:50',
			'modified' => '2024-08-06 09:18:06'
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			'created_user_id' => '8779',
			'session_length' => '7 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 14:48:43',
			'modified' => '2024-08-06 09:18:06'
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			'course_id' => '114',
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			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 14:54:01',
			'modified' => '2024-08-06 09:18:06'
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			'course_id' => '114',
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			'created_user_id' => '8779',
			'session_length' => '15 minutes',
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			'active' => '1',
			'created' => '2024-08-05 15:07:15',
			'modified' => '2024-08-06 09:18:06'
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			'id' => '517',
			'course_id' => '114',
			'lesson_title' => 'Cleaning',
			'description' => 'How to maintain a clean environment and ensure people safety.',
			'lesson_order' => '4',
			'created_user_id' => '8779',
			'session_length' => '12 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 15:29:00',
			'modified' => '2024-08-06 09:18:06'
		),
		(int) 5 => array(
			'id' => '518',
			'course_id' => '114',
			'lesson_title' => 'Session summary ',
			'description' => 'Session summary, key points and next steps.',
			'lesson_order' => '5',
			'created_user_id' => '8779',
			'session_length' => '3 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 15:52:51',
			'modified' => '2024-08-06 09:18:06'
		),
		(int) 6 => array(
			'id' => '519',
			'course_id' => '114',
			'lesson_title' => 'eAssessment',
			'description' => 'Welcome to the&nbsp;Infection Prevention and Control Level 2 eAssessment.<br />&nbsp;<br />To successfully complete this eAssessment, you need to achieve a score of at least 80%.<br /><br />You should set aside approximately 15 minutes to complete this eAssessment.',
			'lesson_order' => '6',
			'created_user_id' => '8779',
			'session_length' => '15 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 15:57:05',
			'modified' => '2024-08-06 09:18:06'
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			'description' => 'Healthcare is delivered in a range of settings, from hospitals to care delivered in clients' homes or social care settings. Healthcare-associated infections (HCAIs) can occur in any setting where healthcare is delivered. HCAIs are defined as any infection as a result of healthcare interaction that has taken place, or has occurred, 48 hours (general rule) after admission to a healthcare setting.

Healthcare workers, carers and family members are also at risk of acquiring infections when caring for patients. HCAIs can occur in otherwise healthy individuals, especially if invasive procedures or devices are used.

HCAIs can exacerbate existing or underlying conditions, delay recovery and adversely affect quality of life.

During the past two decades, HCAIs have become a significant threat to patient safety. The UK government sees antibiotic resistance as a threat comparable with terrorism.

Patient treatment can be undermined by the transmission of infections within the healthcare settings; particularly problematic are those infections caused by antimicrobial-resistant micro-organisms.',
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			'field_label' => 'Obligations of Employers and Employees',
			'description' => 'Not all HCAI can be prevented, but organisations are responsible for providing training, policies and PPE, as well as reporting structures to minimise HCAI as far as possible.

It is everyone's responsibility to maintain consistent infection prevention and control practice and a safe working environment.

Select the icons to find out three important points of personal hygiene.',
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			'field_type' => 'image-bullets',
			'field_label' => 'Antimicrobial Resistance',
			'description' => 'ntimicrobial resistance (AMR) is the biggest threat to public health. It happens when micro-organisms (such as bacteria, fungi, viruses and parasites) change when they are exposed to antimicrobial drugs, such as antibiotics, antifungals, antivirals, antimalarials and antihelmintics.',
			'field_order' => '4',
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			'field_choices' => '["Carbapenems are powerful broad-spectrum antibiotics that are often the last line of effective treatment for patients with multidrug-resistant infections, including those caused by ESBL-producing bacteria (extended spectrum beta-lactamases).  Cases of carbapenem resistance in E. coli and Klebsiella in the UK started to increase during 2008 and 2009.","Antimicrobial resistance (AMR) is resistance of a micro-organism to an antimicrobial medicine to which it was previously sensitive. Resistant organisms (they include bacteria and viruses) are able to withstand attack by antimicrobial medicines, such as antibiotics and antivirals, so that standard treatments become ineffective and infections are prolonged, with longer periods of infectivity, and may spread to others. Inappropriate and irrational use of antimicrobial medicines provides favourable conditions for resistant micro-organisms to emerge, spread and persist.","This is the UK Government's 5 year action plan which has been designed to ensure progress towards a 20-year vision on AMR, in which resistance is effectively contained and controlled. The report recognises that no new classes of antibiotic have been discovered since the 1980s and that this, together with the increased and inappropriate use of the drugs already available, means we are heading rapidly towards a world in which antibiotics no longer work.  The report focuses on three keyways of tackling AMR:  Reducing the need for, and unintentional exposure to, antimicrobials Optimising use of antimicrobials Investing in innovation, supply and access"]',
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			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'image-bullets',
			'field_label' => 'Methods of Infection Spread',
			'description' => 'There are a number of ways that infection can spread.',
			'field_order' => '5',
			'attachment_id' => '1425',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Vector - Flies, rats, mice and cockroaches can spread vector-borne diseases. These include dengue fever, West Nile virus, lyme disease and malaria.","Needlestick - A number of infections can be spread by needlestick injuries. This includes hepatitis B, hepatitis C and the human immunodeficiency virus (HIV) which leads to AIDS (acquired immune deficiency syndrome).","Direct contact - Examples of infections that can be spread by skin-to-skin contact (for example, contaminated hands) are MRSA and E. coli. Also, C.difficile spores can be transferred via contaminated hands. E coli is a common cause of urinary tract infection.","Ingestion - Examples of infection acquired by ingestion (eating and drinking) include salmonella, campylobacter and E.coli 0157. C.difficile spores can also be ingested via contaminated hands.","Droplets and Airborne - Influenza is a respiratory illness spread by droplets through coughing and sneezing. This can contaminate surfaces and indirectly spread infection via contaminated hands.   An airborne disease is any disease that is caused by pathogens that can be transmitted through the air, for example measles and chickenpox.","Fomites - Fomites are objects or materials which are likely to carry infection, such as clothes, utensils, and furniture. Dirty commodes are one piece of equipment, if not cleaned thoroughly, can be implicated in spreading infection."]',
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			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following two patients would you consider high risk?',
			'description' => 'Choose one option.',
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			'field_choices' => '["Young person with no other medical conditions and no previous hospital admissions, no medication. Routine elective surgery when he had his tonsils removed","Woman in her 70s, multiple hospital admissions, antibiotics in community, non-intact skin, recent inpatient tertiary hospital"]',
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			'course_lesson_id' => '514',
			'field_type' => 'image-hotspot',
			'field_label' => 'What Causes Disease?',
			'description' => 'Which infectious agents cause disease?

Select all the images to find out more.',
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			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":99.0312,"left":77,"annotation":"Bacteria\nBacteria are microscopic single-celled organisms that thrive in diverse environments. Bacteria are prokaryotes. The entire organism consists of a single cell with a simple internal structure. They can live within soil, in the ocean and inside the human gut. Humans' relationship with bacteria is complex.\n\nSometimes they lend a helping hand, by curdling milk into yogurt, or helping with our digestion. At other times they are destructive, causing diseases like pneumonia and MRSA."},{"top":94.0312,"left":319,"annotation":"Virus\nViruses are very tiny agents. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS, smallpox, and Ebola.\n \nViruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system or blood.\n \nWhen you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.\n \nFor most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases."},{"top":255.031,"left":106,"annotation":"Parasites\nA parasite is an organism that lives on or in a host. It gets its food from, or at the expense of, its host.\n\nParasites can cause or transmit disease in humans termed as a ‘parasitic disease’ or ‘parasitosis’. Many parasites do not cause disease.\n\nInfestation refers to parasitic diseases caused by lice, fleas, ticks, and some mites, that live on a host. It can also refer to worms and protozoa that live in the internal organs or tissues of its host.\n\n‘Parasitic disease’ caused by worms and protozoa are sometimes referred to as ‘parasitic infection’."},{"top":200.031,"left":408,"annotation":"Fungal infections\nA fungus is a primitive organism. Mushrooms, mould and mildew are examples. Fungi live in air, in soil, on plants and in water. Some live in the human body. Only about half of all types of fungi are harmful.\n \nSome fungi reproduce through tiny spores in the air. You can inhale the spores or they can land on you. As a result, fungal infections often start in the lungs or on the skin. You are more likely to get a fungal infection if you have a weakened immune system or take antibiotics.\n \nFungi can be difficult to kill. For skin and nail infections, you can apply medicine directly to the infected area. Oral antifungal medicines are also available for serious infections."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 6 => array(
			'id' => '3175',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'text-image',
			'field_label' => 'Reservoirs',
			'description' => 'Reservoirs, shown in the diagram, are where micro-organisms reside and multiply. Without them, infectious agents could not survive and therefore could not be transmitted.

The site of exit provides a way for a micro-organism to leave a reservoir.

For example, in the body this may include any orifice (nose, mouth etc.) via any bodily substance.',
			'field_order' => '1',
			'attachment_id' => '1428',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 7 => array(
			'id' => '3178',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'text-image',
			'field_label' => 'Breaking the Chain of Infection',
			'description' => 'In some instances, the risk of infection may be prevented or reduced by the use of vaccination, for example TB, tetanus, polio, diphtheria, or by the use of prophylactic antibiotics, for example preoperatively.

Generally, the chain of infection can be broken by the effective use of standard precautions which break the ‘route of transmission' link.

 ',
			'field_order' => '0',
			'attachment_id' => '1431',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 8 => array(
			'id' => '3179',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'image-hotspot',
			'field_label' => 'Breaking the Chain of Infection',
			'description' => 'The chain of infection can be broken by taking the following standard precautions.

Select the icons to find out examples of the standard precautions for acute and community workers.',
			'field_order' => '1',
			'attachment_id' => '1433',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":51.7344,"left":22,"annotation":"Hand hygiene\n\nOne of the most effective measures in the prevention of transmission of infection and reducing HCAIs is improving hand hygiene. Hand hygiene can be performed using:\n\nSoap and water\nHand sanitisers\nEnsure that you are aware of, and follow, guidelines in your local organisation for hand hygiene"},{"top":65.7344,"left":59,"annotation":"Personal protective equipment (PPE)\n\nPPE is designed to protect healthcare\nworkers from exposure to potentially\ninfectious material. It also prevents ongoing transmission of infection material to patients.\nMake sure you know and use the\nappropriate PPE for the situation.\n\nPPE equipment includes:\n\nGloves\nAprons/gowns\nMasks\nProtective eyewear\nThis is not an exhaustive list. It is your responsibility to use PPE in line with local policy and the requirements of your role."},{"top":56.7344,"left":113,"annotation":"Linen management\n\nUsed linen can harbour large numbers of potentially infectious agents. Precautions need to be taken at all stages of linen management:\n\nStorage\nHandling\nBagging\nTransporting\nLaundering\nEnsure that re-usable linen is cleaned between patients following the correct standards. All patient linen is laundered at the highest temperature the fabric can withstand. Hospitals follow health service guidance for laundering items at 70oC for 3 minutes."},{"top":71.7344,"left":171,"annotation":"Waste and sharps management\n\n'Sharps' are needles, blades, stitch cutters, scalpels and other medical instruments that are necessary for carrying out healthcare work and could cause an injury by cutting or pricking the skin\nDon’t use a sharp if you don’t have to\nSafer sharps devices must be used and, if not, then a risk assessment must be completed to acknowledge this and minimise risk of injury to the practitioner\nNever re-sheath a needle\nEnsure correct assembly of the sharps container\nDispose of sharps in an approved container at the point of use\nDon’t exceed the fill limit\nEnsure the correct disposal of the container\nRemember to refer to your local protocol and training regarding the safe disposal of sharps and the management of healthcare waste in your trust or organisation."},{"top":68.7344,"left":252,"annotation":"Specimen collection\n\nEnsure that specimens are taken promptly and appropriately when infection is suspected and prior to starting treatment. Ensure that all staff who handle specimens follow the necessary standards and precautions."},{"top":78.7344,"left":316,"annotation":"Environmental cleaning\n\nEnsure that surfaces are dust free and clutter free to facilitate cleaning."},{"top":56.7344,"left":382,"annotation":"Equipment cleaning\n\nEnsure that items that are not single use are cleaned between patients as per manufacturer's instructions."},{"top":86.7344,"left":453,"annotation":"Precautions and measures\n\nTo reduce the risk of infection, it is recommended that patients and the health and social care workforce are:\n\nVaccinated for infectious diseases\nStay hydrated\nHave good nutrition\nThe workforce is also at risk of injury and infection from sharps. This includes those who directly handle sharps but also those who may inadvertently be put at risk when sharps are not stored or disposed of correctly.\n\nHigher risk procedures include using hollow-bore needles and in intra-vascular cannulation, venepuncture and injections and use of IV cannulae, winged steel-butterfly-needles, needles and syringes and phlebotomy needles.\n\nRefer to the Health & Safety Executive website in Resources for more details on the law and regulations regarding sharps."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 9 => array(
			'id' => '3181',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'bullet-points',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care.  Refer to your organisation’s dress code/uniform policy for further clarification and any other specific requirements.',
			'description' => 'To achieve effective hand hygiene, follow the ‘bare below the elbows’ dress code. Avoiding wearing:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Jewellery (especially rings with stones)","Long nails, nail varnish and false nails","Wrist bands","Wrist watches (including fitness trackers)","Long sleeves"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 10 => array(
			'id' => '3182',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'text-links',
			'field_label' => 'One of the most effective measures in the prevention of transmission of infection is improving hand hygiene. Hand hygiene can be performed using:',
			'description' => ' <a href="https://nhscanl.sharepoint.com/sites/InfectionPrevention/Latest%20Training%20Updates/Forms/Smart%20Webpage.aspx?id=%2Fsites%2FInfectionPrevention%2FLatest%20Training%20Updates%2FHand%20Hygiene%20%2D%20hand%20cleaning%20techniques%20%28clean%20your%20hands%20campaign%29%2Epdf&amp;parent=%2Fsites%2FInfectionPrevention%2FLatest%20Training%20Updates">Soap and water<br>   Hand sanitisers</a><br><br>Ensuring you are aware of and follow the guidelines in your organisation for hand hygiene.<br><br>Regular and correct hand washing is vital to help prevent spread of the coronavirus (COVID-19).',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 11 => array(
			'id' => '3183',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'media-field',
			'field_label' => 'Select play to view the correct hand washing technique.',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/4ij1I0OB2hk?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/4ij1I0OB2hk/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 12 => array(
			'id' => '3185',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'multiple-choice',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care. This means to avoid:',
			'description' => 'Choose the correct options ',
			'field_order' => '7',
			'attachment_id' => '1436',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Wearing wrist bands","Wearing jewellery","Short sleeves","Long nails"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 13 => array(
			'id' => '3186',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-image',
			'field_label' => 'Personal Protective Equipment (PPE)',
			'description' => 'Personal protective equipment (PPE) describes items such as gloves, aprons, face masks and eye protection which are used during certain procedures. You must ensure that you use the appropriate PPE when performing a clinical procedure to prevent micro-organisms from coming into contact with you or your clothing.

Since there is a high risk of the PPE becoming contaminated, it is essential to remove it as soon as you have completed the procedure and then to thoroughly clean your hands.

Although the NHS is required to provide suitable equipment, it is the responsibility of the individual concerned to use it correctly and appropriately.

*Important: Please review the additional coronavirus (COVID-19) guidance as you view this chapter.*

Remember that wearing PPE is a requirement of the Health and Safety at Work Act 1974 [7] and the Code of Practice (Health and Social Care Act (2008)) Code of Practice on the prevention and control of infection [8].

It is worn to:

- Protect staff from infection (micro-organisms/blood/body fluids)
- Reduce the spread of micro-organisms to patients

Its use is based on an assessment of the risk of transmission of micro-organisms (to the healthcare worker or the patient) and the risk of contamination of the healthcare worker from the patient’s blood, body fluids, secretions and excretions.

In light of the current coronavirus (Covid-19) pandemic, PPE is vital to protect the healthcare worker and patient. Please follow the guidance.',
			'field_order' => '0',
			'attachment_id' => '1437',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 14 => array(
			'id' => '3187',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-image',
			'field_label' => 'Personal Protective Equipment (PPE)',
			'description' => 'The wearing of gloves is not a substitute for hand hygiene. Wearing gloves inappropriately (i.e. too frequently/for every task) means that valuable hand hygiene opportunities will be missed and the risk of cross-infection to patients will increase. Gloves and aprons are worn for contact with blood or bodily fluid or infectious patients.

Putting on gloves and/or a disposable plastic apron should be the last thing that the healthcare worker does immediately before he or she has direct contact with the patient.

Disposable plastic aprons and non-sterile gloves are only ‘clean’ at the point at which they are put on. Putting them on too soon before the actual task or episode of patient contact means that they will become contaminated and will no longer be clean. Gloves and aprons are not to protect the patient but to protect the healthcare worker.

Staff must not leave a single room/bay wearing gloves and/or an apron unless there is an emergency or they are removing a bedpan/commode or carrying a vomit bowl/urinal, where there is a potential risk of body fluid spillage.',
			'field_order' => '1',
			'attachment_id' => '1438',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 15 => array(
			'id' => '3188',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'paragraph',
			'field_label' => 'Aprons',
			'description' => 'Aprons form part of PPE and must be changed in between each procedure or episode of patient care.

They must be removed as soon as the procedure/episode of care has been completed, and before leaving a side room/bay unless the healthcare worker is taking a commode, bedpan, urinal or dirty/contaminated equipment for disposal.

They must be disposed of as clinical waste after use.

Full, body-length, fluid-repellent gowns should be worn where there is a risk of extensive splashing of blood or body fluids onto the skin or clothing of healthcare workers including contact with infectious patients.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 16 => array(
			'id' => '3189',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'image-hotspot',
			'field_label' => 'Disposable plastic aprons should be worn when in close contact with a patient, materials or equipment, and where there is a risk that clothing or uniform may become contaminated with micro-organisms, blood, body fluids, secretions or excretions.',
			'description' => 'Select all the images for some examples.',
			'field_order' => '3',
			'attachment_id' => '1439',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":49.0312,"left":101,"annotation":"- Assisting with washing or bathing\n- Venepuncture or cannulation"},{"top":87.0156,"left":371,"annotation":"- Cleaning or decontaminating equipment\n- Assisting patients with using a bedpan or commode"},{"top":237.016,"left":189,"annotation":"- Changing soiled or contaminated linen\n- Handling or serving food"},{"top":252.016,"left":462,"annotation":"- Cleaning toilets, bathrooms or ward areas\n- Emptying catheter drainage bags or stoma bags\n- Direct contact with patients who are in ‘isolation’ or cohort nursed\n\nThey are not required for ‘routine’ contact with patients who are not infectious, such as when taking vital signs or assisting with mobility."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 17 => array(
			'id' => '3190',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'image-bullets',
			'field_label' => 'Masks',
			'description' => 'Surgical face masks must be worn for surgery or when in contact with a patient who has a suspected/confirmed transmittable virus. Face masks should also be worn during the coronavirus (COVID-19) pandemic to protect both the healthcare workforce and patient.',
			'field_order' => '4',
			'attachment_id' => '1440',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["They are single-use items of PPE","They need to be secured tightly around the back of the head to ensure that the fit is as close as possible","They are not designed to be worn for long periods","They must be changed when wet","They must be removed following the procedure","They must be disposed of as clinical waste"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 18 => array(
			'id' => '3191',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'bullet-points',
			'field_label' => 'Filtering face piece (FFP) ',
			'description' => 'Healthcare staff need to undergo fit testing to ensure that the FFP3 respirator mask is a suitable and close fit for the shape of their face, and that there are no gaps under or around the mask where unfiltered air can pass through.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Fit testing can only be undertaken by someone who has been trained in the procedure","Each time a FFP3 respirator mask is worn, a fit check needs to be undertaken","The same type of mask must be worn that has been fit-tested for, and a fit-check must be performed each time a new FFP3 is worn","FFP3 respirator masks can be worn for up to 8 hours of continuous care"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 19 => array(
			'id' => '3192',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-image',
			'field_label' => 'Goggles, Visors and Face Shields',
			'description' => 'You must ensure that wrap-around goggles, visors or face shields are worn when there is a risk of blood, body fluids, secretions and excretions splashing into the face or eyes.',
			'field_order' => '6',
			'attachment_id' => '1441',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 20 => array(
			'id' => '3193',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'image-hotspot',
			'field_label' => 'Gloves',
			'description' => 'Sterile or non-sterile gloves should be worn either on their own or in conjunction with other PPE.

Select all the images to view when they should be worn.',
			'field_order' => '7',
			'attachment_id' => '1442',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":131.984,"left":133,"annotation":"Surgery\n\nGloves must be worn during all invasive procedures such as surgery."},{"top":90.9844,"left":336,"annotation":"Contaminated equipment\n\nGloves must be used when in contact with sterile body sites. They must also be worn when handling sharp or contaminated equipment."},{"top":244.984,"left":120,"annotation":"Chemicals\n\nGloves must be worn when in contact with non-intact skin.  They must be worn when handling chemicals or drugs as COSHH Guidance - see Resources for a link to the guidance."},{"top":254,"left":351,"annotation":"Bodily fluids\n\nGloves must be worn when in contact with mucous membranes or where there is a risk of exposure or contact with blood or bodily fluids or micro-organisms."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 21 => array(
			'id' => '3195',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'paragraph',
			'field_label' => 'You must ensure that you know when to use sterile gloves and when to use non-sterile gloves.',
			'description' => 'Sterile gloves should be worn for:

- Any type of surgical procedure
- Lumbar puncture
- Inserting central lines
- Urinary catheterisation
- Vaginal delivery

Non-sterile gloves

Contact with blood, body fluids, micro-organisms, chemicals. For example:

- Direct contact with patients in isolation rooms or cohort bays
- Cannulation
- Venepuncture
- Removal of peripheral cannula or urinary catheter
- Taking a catheter specimen of urine (CSU)
- Taking a wound swab
- IV drug administration
- Emptying or changing stoma bags, nasogastric tube drainage bags, nappies/incontinence pads, commodes, bedpans, urinals and vomit bowls
- Cleaning instruments or equipment
- Cleaning up blood/body fluid spills
- Handling clinical waste/soiled linen',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 22 => array(
			'id' => '3196',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'paragraph',
			'field_label' => 'Putting On and Removing PPE',
			'description' => 'Important Information

Donning (putting on) and doffing (removing) PPE in the right order or sequence is important as it minimises the risk of cross infection and also minimises the risk of, or prevents, inadvertent contamination of the healthcare worker.',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 23 => array(
			'id' => '3197',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-links',
			'field_label' => 'In light of the current coronavirus (COVID-19) pandemic, more resources and guidance regarding PPE have been added. Please select the hyperlinks below to see important information.',
			'description' => '<a href="https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control">COVID-19 personal protective equipment (PPE)</a><br><a href="https://www.youtube.com/watch?v=-GncQ_ed-9w">COVID-19: Donning (putting on) and Doffing (removing) Personal Protective Equipment (PPE) [Public Health England]</a><br><a href="https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-use-for-aerosol-generating-procedures">COVID-19: personal protective equipment use for aerosol generating procedures</a><br><a href="https://www.gov.uk/government/publications/covid-19-guidance-for-ambulance-trusts/covid-19-guidance-for-ambulance-trusts">COVID-19: guidance for Ambulance Trusts</a>',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 24 => array(
			'id' => '3198',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'The physical removal (but not destruction) of contamination from, or with, blood, body fluids, dirt and dust from the environment and/or equipment is not just the responsibility of domestic or cleaning staff.',
			'description' => 'what is the healthcare worker's responsibility?

All healthcare workers have a responsibility for:

- Cleaning equipment in between patient use and storing it appropriately (i.e. in a dedicated area; stored off the floor)
- Ensuring that work and other surfaces (i.e. windowsills/shelves) are not cluttered

How can we help to maintain a clean environment?

In order to help maintain a clean environment, it is important that:

- Floors, work surfaces and cupboards are of a good quality, washable and maintained appropriately
- Walls, work surfaces and patient/bedside furniture (tables, lockers, chairs and foot stools) are intact',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 25 => array(
			'id' => '3200',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'Every organisation will have specific standards for cleaning the environment and equipment. Let's look at some of the generic terminology and the standards for routine cleaning of both the environment and equipment.',
			'description' => '
Different terminology

Different hospitals and healthcare facilities have different terminology for the various types and levels of environmental clean, depending on why the cleaning is being undertaken, for example:

- Red, amber or green clean
- Level 1 or level 2 clean
- Terminal clean
- Clinical clean
- Deep clean
- Infection clean
- Bed-space clean
- Vacation clean

Routine cleaning

Routine cleaning within the general patient environment should be undertaken every day and there should be a service level agreement (SLA) or other document that describes the frequency of cleaning that includes (for example):

- All high and low surfaces, including tables/lockers and work surfaces
- Floors
- Bed frames
- Sinks/wash hand basins
- Soap, alcohol hand rub/gel and moisturiser dispensers
- PPE dispensers
- Toilets/bathrooms
- High-touch surfaces, for example door handles, call bells, bed controls
',
			'field_order' => '2',
			'attachment_id' => '1444',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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		),
		(int) 26 => array(
			'id' => '3203',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'What immediate actions should be taken following exposure to blood/body fluids?',
			'description' => 'First Aid

For wounds:

- Encourage bleeding by gently squeezing the site of injury
- Wash the site of injury thoroughly with soap and water
- Cover with a waterproof plaster

For mucous membranes:

- Irrigate contaminated areas thoroughly with normal saline or tap water

Inform person in charge

For all incidents, inform the person in charge immediately, so that they can:

- Make a risk assessment of the exposure
- Arrange for blood to be taken for testing for BBVs from the source of the exposure
- Complete an accident/personal injury form

Contact the occupational health department

Ring the occupational health department within working hours or emergency department out of hours.

Out of hours – healthcare workers (HCW) MUST attend the emergency department and be seen and assessed as a matter of urgency in the following circumstances:

- The HCW has not been immunised against hepatitis B or is unsure of their hepatitis B vaccination status
- The HCW is a non-responder to the hepatitis B vaccine
- The source patient is known or highly suspected to be HIV positive

The on-call microbiologist must be contacted immediately if the source patient is known to be, or strongly suspected to be, HIV positive.

Even if the staff member is seen in the Accident and Emergency Department, he/she should also contact the Occupational Health Department by telephone, leaving a message on the answerphone out of normal working hours.



',
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			'attachment_id' => '1447',
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			'attachment_pos' => '1',
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		),
		(int) 27 => array(
			'id' => '3204',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'Exposure to bloodborne pathogens ',
			'description' => 'Exposure to bloodborne pathogens can be through incidents such as a sharps injury, splash of blood to the eyes and mouth or a wound on your skin.

To reduce the risk, you must:

- Handle and dispose of sharps safely
- Wear face (including eye) protection if there is a risk of splashing
- Cover wounds with a waterproof plaster
- Wear Personal Protective Equipment (PPE)

If you get blood or bodily fluids in your mouth, eyes or a wound on the skin:

- Thoroughly rinse with running water
- Inform your manager
- Ring the occupational health department within working hours or A&E out of hours

Please make sure you follow your organisation's incident form procedure.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
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			'attachment_pos' => null,
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			'field_correct' => null,
			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 28 => array(
			'id' => '3205',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'Linen',
			'description' => 'What precautions should be taken with linen?

Used linen

Used linen should be:

- Handled carefully
- Placed immediately into a white plastic laundry sack
- Stored in a designated area
- Not carried in the arms

In community care settings, where re-usable linen is used, the organisation must either contract with a laundry supplier that meets NHS standards or use disposable items. The use of domestic machines is not acceptable as they will not reach sufficiently high temperatures for soiled or infected linen. Remember that privacy curtains must be changed according to local procedure unless soiled, in which case they must be changed immediately.

Soiled/infected linen

When dealing with soiled or infected linen, you should:

- Wear plastic apron/gloves
- Handle carefully
- Place in a red water-soluble bag and then into the white plastic laundry sack
- Store in a designed area',
			'field_order' => '6',
			'attachment_id' => '1448',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 29 => array(
			'id' => '3206',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'Safe Waste Disposal',
			'description' => 'Waste products contaminated with blood or other bodily fluids are called ‘infectious/potentially infectious clinical waste’ and should be disposed of in a way that avoids potential harm to staff, patients or visitors.

All clinical staff are responsible for the safe and correct disposal of sharps. To facilitate this, small sharps bins should be located at the point of use, to ensure that used sharps can be disposed of immediately. Sharps should have safety features wherever possible and should be disposed of in the appropriate sharps bin.

You must NEVER overfill a sharps bin and NEVER try to re-sheath a needle.

*Remember to refer to your local protocol and training regarding the safe disposal of sharps and the management of healthcare waste in your trust or organisation.*',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 30 => array(
			'id' => '3207',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'image-hotspot',
			'field_label' => 'Aseptic Non-Touch Technique (ANTT)',
			'description' => 'Safe aseptic practice is paramount for protecting patients during invasive clinical procedures, for example, IV therapy, wound care, urinary catheterisation and cannulation.

Select the image for information.',
			'field_order' => '9',
			'attachment_id' => '1449',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":73.0156,"left":65,"annotation":"Micro-organisms can easily be introduced into wounds and/or the bloodstream during invasive procedures such as:\n\n- Peripheral cannulation\n- Peripheral and central intravenous preparation and administration\n- Venepuncture\n- Blood culture collection\n- Wound care\n- Urinary catheterisation\n- PICC line insertion\n\nAseptic non-touch technique (ANTT) ensures that only uncontaminated equipment and fluids come into contact with sterile or susceptible body sites during certain procedures, and should be used for any procedure that bypasses the body’s natural defences."},{"top":85.0156,"left":177,"annotation":"The fundamental concept of ANTT is the protection of key parts and key (critical) sites during an invasive procedure where there is a risk of contamination via the hands of healthcare staff and/or the environment.\n\n- Key parts are the aseptic (sterile) parts of equipment that come into direct contact with a key site and which, if touched either directly or indirectly, could result in infection\n- Key (critical) sites are any portal of entry for micro-organisms, such as wounds and insertion sites"},{"top":78.0156,"left":305,"annotation":"- Always clean hands effectively (hand washing or alcohol hand rub)\n- Non-touch technique is used at all times to protect key parts\n- Touch non-key parts with confidence\n- Take appropriate infection prevention and control precautions\n\nOnly sterile items/equipment can come into contact with key sites. If a key part has to be touched, sterile gloves must be worn."},{"top":58.0156,"left":394,"annotation":"There are two types of ANTT:\n\n- Standard ANTT is used for invasive procedures in which it is technically straightforward not to have to touch key parts and key sites directly. Typical procedures include cannulation, IV therapy, venepuncture, simple wound care\n- Surgical ANTT is used for invasive procedures that are technically complex, long in duration and more invasive. Examples include: surgery and central venous catheter placement and complex or large-scale wound care\n\nAll staff undertaking procedures where ANTT is required must undergo training and competency assessment by a dedicated ANTT trainer within their organisation."}]}',
			'field_correct' => null,
			'show_correct' => '0',
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			'modified' => '2024-08-06 09:26:27'
		),
		(int) 31 => array(
			'id' => '3208',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Lorem ipsum dolor sit amet.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 32 => array(
			'id' => '3209',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'bullet-points',
			'field_label' => 'Bloodborne Infections',
			'description' => 'Exposure to bloodborne pathogens can be through incidents such as a sharps injury, splash of blood to the eyes and mouth or a wound on your skin. To reduce the risk, you must:',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Wear Personal Protective Equipment (PPE)","Cover wounds with a waterproof plaster","Wear face (including eye) protection if there is a risk of splashing","Handle and dispose of sharps safely"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 33 => array(
			'id' => '3210',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'Bloodborne Infections',
			'description' => 'All healthcare staff are responsible for the care that they give, and are accountable (answerable) to someone else for their actions. They have a legal obligation (duty of care) to ensure that patients in their care do not come to any harm as a result of any acts or omissions. 

Staff need to be compliant with infection prevention and control (IP&C) clinical practice standards, and act in accordance with policies and guidelines. Non-compliance increases the infection risk to patients. 

If IP&C policies/guidelines and practice are not followed and a patient develops an avoidable infection, the care provided could be viewed as negligent, meaning that harm has been caused to the patient as a result of careless omission. ',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 34 => array(
			'id' => '3211',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'Bacterial Infections',
			'description' => 'Remind yourself of the bacterial infections that could occur in a hospital or community setting.

Clostridioides difficile infection

C. difficile (Clostridioides difficile) is a diagnosis in its own right and must be treated as a separate condition to any other conditions/illnesses affecting the patient. Its spectrum of illness/symptoms ranges from mild to potentially life threatening. It is transmitted by the ingestion of spores, which are shed from colonised or infected patients. Those most at risk are older patients and those who have had a recent course of antibiotics.

Pathogenesis of disease

For the disease to occur there must be disturbance of normal flora (loss of colonisation resistance). This happens especially when our 'good bacteria' are killed off by a broad-spectrum antibiotic, for example, Cefuroxime, Ciprofloxacin, Co-amoxiclav. This leaves room for other 'bad bacteria' such as C. difficile to flourish. C. difficile might start to produce toxins. Toxins act on the gut wall to produce disease. Some antibiotics are worse than others at disturbing the 'good bacteria'; also some strains of C. difficile are more aggressive than others.

C. difficile is found in up to 5% of healthy adults.

MRSA 

MRSA stands for Meticillin-Resistant Staphylococcus aureus (S.aureus). MRSA are Staphylococcus aureus bacteria that have become resistant to certain antibiotics. People may be colonised or infected with S.aureus.

Colonisation means that the S.aureus is present in or on the body but is not causing illness.

Infection means that the S.aureus is present and is causing illness.  

How is MRSA spread?

- MRSA is transmitted primarily by contact with a person who has an infection or is colonised with the bacteria
- Skin scales may contaminate the environment
- Sputum droplets/aerosols may contaminate if they become airborne through coughing and sneezing
- Equipment and environment may contribute to the spread of infection if it has not been cleaned effectively

Dealing with MRSA in a hospital

- Standard precautions are essential in preventing cross-infection
- Patients must be managed as per your Trust Policy
- Patients may be commenced on topical treatment which might consist of body wash, nasal ointment and/or mouth wash

In the community:

- MRSA in the community seldom poses a risk; some patients in the community will remain colonised indefinitely. MRSA will live harmlessly on the skin; however, it may pose a risk if a patient needs an invasive procedure or develops a new medical condition. Patients with those with wounds or invasive devices will be at risk of developing infection. For that reason, healthcare workers are reminded to ensure that they record on patients' records their MRSA status and make sure that they communicate it to all healthcare colleagues who are supporting that patient
- In the community, the application of standard precautions for all patients is sufficient to stop the transmission of MRSA between patients. This includes application of hand hygiene, correct use of PPE and effective cleaning between patients
- In the community, there is rarely a need to apply decolonisation treatments for patients unless an invasive procedure is planned - please see local policies

Who should be screened?

- Some patients will be screened for MRSA, but follow your Trust’s Screening protocol
- Remember that in the community, patients rarely require screening for MRSA unless requested by an infection prevention and control expert

Gram-negative bloodstream infections

Gram-negative bloodstream infections (BSIs) are a healthcare safety issue. Since April 2017, there has been an NHS ambition to halve the numbers of healthcare-associated Gram-negative BSIs by 2021.

Key healthcare-associated risk factors

This is not an exhaustive list but should be used as a basis to classify Gram-negative BSIs as healthcare associated:

- Indwelling vascular access devices (insertion, in situ, or removal)
- Urinary catheterisation (insertion, in situ with or without manipulation, or removal)
- Other devices (insertion, in situ with or without manipulation, or removal)
- Invasive procedures (e.g. endoscopic retrograde cholangio-pancreatography, prostate biopsy, surgery including, but not restricted to, gastrointestinal tract surgery)
- Neutropenia (<500/mL at time of bacteraemia)
- Antimicrobial therapy within the previous 28 days
- Hospital admission within the previous 28 days
- E.coli

',
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		),
		(int) 35 => array(
			'id' => '3212',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'multiple-choice',
			'field_label' => 'What can primary care staff do to prevent C.difficile infection? ',
			'description' => 'Choose two options',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Avoid broad-spectrum antibiotics","Minimise the use of proton pump inhibitors","Commence patient on topical treatment","Commence patient on antibiotics"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 36 => array(
			'id' => '3213',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'What to do When Ill',
			'description' => 'All staff will be personally accountable for their actions and responsible for ensuring that they comply with infection prevention and control policies of their place of work.

Staff must understand their legal duty to take reasonable care of their health, safety and security and that of other persons who may be affected by their actions and for reporting untoward incidents and areas of concern.

Any breach in infection control policies or practice will place staff, patients and visitors at risk and subsequently the completion of a clinical incident form will be required.

All staff are obligated professionally, contractually and legally to adhere to policies of their place of work that will help to prevent and control infections.

If you are unwell, then refer to your local occupational health department. It offers a range of services including immunisations and advice on health matters. Its staff can advise you about fitness to work if you are suffering from infections such as coughs, colds, flu, diarrhoea or vomiting. It is normally advised that if you have been unwell with an infectious illness, you should not return to work for 48 hours after symptoms have cleared.

Although it is widely believed that flu is very like the common cold, this is not the case. Flu has symptoms which differ from those of a cold, including a high temperature, headache, shivery feelings, lack of energy and aching limbs. Having the flu vaccine yearly will keep you well and protect patients.

You should ask the occupational health department for advice if you suffer from skin conditions such as psoriasis or eczema, especially if this is on your hands. To reduce the risk of infection it is important to use moisturiser to avoid hands becoming dry and cracked.',
			'field_order' => '14',
			'attachment_id' => '1451',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 37 => array(
			'id' => '3214',
			'course_id' => '114',
			'course_lesson_id' => '518',
			'field_type' => 'paragraph',
			'field_label' => 'Session Summary',
			'description' => 'Please ensure you are aware of your organisation's infection prevention policies and procedures. This information may be found on your organisation's intranet or website. For further information please contact your organisation's infection prevention and control lead. National guidance includes:

- National Resource for
- Infection Control (www.nric.org.uk)
- Infection Control Services (www.infection-control-services.co.uk)
- World Health Organization (www.who.int/)
- Infection Prevention Society (www.ips.uk.net)
- Centres for Disease Control (www.cdc.gov)
- Public Health England (www.gov.uk/government/organisations/public-health-england)
- NHS Improvement (https://improvement.nhs.uk)
- Aseptic Non-Touch Technique (www.antt.org/)
Health and Safety Executive  - Health Surveillance (www.hse.gov.uk/health-surveillance)

Organisations already undertake health surveillance for staff on known employment risks to health. As part of this work all organisations should undertake monitoring of sharps injury patterns and incidents in order to inform ongoing risk assessments and evaluate changes to practice. This should be reported within the organisation as part of broader health and safety reporting.  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:48',
			'modified' => '2024-08-06 09:26:48'
		),
		(int) 38 => array(
			'id' => '3215',
			'course_id' => '114',
			'course_lesson_id' => '518',
			'field_type' => 'bullet-points',
			'field_label' => 'Key Points',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The prevention and control of healthcare-associated infections are everybody’s responsibility","It is a legal requirement that all registered providers of health and social care register with the Care Quality Commission (CQC), and it is a requirement of registration that providers comply with the Health and Social Care Act 2008, Code of Practice on the prevention and control of infection","HCAIs are largely preventable and all staff are responsible for ensuring that they comply with IP&C policies/guidance and that they protect patients/clients in their care as far as is practically possible"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:48',
			'modified' => '2024-08-06 09:26:48'
		),
		(int) 39 => array(
			'id' => '3216',
			'course_id' => '114',
			'course_lesson_id' => '518',
			'field_type' => 'paragraph',
			'field_label' => 'Next Steps',
			'description' => 'You have completed the Cleaning chapter which is the final chapter in this learning. Continue to the Infection Prevention and Control Level 2 eAssessment.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:48',
			'modified' => '2024-08-06 09:26:48'
		),
		(int) 40 => array(
			'id' => '3217',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'Who is responsible for infection prevention and control in a healthcare setting?',
			'description' => 'Choose the correct option',
			'field_order' => '0',
			'attachment_id' => '1457',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Only senior managers and clinical staff","Only clinical staff","All staff including NHS trust executives and managers, clinical staff, non-clinical staff and volunteers","All non-clinical staff including volunteers and contract workers"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 41 => array(
			'id' => '3218',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where is information on hand hygiene available?',
			'description' => 'Choose three options',
			'field_order' => '2',
			'attachment_id' => '1456',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["From infection prevention and control staff","On hand hygiene posters","From a national newspaper","From the Organisation's intranet"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 42 => array(
			'id' => '3219',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is the role of your organisation in preventing Healthcare Associated Infections (HCAIs)?',
			'description' => 'Choose three options and select Submit.',
			'field_order' => '1',
			'attachment_id' => '1455',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To prevent all Healthcare Associated Infections","To provide Personal Protective Equipment (PPE)","To design and implement appropriate reporting structures"," To provide appropriate staff training"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 43 => array(
			'id' => '3220',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is a healthcare-associated infection (HCAI)?',
			'description' => 'Choose the correct option ',
			'field_order' => '3',
			'attachment_id' => '1458',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["An infection you bring into work, such as a cold","An infection associated with accessing healthcare","An infection that only occurs in the community","An infection only caught in hospital"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 44 => array(
			'id' => '3221',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Why is it important to reduce the number of healthcare-associated infections (HCAI)?',
			'description' => 'Choose three options',
			'field_order' => '4',
			'attachment_id' => '1459',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" They can protect you from other infections","They can lead to the death of patients"," They increase the length of time patients spend in hospital","They spread easily"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 45 => array(
			'id' => '3222',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is the most effective way of preventing cross infection?',
			'description' => 'Choose the correct option ',
			'field_order' => '5',
			'attachment_id' => '1460',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["By completing your course of antibiotics","By practising good hand hygiene","By avoiding physical contact"," By covering your mouth when sneezing"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 46 => array(
			'id' => '3223',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What are the links which make up the chain of infection?',
			'description' => 'Choose the correct option',
			'field_order' => '6',
			'attachment_id' => '1461',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Infectious agent, reservoir, method of exit, method of transfer, method of entry, susceptible host","Infectious agent, method of exit, method of entry, susceptible host"," Reservoir, method of transfer, method of entry, susceptible host"," Reservoir, method of exit, method of transfer, susceptible host"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 47 => array(
			'id' => '3224',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'How do micro-organisms (germs) enter the body?',
			'description' => 'Choose three options',
			'field_order' => '7',
			'attachment_id' => '1462',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Inhalation (breathing in)","Through unbroken skin"," Sexual transmission","Ingestion (eating)"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 48 => array(
			'id' => '3225',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is the most common means of transmission of micro-organisms in the healthcare environment?',
			'description' => 'Choose the correct option',
			'field_order' => '8',
			'attachment_id' => '1463',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Dirty hands","Dirty toilet facilities","Dirty clothes"," Dirty equipment"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 49 => array(
			'id' => '3226',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the three levels of decontamination of reusable medical devices?',
			'description' => 'Choose three options ',
			'field_order' => '9',
			'attachment_id' => '1464',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Cleaning","Disinfecting","Rinsing","Sterilising"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 50 => array(
			'id' => '3227',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the two methods of disinfection?',
			'description' => 'Choose two options',
			'field_order' => '10',
			'attachment_id' => '1465',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Washing","Heat","Chemical"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 51 => array(
			'id' => '3228',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'A piece of equipment has this symbol on the wrapper. When would it be appropriate to re-use this item?',
			'description' => 'Choose the correct option ',
			'field_order' => '11',
			'attachment_id' => '1466',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["If you are told it is OK by your manager","If it is the last one and you have no more","If it costs more than \u00a320","Never"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 52 => array(
			'id' => '3229',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the reasons for using single-use items?',
			'description' => 'Choose three options ',
			'field_order' => '12',
			'attachment_id' => '1467',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["They protect the patient","They do not have to be clean","They guard against cross contamination"," They prevent the spread of infection"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 53 => array(
			'id' => '3230',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'The 5 Moments for Hand Hygiene approach defines the key moments when healthcare workers should perform hand hygiene to reduce the risks of the spread of infection. The five moments are before touching a patient, after body fluid exposure/risk, after touching a patient, after touching patient surroundings and which other?',
			'description' => 'Choose the correct option',
			'field_order' => '13',
			'attachment_id' => '1471',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["After using the toilet","Before clean\/aseptic procedures","When hands are visibly soiled"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 54 => array(
			'id' => '3231',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which three statements require a local written risk assessment to be undertaken in your clinical or working area?',
			'description' => 'Choose three options ',
			'field_order' => '14',
			'attachment_id' => '1472',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When a patient requires isolation in a room with a door shut and they are at risk of falls","When taking patient details on admission"," Before using latex gloves","When locating alcohol-based hand sanitiser products"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 55 => array(
			'id' => '3232',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'An outbreak of infection should be suspected and advice sought on declaring an outbreak when...',
			'description' => 'Choose the correct option',
			'field_order' => '15',
			'attachment_id' => '1473',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When two or more people associated in time and place have the same infection symptoms","When five or more people with no association in time or place have the same infection symptoms","When 10 or more people associated in time but not place have the same infection symptoms"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 56 => array(
			'id' => '3233',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is the main symptom associated with a clostridium difficile infection?',
			'description' => 'Choose the correct option',
			'field_order' => '16',
			'attachment_id' => '1474',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Profuse diarrhoea"," Vomiting"," Dizziness","Sneezing"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 57 => array(
			'id' => '3234',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'When should you ensure that a patient/service user with diarrhoea is placed into isolation in a healthcare setting?',
			'description' => 'Choose the correct option ',
			'field_order' => '17',
			'attachment_id' => '1475',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When you suspect infectious diarrhoea"," Once the infection is confirmed"," When a side room becomes free"," When told to move the patient"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 58 => array(
			'id' => '3235',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'When managing diarrhoea and vomiting, what must hands be decontaminated with?',
			'description' => 'Choose the correct option ',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Alcohol foam","Alcohol gel"," Water only"," Soap and water"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 59 => array(
			'id' => '3237',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'You have been asked to change soiled bed linen on a ward. What personal protective equipment will you need?',
			'description' => 'Choose two options',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Disposable plastic apron"," Goggles"," Sterile gloves","Non-disposable gown","Full face visor"," Non-sterile gloves"]',
			'field_correct' => '0,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 60 => array(
			'id' => '3238',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'Having assessed the risk, the healthcare setting decided that gloves should be worn when serving patients their lunch. Which are the correct gloves to be worn when serving food?',
			'description' => 'Choose the correct option',
			'field_order' => '20',
			'attachment_id' => '1476',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Heavy-duty","Domestic","Non-sterile polythene or vinyl gloves","Non-sterile nitrile gloves"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 61 => array(
			'id' => '3239',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'How would you manage a spillage of blood in your work environment?',
			'description' => 'Choose two options',
			'field_order' => '21',
			'attachment_id' => '1477',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Leave it as someone will clear it up eventually"," Clean it up if you are appropriately trained","Inform an appropriately trained member of staff","Take no action because a visitor is already cleaning it up"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 62 => array(
			'id' => '3240',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'If you receive the following, which will need to be treated and reported as an Occupational Exposure?',
			'description' => 'Choose four options ',
			'field_order' => '22',
			'attachment_id' => '1478',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A slip or trip at work","Spitting into the eyes or mouth"," A sharps injury that breaks the skin","Blood or body fluid in contact with a break in your skin","A scratch or bite that pierces the skin"]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 63 => array(
			'id' => '3241',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'Who is responsible for cleaning patient care associated equipment?',
			'description' => 'Choose the correct option',
			'field_order' => '23',
			'attachment_id' => '1480',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Domestic cleaning staff","The patient","Visitors","Staff using the equipment to provide care for the patients"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 64 => array(
			'id' => '3242',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements are true?',
			'description' => 'Choose five options',
			'field_order' => '24',
			'attachment_id' => '1481',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" A room needs to have cleaning done when it has been used by a patient with a known infection","Specialist cleaning happens less frequently than routine cleaning and may involve using sodium hypochlorite or another specialist disinfectant","All re-usable items such as dental and surgical instruments must be sterilised","Sterilisation destroys all micro-organisms including spores","Items can be disinfected or sterilised without being cleaned thoroughly","Items can be disinfected by either using heat or chemicals"]',
			'field_correct' => '0,1,2,3,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 65 => array(
			'id' => '3243',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'media-field',
			'field_label' => 'Infections',
			'description' => 'The six most common types of HCAIs found in acute care hospitals are:',
			'field_order' => '1',
			'attachment_id' => '1486',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 66 => array(
			'id' => '3244',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'media-field',
			'field_label' => 'The six most common types of HCAIs found in acute care hospitals are',
			'description' => 'The risk or susceptibility to infection increases when you are living either permanently or temporarily in a shared care setting. So, the risks of infection is lowest in your own home and highest in a hospital due to invasive devices and procedures. Care homes and other settings where people live communally also pose a risk.

Some people are more susceptible to healthcare-associated infections. This could be due to:',
			'field_order' => '2',
			'attachment_id' => '1487',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 67 => array(
			'id' => '3245',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'The transmission of infection depends on six elements which link together like a chain as shown in the diagram. The elements are infectious agent, a reservoir for it to live, a site of exit, and a mode of transmission to a susceptible host via a site of entry.
 
We will explore this more in the next chapter.',
			'field_order' => '6',
			'attachment_id' => '1488',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 68 => array(
			'id' => '3246',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'media-field',
			'field_label' => 'Site of Entry',
			'description' => 'Site of entry is the site through which the micro-organism enters its new host and causes infection.

Infectious agents can enter the body through various portals such as those shown.',
			'field_order' => '2',
			'attachment_id' => '1489',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 69 => array(
			'id' => '3247',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'media-field',
			'field_label' => 'Susceptible Host',
			'description' => 'Remember that somebody is more likely to have been exposed to antimicrobial resistant organisms which can cause HCAI, if they have:

Lived in shared accommodation such as a care home
Been an inpatient in an overseas hospital
Been transferred from another hospital

Some individuals have poor physical resistance and are more susceptible to infection due to:',
			'field_order' => '3',
			'attachment_id' => '1490',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 70 => array(
			'id' => '3248',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'media-field',
			'field_label' => 'Hand Hygiene',
			'description' => 'Here are the ‘5 moments for hand hygiene’:

1. Before touching a patient
2. Before clean/aseptic procedures
3. After body fluid exposure/risk
4. After touching a patient
5. After touching patient surroundings',
			'field_order' => '2',
			'attachment_id' => '1491',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 71 => array(
			'id' => '3249',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'media-field',
			'field_label' => 'If you are unable to view the video, the following diagram summarises the correct hand washing technique:',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1492',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 72 => array(
			'id' => '3250',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'media-field',
			'field_label' => 'Routine day-to-day cleaning of the environment is undertaken using a neutral detergent and disposable cleaning equipment.',
			'description' => '1. Cleaning following the discharge of patients with a known infection involves the use of disinfectants, chlorine or sporicidal agents
2. Cleaning following outbreaks of infections (often called 'deep-cleaning') may involve the use of hydrogen peroxide vapour or ultra-violet light in addition to disinfectants/chlorine
3. Cleaning equipment should be colour-coded to avoid the risk of cross infection',
			'field_order' => '1',
			'attachment_id' => '1493',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 73 => array(
			'id' => '3251',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'media-field',
			'field_label' => 'Fluid Spillages',
			'description' => 'It is everyone’s responsibility to:

- Maintain good personal and hand hygiene
- Keep a clean and safe working environment, including keeping clinical areas tidy, as the presence of unnecessary clutter interferes with the cleaning process. Even if surfaces have been cleaned thoroughly, they may still become contaminated with dust and dirt. Dust contains dead skin cells and fibres where micro-organisms can survive
- Ensure that equipment used is clean and safe

The diagram is a general overview of how to clean up different types of fluids and spillages. Please note that different products may be used in your organisation and it's your responsibility to know which products are available to use in your area, for example, many organisations now use specially-formulated wipes to clean up blood and bodily fluid spills.',
			'field_order' => '3',
			'attachment_id' => '1494',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		)
	),
	'LessonFieldList' => array(
		(int) 513 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		(int) 514 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
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			(int) 3 => array(
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			)
		),
		(int) 515 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		(int) 516 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			)
		),
		(int) 517 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		(int) 518 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
				[maximum depth reached]
			)
		),
		(int) 519 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			)
		)
	),
	'LessonFieldAll' => array(
		(int) 0 => array(
			'id' => '3166',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Healthcare is delivered in a range of settings, from hospitals to care delivered in clients' homes or social care settings. Healthcare-associated infections (HCAIs) can occur in any setting where healthcare is delivered. HCAIs are defined as any infection as a result of healthcare interaction that has taken place, or has occurred, 48 hours (general rule) after admission to a healthcare setting.

Healthcare workers, carers and family members are also at risk of acquiring infections when caring for patients. HCAIs can occur in otherwise healthy individuals, especially if invasive procedures or devices are used.

HCAIs can exacerbate existing or underlying conditions, delay recovery and adversely affect quality of life.

During the past two decades, HCAIs have become a significant threat to patient safety. The UK government sees antibiotic resistance as a threat comparable with terrorism.

Patient treatment can be undermined by the transmission of infections within the healthcare settings; particularly problematic are those infections caused by antimicrobial-resistant micro-organisms.',
			'field_order' => '0',
			'attachment_id' => '1420',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 1 => array(
			'id' => '3243',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'media-field',
			'field_label' => 'Infections',
			'description' => 'The six most common types of HCAIs found in acute care hospitals are:',
			'field_order' => '1',
			'attachment_id' => '1486',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 2 => array(
			'id' => '3244',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'media-field',
			'field_label' => 'The six most common types of HCAIs found in acute care hospitals are',
			'description' => 'The risk or susceptibility to infection increases when you are living either permanently or temporarily in a shared care setting. So, the risks of infection is lowest in your own home and highest in a hospital due to invasive devices and procedures. Care homes and other settings where people live communally also pose a risk.

Some people are more susceptible to healthcare-associated infections. This could be due to:',
			'field_order' => '2',
			'attachment_id' => '1487',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 3 => array(
			'id' => '3169',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'image-hotspot',
			'field_label' => 'Obligations of Employers and Employees',
			'description' => 'Not all HCAI can be prevented, but organisations are responsible for providing training, policies and PPE, as well as reporting structures to minimise HCAI as far as possible.

It is everyone's responsibility to maintain consistent infection prevention and control practice and a safe working environment.

Select the icons to find out three important points of personal hygiene.',
			'field_order' => '3',
			'attachment_id' => '1423',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":194.875,"left":450,"annotation":"Bare arms\nHealthcare staff, including those working in community and primary care, must not wear jewellery, rings with stones, acrylic nails, wristbands and watches. Arms should be bare below the elbow to facilitate hand hygiene."},{"top":79.875,"left":254,"annotation":"Presentation\nHealthcare staff, including those working in community and primary care, must look presentable and professional. Staff with long hair must have it tied back and off the collar."},{"top":107.875,"left":95,"annotation":"Uniform\nFor those healthcare staff who are required to wear uniform, including those working in community and primary care, they must wear a clean uniform every day.\n\nAll providers of NHS care must have a uniform policy and this will detail the specific requirements."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 4 => array(
			'id' => '3170',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'image-bullets',
			'field_label' => 'Antimicrobial Resistance',
			'description' => 'ntimicrobial resistance (AMR) is the biggest threat to public health. It happens when micro-organisms (such as bacteria, fungi, viruses and parasites) change when they are exposed to antimicrobial drugs, such as antibiotics, antifungals, antivirals, antimalarials and antihelmintics.',
			'field_order' => '4',
			'attachment_id' => '1485',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Carbapenems are powerful broad-spectrum antibiotics that are often the last line of effective treatment for patients with multidrug-resistant infections, including those caused by ESBL-producing bacteria (extended spectrum beta-lactamases).  Cases of carbapenem resistance in E. coli and Klebsiella in the UK started to increase during 2008 and 2009.","Antimicrobial resistance (AMR) is resistance of a micro-organism to an antimicrobial medicine to which it was previously sensitive. Resistant organisms (they include bacteria and viruses) are able to withstand attack by antimicrobial medicines, such as antibiotics and antivirals, so that standard treatments become ineffective and infections are prolonged, with longer periods of infectivity, and may spread to others. Inappropriate and irrational use of antimicrobial medicines provides favourable conditions for resistant micro-organisms to emerge, spread and persist.","This is the UK Government's 5 year action plan which has been designed to ensure progress towards a 20-year vision on AMR, in which resistance is effectively contained and controlled. The report recognises that no new classes of antibiotic have been discovered since the 1980s and that this, together with the increased and inappropriate use of the drugs already available, means we are heading rapidly towards a world in which antibiotics no longer work.  The report focuses on three keyways of tackling AMR:  Reducing the need for, and unintentional exposure to, antimicrobials Optimising use of antimicrobials Investing in innovation, supply and access"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 5 => array(
			'id' => '3171',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'image-bullets',
			'field_label' => 'Methods of Infection Spread',
			'description' => 'There are a number of ways that infection can spread.',
			'field_order' => '5',
			'attachment_id' => '1425',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Vector - Flies, rats, mice and cockroaches can spread vector-borne diseases. These include dengue fever, West Nile virus, lyme disease and malaria.","Needlestick - A number of infections can be spread by needlestick injuries. This includes hepatitis B, hepatitis C and the human immunodeficiency virus (HIV) which leads to AIDS (acquired immune deficiency syndrome).","Direct contact - Examples of infections that can be spread by skin-to-skin contact (for example, contaminated hands) are MRSA and E. coli. Also, C.difficile spores can be transferred via contaminated hands. E coli is a common cause of urinary tract infection.","Ingestion - Examples of infection acquired by ingestion (eating and drinking) include salmonella, campylobacter and E.coli 0157. C.difficile spores can also be ingested via contaminated hands.","Droplets and Airborne - Influenza is a respiratory illness spread by droplets through coughing and sneezing. This can contaminate surfaces and indirectly spread infection via contaminated hands.   An airborne disease is any disease that is caused by pathogens that can be transmitted through the air, for example measles and chickenpox.","Fomites - Fomites are objects or materials which are likely to carry infection, such as clothes, utensils, and furniture. Dirty commodes are one piece of equipment, if not cleaned thoroughly, can be implicated in spreading infection."]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 6 => array(
			'id' => '3245',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'The transmission of infection depends on six elements which link together like a chain as shown in the diagram. The elements are infectious agent, a reservoir for it to live, a site of exit, and a mode of transmission to a susceptible host via a site of entry.
 
We will explore this more in the next chapter.',
			'field_order' => '6',
			'attachment_id' => '1488',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 7 => array(
			'id' => '3173',
			'course_id' => '114',
			'course_lesson_id' => '513',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following two patients would you consider high risk?',
			'description' => 'Choose one option.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Young person with no other medical conditions and no previous hospital admissions, no medication. Routine elective surgery when he had his tonsils removed","Woman in her 70s, multiple hospital admissions, antibiotics in community, non-intact skin, recent inpatient tertiary hospital"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:20:49',
			'modified' => '2024-08-06 09:20:49'
		),
		(int) 8 => array(
			'id' => '3174',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'image-hotspot',
			'field_label' => 'What Causes Disease?',
			'description' => 'Which infectious agents cause disease?

Select all the images to find out more.',
			'field_order' => '0',
			'attachment_id' => '1427',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":99.0312,"left":77,"annotation":"Bacteria\nBacteria are microscopic single-celled organisms that thrive in diverse environments. Bacteria are prokaryotes. The entire organism consists of a single cell with a simple internal structure. They can live within soil, in the ocean and inside the human gut. Humans' relationship with bacteria is complex.\n\nSometimes they lend a helping hand, by curdling milk into yogurt, or helping with our digestion. At other times they are destructive, causing diseases like pneumonia and MRSA."},{"top":94.0312,"left":319,"annotation":"Virus\nViruses are very tiny agents. They are made of genetic material inside of a protein coating. Viruses cause familiar infectious diseases such as the common cold, flu and warts. They also cause severe illnesses such as HIV/AIDS, smallpox, and Ebola.\n \nViruses are like hijackers. They invade living, normal cells and use those cells to multiply and produce other viruses like themselves. This can kill, damage or change the cells and make you sick. Different viruses attack certain cells in your body such as your liver, respiratory system or blood.\n \nWhen you get a virus, you may not always get sick from it. Your immune system may be able to fight it off.\n \nFor most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. Antibiotics do not work for viral infections. There are antiviral medicines to treat some viral infections. Vaccines can help prevent you from getting many viral diseases."},{"top":255.031,"left":106,"annotation":"Parasites\nA parasite is an organism that lives on or in a host. It gets its food from, or at the expense of, its host.\n\nParasites can cause or transmit disease in humans termed as a ‘parasitic disease’ or ‘parasitosis’. Many parasites do not cause disease.\n\nInfestation refers to parasitic diseases caused by lice, fleas, ticks, and some mites, that live on a host. It can also refer to worms and protozoa that live in the internal organs or tissues of its host.\n\n‘Parasitic disease’ caused by worms and protozoa are sometimes referred to as ‘parasitic infection’."},{"top":200.031,"left":408,"annotation":"Fungal infections\nA fungus is a primitive organism. Mushrooms, mould and mildew are examples. Fungi live in air, in soil, on plants and in water. Some live in the human body. Only about half of all types of fungi are harmful.\n \nSome fungi reproduce through tiny spores in the air. You can inhale the spores or they can land on you. As a result, fungal infections often start in the lungs or on the skin. You are more likely to get a fungal infection if you have a weakened immune system or take antibiotics.\n \nFungi can be difficult to kill. For skin and nail infections, you can apply medicine directly to the infected area. Oral antifungal medicines are also available for serious infections."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 9 => array(
			'id' => '3175',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'text-image',
			'field_label' => 'Reservoirs',
			'description' => 'Reservoirs, shown in the diagram, are where micro-organisms reside and multiply. Without them, infectious agents could not survive and therefore could not be transmitted.

The site of exit provides a way for a micro-organism to leave a reservoir.

For example, in the body this may include any orifice (nose, mouth etc.) via any bodily substance.',
			'field_order' => '1',
			'attachment_id' => '1428',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 10 => array(
			'id' => '3246',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'media-field',
			'field_label' => 'Site of Entry',
			'description' => 'Site of entry is the site through which the micro-organism enters its new host and causes infection.

Infectious agents can enter the body through various portals such as those shown.',
			'field_order' => '2',
			'attachment_id' => '1489',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 11 => array(
			'id' => '3247',
			'course_id' => '114',
			'course_lesson_id' => '514',
			'field_type' => 'media-field',
			'field_label' => 'Susceptible Host',
			'description' => 'Remember that somebody is more likely to have been exposed to antimicrobial resistant organisms which can cause HCAI, if they have:

Lived in shared accommodation such as a care home
Been an inpatient in an overseas hospital
Been transferred from another hospital

Some individuals have poor physical resistance and are more susceptible to infection due to:',
			'field_order' => '3',
			'attachment_id' => '1490',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:22:10',
			'modified' => '2024-08-06 09:22:10'
		),
		(int) 12 => array(
			'id' => '3178',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'text-image',
			'field_label' => 'Breaking the Chain of Infection',
			'description' => 'In some instances, the risk of infection may be prevented or reduced by the use of vaccination, for example TB, tetanus, polio, diphtheria, or by the use of prophylactic antibiotics, for example preoperatively.

Generally, the chain of infection can be broken by the effective use of standard precautions which break the ‘route of transmission' link.

 ',
			'field_order' => '0',
			'attachment_id' => '1431',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 13 => array(
			'id' => '3179',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'image-hotspot',
			'field_label' => 'Breaking the Chain of Infection',
			'description' => 'The chain of infection can be broken by taking the following standard precautions.

Select the icons to find out examples of the standard precautions for acute and community workers.',
			'field_order' => '1',
			'attachment_id' => '1433',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":51.7344,"left":22,"annotation":"Hand hygiene\n\nOne of the most effective measures in the prevention of transmission of infection and reducing HCAIs is improving hand hygiene. Hand hygiene can be performed using:\n\nSoap and water\nHand sanitisers\nEnsure that you are aware of, and follow, guidelines in your local organisation for hand hygiene"},{"top":65.7344,"left":59,"annotation":"Personal protective equipment (PPE)\n\nPPE is designed to protect healthcare\nworkers from exposure to potentially\ninfectious material. It also prevents ongoing transmission of infection material to patients.\nMake sure you know and use the\nappropriate PPE for the situation.\n\nPPE equipment includes:\n\nGloves\nAprons/gowns\nMasks\nProtective eyewear\nThis is not an exhaustive list. It is your responsibility to use PPE in line with local policy and the requirements of your role."},{"top":56.7344,"left":113,"annotation":"Linen management\n\nUsed linen can harbour large numbers of potentially infectious agents. Precautions need to be taken at all stages of linen management:\n\nStorage\nHandling\nBagging\nTransporting\nLaundering\nEnsure that re-usable linen is cleaned between patients following the correct standards. All patient linen is laundered at the highest temperature the fabric can withstand. Hospitals follow health service guidance for laundering items at 70oC for 3 minutes."},{"top":71.7344,"left":171,"annotation":"Waste and sharps management\n\n'Sharps' are needles, blades, stitch cutters, scalpels and other medical instruments that are necessary for carrying out healthcare work and could cause an injury by cutting or pricking the skin\nDon’t use a sharp if you don’t have to\nSafer sharps devices must be used and, if not, then a risk assessment must be completed to acknowledge this and minimise risk of injury to the practitioner\nNever re-sheath a needle\nEnsure correct assembly of the sharps container\nDispose of sharps in an approved container at the point of use\nDon’t exceed the fill limit\nEnsure the correct disposal of the container\nRemember to refer to your local protocol and training regarding the safe disposal of sharps and the management of healthcare waste in your trust or organisation."},{"top":68.7344,"left":252,"annotation":"Specimen collection\n\nEnsure that specimens are taken promptly and appropriately when infection is suspected and prior to starting treatment. Ensure that all staff who handle specimens follow the necessary standards and precautions."},{"top":78.7344,"left":316,"annotation":"Environmental cleaning\n\nEnsure that surfaces are dust free and clutter free to facilitate cleaning."},{"top":56.7344,"left":382,"annotation":"Equipment cleaning\n\nEnsure that items that are not single use are cleaned between patients as per manufacturer's instructions."},{"top":86.7344,"left":453,"annotation":"Precautions and measures\n\nTo reduce the risk of infection, it is recommended that patients and the health and social care workforce are:\n\nVaccinated for infectious diseases\nStay hydrated\nHave good nutrition\nThe workforce is also at risk of injury and infection from sharps. This includes those who directly handle sharps but also those who may inadvertently be put at risk when sharps are not stored or disposed of correctly.\n\nHigher risk procedures include using hollow-bore needles and in intra-vascular cannulation, venepuncture and injections and use of IV cannulae, winged steel-butterfly-needles, needles and syringes and phlebotomy needles.\n\nRefer to the Health & Safety Executive website in Resources for more details on the law and regulations regarding sharps."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 14 => array(
			'id' => '3248',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'media-field',
			'field_label' => 'Hand Hygiene',
			'description' => 'Here are the ‘5 moments for hand hygiene’:

1. Before touching a patient
2. Before clean/aseptic procedures
3. After body fluid exposure/risk
4. After touching a patient
5. After touching patient surroundings',
			'field_order' => '2',
			'attachment_id' => '1491',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 15 => array(
			'id' => '3181',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'bullet-points',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care.  Refer to your organisation’s dress code/uniform policy for further clarification and any other specific requirements.',
			'description' => 'To achieve effective hand hygiene, follow the ‘bare below the elbows’ dress code. Avoiding wearing:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Jewellery (especially rings with stones)","Long nails, nail varnish and false nails","Wrist bands","Wrist watches (including fitness trackers)","Long sleeves"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 16 => array(
			'id' => '3182',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'text-links',
			'field_label' => 'One of the most effective measures in the prevention of transmission of infection is improving hand hygiene. Hand hygiene can be performed using:',
			'description' => ' <a href="https://nhscanl.sharepoint.com/sites/InfectionPrevention/Latest%20Training%20Updates/Forms/Smart%20Webpage.aspx?id=%2Fsites%2FInfectionPrevention%2FLatest%20Training%20Updates%2FHand%20Hygiene%20%2D%20hand%20cleaning%20techniques%20%28clean%20your%20hands%20campaign%29%2Epdf&amp;parent=%2Fsites%2FInfectionPrevention%2FLatest%20Training%20Updates">Soap and water<br>   Hand sanitisers</a><br><br>Ensuring you are aware of and follow the guidelines in your organisation for hand hygiene.<br><br>Regular and correct hand washing is vital to help prevent spread of the coronavirus (COVID-19).',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 17 => array(
			'id' => '3183',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'media-field',
			'field_label' => 'Select play to view the correct hand washing technique.',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/4ij1I0OB2hk?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/4ij1I0OB2hk/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 18 => array(
			'id' => '3249',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'media-field',
			'field_label' => 'If you are unable to view the video, the following diagram summarises the correct hand washing technique:',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1492',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 19 => array(
			'id' => '3185',
			'course_id' => '114',
			'course_lesson_id' => '515',
			'field_type' => 'multiple-choice',
			'field_label' => 'All healthcare workers should be bare below the elbow when working in clinical areas or delivering direct patient care. This means to avoid:',
			'description' => 'Choose the correct options ',
			'field_order' => '7',
			'attachment_id' => '1436',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Wearing wrist bands","Wearing jewellery","Short sleeves","Long nails"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:24:25',
			'modified' => '2024-08-06 09:24:25'
		),
		(int) 20 => array(
			'id' => '3186',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-image',
			'field_label' => 'Personal Protective Equipment (PPE)',
			'description' => 'Personal protective equipment (PPE) describes items such as gloves, aprons, face masks and eye protection which are used during certain procedures. You must ensure that you use the appropriate PPE when performing a clinical procedure to prevent micro-organisms from coming into contact with you or your clothing.

Since there is a high risk of the PPE becoming contaminated, it is essential to remove it as soon as you have completed the procedure and then to thoroughly clean your hands.

Although the NHS is required to provide suitable equipment, it is the responsibility of the individual concerned to use it correctly and appropriately.

*Important: Please review the additional coronavirus (COVID-19) guidance as you view this chapter.*

Remember that wearing PPE is a requirement of the Health and Safety at Work Act 1974 [7] and the Code of Practice (Health and Social Care Act (2008)) Code of Practice on the prevention and control of infection [8].

It is worn to:

- Protect staff from infection (micro-organisms/blood/body fluids)
- Reduce the spread of micro-organisms to patients

Its use is based on an assessment of the risk of transmission of micro-organisms (to the healthcare worker or the patient) and the risk of contamination of the healthcare worker from the patient’s blood, body fluids, secretions and excretions.

In light of the current coronavirus (Covid-19) pandemic, PPE is vital to protect the healthcare worker and patient. Please follow the guidance.',
			'field_order' => '0',
			'attachment_id' => '1437',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 21 => array(
			'id' => '3187',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-image',
			'field_label' => 'Personal Protective Equipment (PPE)',
			'description' => 'The wearing of gloves is not a substitute for hand hygiene. Wearing gloves inappropriately (i.e. too frequently/for every task) means that valuable hand hygiene opportunities will be missed and the risk of cross-infection to patients will increase. Gloves and aprons are worn for contact with blood or bodily fluid or infectious patients.

Putting on gloves and/or a disposable plastic apron should be the last thing that the healthcare worker does immediately before he or she has direct contact with the patient.

Disposable plastic aprons and non-sterile gloves are only ‘clean’ at the point at which they are put on. Putting them on too soon before the actual task or episode of patient contact means that they will become contaminated and will no longer be clean. Gloves and aprons are not to protect the patient but to protect the healthcare worker.

Staff must not leave a single room/bay wearing gloves and/or an apron unless there is an emergency or they are removing a bedpan/commode or carrying a vomit bowl/urinal, where there is a potential risk of body fluid spillage.',
			'field_order' => '1',
			'attachment_id' => '1438',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 22 => array(
			'id' => '3188',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'paragraph',
			'field_label' => 'Aprons',
			'description' => 'Aprons form part of PPE and must be changed in between each procedure or episode of patient care.

They must be removed as soon as the procedure/episode of care has been completed, and before leaving a side room/bay unless the healthcare worker is taking a commode, bedpan, urinal or dirty/contaminated equipment for disposal.

They must be disposed of as clinical waste after use.

Full, body-length, fluid-repellent gowns should be worn where there is a risk of extensive splashing of blood or body fluids onto the skin or clothing of healthcare workers including contact with infectious patients.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 23 => array(
			'id' => '3189',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'image-hotspot',
			'field_label' => 'Disposable plastic aprons should be worn when in close contact with a patient, materials or equipment, and where there is a risk that clothing or uniform may become contaminated with micro-organisms, blood, body fluids, secretions or excretions.',
			'description' => 'Select all the images for some examples.',
			'field_order' => '3',
			'attachment_id' => '1439',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":49.0312,"left":101,"annotation":"- Assisting with washing or bathing\n- Venepuncture or cannulation"},{"top":87.0156,"left":371,"annotation":"- Cleaning or decontaminating equipment\n- Assisting patients with using a bedpan or commode"},{"top":237.016,"left":189,"annotation":"- Changing soiled or contaminated linen\n- Handling or serving food"},{"top":252.016,"left":462,"annotation":"- Cleaning toilets, bathrooms or ward areas\n- Emptying catheter drainage bags or stoma bags\n- Direct contact with patients who are in ‘isolation’ or cohort nursed\n\nThey are not required for ‘routine’ contact with patients who are not infectious, such as when taking vital signs or assisting with mobility."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 24 => array(
			'id' => '3190',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'image-bullets',
			'field_label' => 'Masks',
			'description' => 'Surgical face masks must be worn for surgery or when in contact with a patient who has a suspected/confirmed transmittable virus. Face masks should also be worn during the coronavirus (COVID-19) pandemic to protect both the healthcare workforce and patient.',
			'field_order' => '4',
			'attachment_id' => '1440',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["They are single-use items of PPE","They need to be secured tightly around the back of the head to ensure that the fit is as close as possible","They are not designed to be worn for long periods","They must be changed when wet","They must be removed following the procedure","They must be disposed of as clinical waste"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 25 => array(
			'id' => '3191',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'bullet-points',
			'field_label' => 'Filtering face piece (FFP) ',
			'description' => 'Healthcare staff need to undergo fit testing to ensure that the FFP3 respirator mask is a suitable and close fit for the shape of their face, and that there are no gaps under or around the mask where unfiltered air can pass through.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Fit testing can only be undertaken by someone who has been trained in the procedure","Each time a FFP3 respirator mask is worn, a fit check needs to be undertaken","The same type of mask must be worn that has been fit-tested for, and a fit-check must be performed each time a new FFP3 is worn","FFP3 respirator masks can be worn for up to 8 hours of continuous care"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 26 => array(
			'id' => '3192',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-image',
			'field_label' => 'Goggles, Visors and Face Shields',
			'description' => 'You must ensure that wrap-around goggles, visors or face shields are worn when there is a risk of blood, body fluids, secretions and excretions splashing into the face or eyes.',
			'field_order' => '6',
			'attachment_id' => '1441',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 27 => array(
			'id' => '3193',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'image-hotspot',
			'field_label' => 'Gloves',
			'description' => 'Sterile or non-sterile gloves should be worn either on their own or in conjunction with other PPE.

Select all the images to view when they should be worn.',
			'field_order' => '7',
			'attachment_id' => '1442',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":131.984,"left":133,"annotation":"Surgery\n\nGloves must be worn during all invasive procedures such as surgery."},{"top":90.9844,"left":336,"annotation":"Contaminated equipment\n\nGloves must be used when in contact with sterile body sites. They must also be worn when handling sharp or contaminated equipment."},{"top":244.984,"left":120,"annotation":"Chemicals\n\nGloves must be worn when in contact with non-intact skin.  They must be worn when handling chemicals or drugs as COSHH Guidance - see Resources for a link to the guidance."},{"top":254,"left":351,"annotation":"Bodily fluids\n\nGloves must be worn when in contact with mucous membranes or where there is a risk of exposure or contact with blood or bodily fluids or micro-organisms."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 28 => array(
			'id' => '3195',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'paragraph',
			'field_label' => 'You must ensure that you know when to use sterile gloves and when to use non-sterile gloves.',
			'description' => 'Sterile gloves should be worn for:

- Any type of surgical procedure
- Lumbar puncture
- Inserting central lines
- Urinary catheterisation
- Vaginal delivery

Non-sterile gloves

Contact with blood, body fluids, micro-organisms, chemicals. For example:

- Direct contact with patients in isolation rooms or cohort bays
- Cannulation
- Venepuncture
- Removal of peripheral cannula or urinary catheter
- Taking a catheter specimen of urine (CSU)
- Taking a wound swab
- IV drug administration
- Emptying or changing stoma bags, nasogastric tube drainage bags, nappies/incontinence pads, commodes, bedpans, urinals and vomit bowls
- Cleaning instruments or equipment
- Cleaning up blood/body fluid spills
- Handling clinical waste/soiled linen',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 29 => array(
			'id' => '3196',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'paragraph',
			'field_label' => 'Putting On and Removing PPE',
			'description' => 'Important Information

Donning (putting on) and doffing (removing) PPE in the right order or sequence is important as it minimises the risk of cross infection and also minimises the risk of, or prevents, inadvertent contamination of the healthcare worker.',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 30 => array(
			'id' => '3197',
			'course_id' => '114',
			'course_lesson_id' => '516',
			'field_type' => 'text-links',
			'field_label' => 'In light of the current coronavirus (COVID-19) pandemic, more resources and guidance regarding PPE have been added. Please select the hyperlinks below to see important information.',
			'description' => '<a href="https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control">COVID-19 personal protective equipment (PPE)</a><br><a href="https://www.youtube.com/watch?v=-GncQ_ed-9w">COVID-19: Donning (putting on) and Doffing (removing) Personal Protective Equipment (PPE) [Public Health England]</a><br><a href="https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-use-for-aerosol-generating-procedures">COVID-19: personal protective equipment use for aerosol generating procedures</a><br><a href="https://www.gov.uk/government/publications/covid-19-guidance-for-ambulance-trusts/covid-19-guidance-for-ambulance-trusts">COVID-19: guidance for Ambulance Trusts</a>',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 15:27:36',
			'modified' => '2024-08-05 15:27:36'
		),
		(int) 31 => array(
			'id' => '3198',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'The physical removal (but not destruction) of contamination from, or with, blood, body fluids, dirt and dust from the environment and/or equipment is not just the responsibility of domestic or cleaning staff.',
			'description' => 'what is the healthcare worker's responsibility?

All healthcare workers have a responsibility for:

- Cleaning equipment in between patient use and storing it appropriately (i.e. in a dedicated area; stored off the floor)
- Ensuring that work and other surfaces (i.e. windowsills/shelves) are not cluttered

How can we help to maintain a clean environment?

In order to help maintain a clean environment, it is important that:

- Floors, work surfaces and cupboards are of a good quality, washable and maintained appropriately
- Walls, work surfaces and patient/bedside furniture (tables, lockers, chairs and foot stools) are intact',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 32 => array(
			'id' => '3250',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'media-field',
			'field_label' => 'Routine day-to-day cleaning of the environment is undertaken using a neutral detergent and disposable cleaning equipment.',
			'description' => '1. Cleaning following the discharge of patients with a known infection involves the use of disinfectants, chlorine or sporicidal agents
2. Cleaning following outbreaks of infections (often called 'deep-cleaning') may involve the use of hydrogen peroxide vapour or ultra-violet light in addition to disinfectants/chlorine
3. Cleaning equipment should be colour-coded to avoid the risk of cross infection',
			'field_order' => '1',
			'attachment_id' => '1493',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 33 => array(
			'id' => '3200',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'Every organisation will have specific standards for cleaning the environment and equipment. Let's look at some of the generic terminology and the standards for routine cleaning of both the environment and equipment.',
			'description' => '
Different terminology

Different hospitals and healthcare facilities have different terminology for the various types and levels of environmental clean, depending on why the cleaning is being undertaken, for example:

- Red, amber or green clean
- Level 1 or level 2 clean
- Terminal clean
- Clinical clean
- Deep clean
- Infection clean
- Bed-space clean
- Vacation clean

Routine cleaning

Routine cleaning within the general patient environment should be undertaken every day and there should be a service level agreement (SLA) or other document that describes the frequency of cleaning that includes (for example):

- All high and low surfaces, including tables/lockers and work surfaces
- Floors
- Bed frames
- Sinks/wash hand basins
- Soap, alcohol hand rub/gel and moisturiser dispensers
- PPE dispensers
- Toilets/bathrooms
- High-touch surfaces, for example door handles, call bells, bed controls
',
			'field_order' => '2',
			'attachment_id' => '1444',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 34 => array(
			'id' => '3251',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'media-field',
			'field_label' => 'Fluid Spillages',
			'description' => 'It is everyone’s responsibility to:

- Maintain good personal and hand hygiene
- Keep a clean and safe working environment, including keeping clinical areas tidy, as the presence of unnecessary clutter interferes with the cleaning process. Even if surfaces have been cleaned thoroughly, they may still become contaminated with dust and dirt. Dust contains dead skin cells and fibres where micro-organisms can survive
- Ensure that equipment used is clean and safe

The diagram is a general overview of how to clean up different types of fluids and spillages. Please note that different products may be used in your organisation and it's your responsibility to know which products are available to use in your area, for example, many organisations now use specially-formulated wipes to clean up blood and bodily fluid spills.',
			'field_order' => '3',
			'attachment_id' => '1494',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 35 => array(
			'id' => '3203',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'What immediate actions should be taken following exposure to blood/body fluids?',
			'description' => 'First Aid

For wounds:

- Encourage bleeding by gently squeezing the site of injury
- Wash the site of injury thoroughly with soap and water
- Cover with a waterproof plaster

For mucous membranes:

- Irrigate contaminated areas thoroughly with normal saline or tap water

Inform person in charge

For all incidents, inform the person in charge immediately, so that they can:

- Make a risk assessment of the exposure
- Arrange for blood to be taken for testing for BBVs from the source of the exposure
- Complete an accident/personal injury form

Contact the occupational health department

Ring the occupational health department within working hours or emergency department out of hours.

Out of hours – healthcare workers (HCW) MUST attend the emergency department and be seen and assessed as a matter of urgency in the following circumstances:

- The HCW has not been immunised against hepatitis B or is unsure of their hepatitis B vaccination status
- The HCW is a non-responder to the hepatitis B vaccine
- The source patient is known or highly suspected to be HIV positive

The on-call microbiologist must be contacted immediately if the source patient is known to be, or strongly suspected to be, HIV positive.

Even if the staff member is seen in the Accident and Emergency Department, he/she should also contact the Occupational Health Department by telephone, leaving a message on the answerphone out of normal working hours.



',
			'field_order' => '4',
			'attachment_id' => '1447',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 36 => array(
			'id' => '3204',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'Exposure to bloodborne pathogens ',
			'description' => 'Exposure to bloodborne pathogens can be through incidents such as a sharps injury, splash of blood to the eyes and mouth or a wound on your skin.

To reduce the risk, you must:

- Handle and dispose of sharps safely
- Wear face (including eye) protection if there is a risk of splashing
- Cover wounds with a waterproof plaster
- Wear Personal Protective Equipment (PPE)

If you get blood or bodily fluids in your mouth, eyes or a wound on the skin:

- Thoroughly rinse with running water
- Inform your manager
- Ring the occupational health department within working hours or A&E out of hours

Please make sure you follow your organisation's incident form procedure.',
			'field_order' => '5',
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			'modified' => '2024-08-06 09:26:27'
		),
		(int) 37 => array(
			'id' => '3205',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'Linen',
			'description' => 'What precautions should be taken with linen?

Used linen

Used linen should be:

- Handled carefully
- Placed immediately into a white plastic laundry sack
- Stored in a designated area
- Not carried in the arms

In community care settings, where re-usable linen is used, the organisation must either contract with a laundry supplier that meets NHS standards or use disposable items. The use of domestic machines is not acceptable as they will not reach sufficiently high temperatures for soiled or infected linen. Remember that privacy curtains must be changed according to local procedure unless soiled, in which case they must be changed immediately.

Soiled/infected linen

When dealing with soiled or infected linen, you should:

- Wear plastic apron/gloves
- Handle carefully
- Place in a red water-soluble bag and then into the white plastic laundry sack
- Store in a designed area',
			'field_order' => '6',
			'attachment_id' => '1448',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 38 => array(
			'id' => '3208',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Lorem ipsum dolor sit amet.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 39 => array(
			'id' => '3206',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'Safe Waste Disposal',
			'description' => 'Waste products contaminated with blood or other bodily fluids are called ‘infectious/potentially infectious clinical waste’ and should be disposed of in a way that avoids potential harm to staff, patients or visitors.

All clinical staff are responsible for the safe and correct disposal of sharps. To facilitate this, small sharps bins should be located at the point of use, to ensure that used sharps can be disposed of immediately. Sharps should have safety features wherever possible and should be disposed of in the appropriate sharps bin.

You must NEVER overfill a sharps bin and NEVER try to re-sheath a needle.

*Remember to refer to your local protocol and training regarding the safe disposal of sharps and the management of healthcare waste in your trust or organisation.*',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 40 => array(
			'id' => '3207',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'image-hotspot',
			'field_label' => 'Aseptic Non-Touch Technique (ANTT)',
			'description' => 'Safe aseptic practice is paramount for protecting patients during invasive clinical procedures, for example, IV therapy, wound care, urinary catheterisation and cannulation.

Select the image for information.',
			'field_order' => '9',
			'attachment_id' => '1449',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":73.0156,"left":65,"annotation":"Micro-organisms can easily be introduced into wounds and/or the bloodstream during invasive procedures such as:\n\n- Peripheral cannulation\n- Peripheral and central intravenous preparation and administration\n- Venepuncture\n- Blood culture collection\n- Wound care\n- Urinary catheterisation\n- PICC line insertion\n\nAseptic non-touch technique (ANTT) ensures that only uncontaminated equipment and fluids come into contact with sterile or susceptible body sites during certain procedures, and should be used for any procedure that bypasses the body’s natural defences."},{"top":85.0156,"left":177,"annotation":"The fundamental concept of ANTT is the protection of key parts and key (critical) sites during an invasive procedure where there is a risk of contamination via the hands of healthcare staff and/or the environment.\n\n- Key parts are the aseptic (sterile) parts of equipment that come into direct contact with a key site and which, if touched either directly or indirectly, could result in infection\n- Key (critical) sites are any portal of entry for micro-organisms, such as wounds and insertion sites"},{"top":78.0156,"left":305,"annotation":"- Always clean hands effectively (hand washing or alcohol hand rub)\n- Non-touch technique is used at all times to protect key parts\n- Touch non-key parts with confidence\n- Take appropriate infection prevention and control precautions\n\nOnly sterile items/equipment can come into contact with key sites. If a key part has to be touched, sterile gloves must be worn."},{"top":58.0156,"left":394,"annotation":"There are two types of ANTT:\n\n- Standard ANTT is used for invasive procedures in which it is technically straightforward not to have to touch key parts and key sites directly. Typical procedures include cannulation, IV therapy, venepuncture, simple wound care\n- Surgical ANTT is used for invasive procedures that are technically complex, long in duration and more invasive. Examples include: surgery and central venous catheter placement and complex or large-scale wound care\n\nAll staff undertaking procedures where ANTT is required must undergo training and competency assessment by a dedicated ANTT trainer within their organisation."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 41 => array(
			'id' => '3209',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'bullet-points',
			'field_label' => 'Bloodborne Infections',
			'description' => 'Exposure to bloodborne pathogens can be through incidents such as a sharps injury, splash of blood to the eyes and mouth or a wound on your skin. To reduce the risk, you must:',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Wear Personal Protective Equipment (PPE)","Cover wounds with a waterproof plaster","Wear face (including eye) protection if there is a risk of splashing","Handle and dispose of sharps safely"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 42 => array(
			'id' => '3210',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'paragraph',
			'field_label' => 'Bloodborne Infections',
			'description' => 'All healthcare staff are responsible for the care that they give, and are accountable (answerable) to someone else for their actions. They have a legal obligation (duty of care) to ensure that patients in their care do not come to any harm as a result of any acts or omissions. 

Staff need to be compliant with infection prevention and control (IP&C) clinical practice standards, and act in accordance with policies and guidelines. Non-compliance increases the infection risk to patients. 

If IP&C policies/guidelines and practice are not followed and a patient develops an avoidable infection, the care provided could be viewed as negligent, meaning that harm has been caused to the patient as a result of careless omission. ',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 43 => array(
			'id' => '3211',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'Bacterial Infections',
			'description' => 'Remind yourself of the bacterial infections that could occur in a hospital or community setting.

Clostridioides difficile infection

C. difficile (Clostridioides difficile) is a diagnosis in its own right and must be treated as a separate condition to any other conditions/illnesses affecting the patient. Its spectrum of illness/symptoms ranges from mild to potentially life threatening. It is transmitted by the ingestion of spores, which are shed from colonised or infected patients. Those most at risk are older patients and those who have had a recent course of antibiotics.

Pathogenesis of disease

For the disease to occur there must be disturbance of normal flora (loss of colonisation resistance). This happens especially when our 'good bacteria' are killed off by a broad-spectrum antibiotic, for example, Cefuroxime, Ciprofloxacin, Co-amoxiclav. This leaves room for other 'bad bacteria' such as C. difficile to flourish. C. difficile might start to produce toxins. Toxins act on the gut wall to produce disease. Some antibiotics are worse than others at disturbing the 'good bacteria'; also some strains of C. difficile are more aggressive than others.

C. difficile is found in up to 5% of healthy adults.

MRSA 

MRSA stands for Meticillin-Resistant Staphylococcus aureus (S.aureus). MRSA are Staphylococcus aureus bacteria that have become resistant to certain antibiotics. People may be colonised or infected with S.aureus.

Colonisation means that the S.aureus is present in or on the body but is not causing illness.

Infection means that the S.aureus is present and is causing illness.  

How is MRSA spread?

- MRSA is transmitted primarily by contact with a person who has an infection or is colonised with the bacteria
- Skin scales may contaminate the environment
- Sputum droplets/aerosols may contaminate if they become airborne through coughing and sneezing
- Equipment and environment may contribute to the spread of infection if it has not been cleaned effectively

Dealing with MRSA in a hospital

- Standard precautions are essential in preventing cross-infection
- Patients must be managed as per your Trust Policy
- Patients may be commenced on topical treatment which might consist of body wash, nasal ointment and/or mouth wash

In the community:

- MRSA in the community seldom poses a risk; some patients in the community will remain colonised indefinitely. MRSA will live harmlessly on the skin; however, it may pose a risk if a patient needs an invasive procedure or develops a new medical condition. Patients with those with wounds or invasive devices will be at risk of developing infection. For that reason, healthcare workers are reminded to ensure that they record on patients' records their MRSA status and make sure that they communicate it to all healthcare colleagues who are supporting that patient
- In the community, the application of standard precautions for all patients is sufficient to stop the transmission of MRSA between patients. This includes application of hand hygiene, correct use of PPE and effective cleaning between patients
- In the community, there is rarely a need to apply decolonisation treatments for patients unless an invasive procedure is planned - please see local policies

Who should be screened?

- Some patients will be screened for MRSA, but follow your Trust’s Screening protocol
- Remember that in the community, patients rarely require screening for MRSA unless requested by an infection prevention and control expert

Gram-negative bloodstream infections

Gram-negative bloodstream infections (BSIs) are a healthcare safety issue. Since April 2017, there has been an NHS ambition to halve the numbers of healthcare-associated Gram-negative BSIs by 2021.

Key healthcare-associated risk factors

This is not an exhaustive list but should be used as a basis to classify Gram-negative BSIs as healthcare associated:

- Indwelling vascular access devices (insertion, in situ, or removal)
- Urinary catheterisation (insertion, in situ with or without manipulation, or removal)
- Other devices (insertion, in situ with or without manipulation, or removal)
- Invasive procedures (e.g. endoscopic retrograde cholangio-pancreatography, prostate biopsy, surgery including, but not restricted to, gastrointestinal tract surgery)
- Neutropenia (<500/mL at time of bacteraemia)
- Antimicrobial therapy within the previous 28 days
- Hospital admission within the previous 28 days
- E.coli

',
			'field_order' => '12',
			'attachment_id' => '1450',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
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		),
		(int) 44 => array(
			'id' => '3212',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'multiple-choice',
			'field_label' => 'What can primary care staff do to prevent C.difficile infection? ',
			'description' => 'Choose two options',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Avoid broad-spectrum antibiotics","Minimise the use of proton pump inhibitors","Commence patient on topical treatment","Commence patient on antibiotics"]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:27',
			'modified' => '2024-08-06 09:26:27'
		),
		(int) 45 => array(
			'id' => '3213',
			'course_id' => '114',
			'course_lesson_id' => '517',
			'field_type' => 'text-image',
			'field_label' => 'What to do When Ill',
			'description' => 'All staff will be personally accountable for their actions and responsible for ensuring that they comply with infection prevention and control policies of their place of work.

Staff must understand their legal duty to take reasonable care of their health, safety and security and that of other persons who may be affected by their actions and for reporting untoward incidents and areas of concern.

Any breach in infection control policies or practice will place staff, patients and visitors at risk and subsequently the completion of a clinical incident form will be required.

All staff are obligated professionally, contractually and legally to adhere to policies of their place of work that will help to prevent and control infections.

If you are unwell, then refer to your local occupational health department. It offers a range of services including immunisations and advice on health matters. Its staff can advise you about fitness to work if you are suffering from infections such as coughs, colds, flu, diarrhoea or vomiting. It is normally advised that if you have been unwell with an infectious illness, you should not return to work for 48 hours after symptoms have cleared.

Although it is widely believed that flu is very like the common cold, this is not the case. Flu has symptoms which differ from those of a cold, including a high temperature, headache, shivery feelings, lack of energy and aching limbs. Having the flu vaccine yearly will keep you well and protect patients.

You should ask the occupational health department for advice if you suffer from skin conditions such as psoriasis or eczema, especially if this is on your hands. To reduce the risk of infection it is important to use moisturiser to avoid hands becoming dry and cracked.',
			'field_order' => '14',
			'attachment_id' => '1451',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
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			'modified' => '2024-08-06 09:26:27'
		),
		(int) 46 => array(
			'id' => '3214',
			'course_id' => '114',
			'course_lesson_id' => '518',
			'field_type' => 'paragraph',
			'field_label' => 'Session Summary',
			'description' => 'Please ensure you are aware of your organisation's infection prevention policies and procedures. This information may be found on your organisation's intranet or website. For further information please contact your organisation's infection prevention and control lead. National guidance includes:

- National Resource for
- Infection Control (www.nric.org.uk)
- Infection Control Services (www.infection-control-services.co.uk)
- World Health Organization (www.who.int/)
- Infection Prevention Society (www.ips.uk.net)
- Centres for Disease Control (www.cdc.gov)
- Public Health England (www.gov.uk/government/organisations/public-health-england)
- NHS Improvement (https://improvement.nhs.uk)
- Aseptic Non-Touch Technique (www.antt.org/)
Health and Safety Executive  - Health Surveillance (www.hse.gov.uk/health-surveillance)

Organisations already undertake health surveillance for staff on known employment risks to health. As part of this work all organisations should undertake monitoring of sharps injury patterns and incidents in order to inform ongoing risk assessments and evaluate changes to practice. This should be reported within the organisation as part of broader health and safety reporting.  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:48',
			'modified' => '2024-08-06 09:26:48'
		),
		(int) 47 => array(
			'id' => '3215',
			'course_id' => '114',
			'course_lesson_id' => '518',
			'field_type' => 'bullet-points',
			'field_label' => 'Key Points',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The prevention and control of healthcare-associated infections are everybody’s responsibility","It is a legal requirement that all registered providers of health and social care register with the Care Quality Commission (CQC), and it is a requirement of registration that providers comply with the Health and Social Care Act 2008, Code of Practice on the prevention and control of infection","HCAIs are largely preventable and all staff are responsible for ensuring that they comply with IP&C policies/guidance and that they protect patients/clients in their care as far as is practically possible"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:48',
			'modified' => '2024-08-06 09:26:48'
		),
		(int) 48 => array(
			'id' => '3216',
			'course_id' => '114',
			'course_lesson_id' => '518',
			'field_type' => 'paragraph',
			'field_label' => 'Next Steps',
			'description' => 'You have completed the Cleaning chapter which is the final chapter in this learning. Continue to the Infection Prevention and Control Level 2 eAssessment.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:26:48',
			'modified' => '2024-08-06 09:26:48'
		),
		(int) 49 => array(
			'id' => '3217',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'Who is responsible for infection prevention and control in a healthcare setting?',
			'description' => 'Choose the correct option',
			'field_order' => '0',
			'attachment_id' => '1457',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Only senior managers and clinical staff","Only clinical staff","All staff including NHS trust executives and managers, clinical staff, non-clinical staff and volunteers","All non-clinical staff including volunteers and contract workers"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 50 => array(
			'id' => '3219',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is the role of your organisation in preventing Healthcare Associated Infections (HCAIs)?',
			'description' => 'Choose three options and select Submit.',
			'field_order' => '1',
			'attachment_id' => '1455',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To prevent all Healthcare Associated Infections","To provide Personal Protective Equipment (PPE)","To design and implement appropriate reporting structures"," To provide appropriate staff training"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 51 => array(
			'id' => '3218',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Where is information on hand hygiene available?',
			'description' => 'Choose three options',
			'field_order' => '2',
			'attachment_id' => '1456',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["From infection prevention and control staff","On hand hygiene posters","From a national newspaper","From the Organisation's intranet"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 52 => array(
			'id' => '3220',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is a healthcare-associated infection (HCAI)?',
			'description' => 'Choose the correct option ',
			'field_order' => '3',
			'attachment_id' => '1458',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["An infection you bring into work, such as a cold","An infection associated with accessing healthcare","An infection that only occurs in the community","An infection only caught in hospital"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 53 => array(
			'id' => '3221',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Why is it important to reduce the number of healthcare-associated infections (HCAI)?',
			'description' => 'Choose three options',
			'field_order' => '4',
			'attachment_id' => '1459',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" They can protect you from other infections","They can lead to the death of patients"," They increase the length of time patients spend in hospital","They spread easily"]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 54 => array(
			'id' => '3222',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is the most effective way of preventing cross infection?',
			'description' => 'Choose the correct option ',
			'field_order' => '5',
			'attachment_id' => '1460',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["By completing your course of antibiotics","By practising good hand hygiene","By avoiding physical contact"," By covering your mouth when sneezing"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 55 => array(
			'id' => '3223',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What are the links which make up the chain of infection?',
			'description' => 'Choose the correct option',
			'field_order' => '6',
			'attachment_id' => '1461',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Infectious agent, reservoir, method of exit, method of transfer, method of entry, susceptible host","Infectious agent, method of exit, method of entry, susceptible host"," Reservoir, method of transfer, method of entry, susceptible host"," Reservoir, method of exit, method of transfer, susceptible host"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 56 => array(
			'id' => '3224',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'How do micro-organisms (germs) enter the body?',
			'description' => 'Choose three options',
			'field_order' => '7',
			'attachment_id' => '1462',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Inhalation (breathing in)","Through unbroken skin"," Sexual transmission","Ingestion (eating)"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 57 => array(
			'id' => '3225',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is the most common means of transmission of micro-organisms in the healthcare environment?',
			'description' => 'Choose the correct option',
			'field_order' => '8',
			'attachment_id' => '1463',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Dirty hands","Dirty toilet facilities","Dirty clothes"," Dirty equipment"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 58 => array(
			'id' => '3226',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the three levels of decontamination of reusable medical devices?',
			'description' => 'Choose three options ',
			'field_order' => '9',
			'attachment_id' => '1464',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Cleaning","Disinfecting","Rinsing","Sterilising"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 59 => array(
			'id' => '3227',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the two methods of disinfection?',
			'description' => 'Choose two options',
			'field_order' => '10',
			'attachment_id' => '1465',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Washing","Heat","Chemical"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 60 => array(
			'id' => '3228',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'A piece of equipment has this symbol on the wrapper. When would it be appropriate to re-use this item?',
			'description' => 'Choose the correct option ',
			'field_order' => '11',
			'attachment_id' => '1466',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["If you are told it is OK by your manager","If it is the last one and you have no more","If it costs more than \u00a320","Never"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 61 => array(
			'id' => '3229',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the reasons for using single-use items?',
			'description' => 'Choose three options ',
			'field_order' => '12',
			'attachment_id' => '1467',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["They protect the patient","They do not have to be clean","They guard against cross contamination"," They prevent the spread of infection"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 62 => array(
			'id' => '3230',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'The 5 Moments for Hand Hygiene approach defines the key moments when healthcare workers should perform hand hygiene to reduce the risks of the spread of infection. The five moments are before touching a patient, after body fluid exposure/risk, after touching a patient, after touching patient surroundings and which other?',
			'description' => 'Choose the correct option',
			'field_order' => '13',
			'attachment_id' => '1471',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["After using the toilet","Before clean\/aseptic procedures","When hands are visibly soiled"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 63 => array(
			'id' => '3231',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which three statements require a local written risk assessment to be undertaken in your clinical or working area?',
			'description' => 'Choose three options ',
			'field_order' => '14',
			'attachment_id' => '1472',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When a patient requires isolation in a room with a door shut and they are at risk of falls","When taking patient details on admission"," Before using latex gloves","When locating alcohol-based hand sanitiser products"]',
			'field_correct' => '0,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 64 => array(
			'id' => '3232',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'An outbreak of infection should be suspected and advice sought on declaring an outbreak when...',
			'description' => 'Choose the correct option',
			'field_order' => '15',
			'attachment_id' => '1473',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When two or more people associated in time and place have the same infection symptoms","When five or more people with no association in time or place have the same infection symptoms","When 10 or more people associated in time but not place have the same infection symptoms"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 65 => array(
			'id' => '3233',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'What is the main symptom associated with a clostridium difficile infection?',
			'description' => 'Choose the correct option',
			'field_order' => '16',
			'attachment_id' => '1474',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Profuse diarrhoea"," Vomiting"," Dizziness","Sneezing"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 66 => array(
			'id' => '3234',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'When should you ensure that a patient/service user with diarrhoea is placed into isolation in a healthcare setting?',
			'description' => 'Choose the correct option ',
			'field_order' => '17',
			'attachment_id' => '1475',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When you suspect infectious diarrhoea"," Once the infection is confirmed"," When a side room becomes free"," When told to move the patient"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 67 => array(
			'id' => '3235',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'When managing diarrhoea and vomiting, what must hands be decontaminated with?',
			'description' => 'Choose the correct option ',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Alcohol foam","Alcohol gel"," Water only"," Soap and water"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 68 => array(
			'id' => '3237',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'You have been asked to change soiled bed linen on a ward. What personal protective equipment will you need?',
			'description' => 'Choose two options',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Disposable plastic apron"," Goggles"," Sterile gloves","Non-disposable gown","Full face visor"," Non-sterile gloves"]',
			'field_correct' => '0,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 69 => array(
			'id' => '3238',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'Having assessed the risk, the healthcare setting decided that gloves should be worn when serving patients their lunch. Which are the correct gloves to be worn when serving food?',
			'description' => 'Choose the correct option',
			'field_order' => '20',
			'attachment_id' => '1476',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Heavy-duty","Domestic","Non-sterile polythene or vinyl gloves","Non-sterile nitrile gloves"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 70 => array(
			'id' => '3239',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'How would you manage a spillage of blood in your work environment?',
			'description' => 'Choose two options',
			'field_order' => '21',
			'attachment_id' => '1477',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Leave it as someone will clear it up eventually"," Clean it up if you are appropriately trained","Inform an appropriately trained member of staff","Take no action because a visitor is already cleaning it up"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 71 => array(
			'id' => '3240',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'If you receive the following, which will need to be treated and reported as an Occupational Exposure?',
			'description' => 'Choose four options ',
			'field_order' => '22',
			'attachment_id' => '1478',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A slip or trip at work","Spitting into the eyes or mouth"," A sharps injury that breaks the skin","Blood or body fluid in contact with a break in your skin","A scratch or bite that pierces the skin"]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 72 => array(
			'id' => '3241',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'single-choice',
			'field_label' => 'Who is responsible for cleaning patient care associated equipment?',
			'description' => 'Choose the correct option',
			'field_order' => '23',
			'attachment_id' => '1480',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Domestic cleaning staff","The patient","Visitors","Staff using the equipment to provide care for the patients"]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		),
		(int) 73 => array(
			'id' => '3242',
			'course_id' => '114',
			'course_lesson_id' => '519',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following statements are true?',
			'description' => 'Choose five options',
			'field_order' => '24',
			'attachment_id' => '1481',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" A room needs to have cleaning done when it has been used by a patient with a known infection","Specialist cleaning happens less frequently than routine cleaning and may involve using sodium hypochlorite or another specialist disinfectant","All re-usable items such as dental and surgical instruments must be sterilised","Sterilisation destroys all micro-organisms including spores","Items can be disinfected or sterilised without being cleaned thoroughly","Items can be disinfected by either using heat or chemicals"]',
			'field_correct' => '0,1,2,3,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 08:46:41',
			'modified' => '2024-08-06 08:46:41'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3166',
		(int) 1 => '3243',
		(int) 2 => '3244',
		(int) 3 => '3169',
		(int) 4 => '3170',
		(int) 5 => '3171',
		(int) 6 => '3245',
		(int) 7 => '3173',
		(int) 8 => '3174',
		(int) 9 => '3175',
		(int) 10 => '3246',
		(int) 11 => '3247',
		(int) 12 => '3178',
		(int) 13 => '3179',
		(int) 14 => '3248',
		(int) 15 => '3181',
		(int) 16 => '3182',
		(int) 17 => '3183',
		(int) 18 => '3249',
		(int) 19 => '3185',
		(int) 20 => '3186',
		(int) 21 => '3187',
		(int) 22 => '3188',
		(int) 23 => '3189',
		(int) 24 => '3190',
		(int) 25 => '3191',
		(int) 26 => '3192',
		(int) 27 => '3193',
		(int) 28 => '3195',
		(int) 29 => '3196',
		(int) 30 => '3197',
		(int) 31 => '3198',
		(int) 32 => '3250',
		(int) 33 => '3200',
		(int) 34 => '3251',
		(int) 35 => '3203',
		(int) 36 => '3204',
		(int) 37 => '3205',
		(int) 38 => '3208',
		(int) 39 => '3206',
		(int) 40 => '3207',
		(int) 41 => '3209',
		(int) 42 => '3210',
		(int) 43 => '3211',
		(int) 44 => '3212',
		(int) 45 => '3213',
		(int) 46 => '3214',
		(int) 47 => '3215',
		(int) 48 => '3216',
		(int) 49 => '3217',
		(int) 50 => '3219',
		(int) 51 => '3218',
		(int) 52 => '3220',
		(int) 53 => '3221',
		(int) 54 => '3222',
		(int) 55 => '3223',
		(int) 56 => '3224',
		(int) 57 => '3225',
		(int) 58 => '3226',
		(int) 59 => '3227',
		(int) 60 => '3228',
		(int) 61 => '3229',
		(int) 62 => '3230',
		(int) 63 => '3231',
		(int) 64 => '3232',
		(int) 65 => '3233',
		(int) 66 => '3234',
		(int) 67 => '3235',
		(int) 68 => '3237',
		(int) 69 => '3238',
		(int) 70 => '3239',
		(int) 71 => '3240',
		(int) 72 => '3241',
		(int) 73 => '3242'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '114'
$k = (int) 10
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
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)
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			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
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			'mime_type' => 'image/jpeg',
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			'alt_text' => '',
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			'mime_type' => 'image/jpeg',
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			'type' => 'course',
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			'mime_type' => 'image/jpeg',
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			'mime_type' => 'image/jpeg',
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$termId = (int) 6
$taxTerms = array(
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		(int) 1 => 'KS4 (14-16)',
		(int) 13 => 'KS5 (16-18)',
		(int) 5 => 'Young people not in education or work',
		(int) 18 => 'Graduates',
		(int) 19 => 'Employability programmes',
		(int) 20 => 'Career change',
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	),
	'Course Type' => array(
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		(int) 63 => 'Work Experience',
		(int) 61 => 'Careers',
		(int) 59 => 'Creating Careers: A Step Ahead  Programme',
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		(int) 9 => 'Interactive',
		(int) 10 => 'Live Sessions',
		(int) 22 => 'Non-accredited programme',
		(int) 11 => 'Podcasts',
		(int) 60 => 'Skills in the Workplace',
		(int) 12 => 'Webinars'
	),
	'Age Bracket' => array(
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		(int) 58 => '12 - 13',
		(int) 17 => '14 - 16',
		(int) 7 => '16 - 18',
		(int) 6 => '18+'
	)
)
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	(int) 196 => '2',
	(int) 244 => '3',
	(int) 199 => '4',
	(int) 285 => '5',
	(int) 201 => '6',
	(int) 200 => '7',
	(int) 198 => '8',
	(int) 143 => '9',
	(int) 203 => '10',
	(int) 204 => '11',
	(int) 205 => '12',
	(int) 247 => '13',
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	(int) 278 => '18',
	(int) 279 => '19',
	(int) 280 => '20',
	(int) 739 => '21',
	(int) 740 => '22',
	(int) 744 => '24',
	(int) 679 => '25',
	(int) 944 => '26',
	(int) 1405 => '27',
	(int) 945 => '28',
	(int) 680 => '29',
	(int) 681 => '30',
	(int) 1933 => '35',
	(int) 1403 => '36',
	(int) 1420 => '37',
	(int) 1520 => '38',
	(int) 1521 => '39',
	(int) 1533 => '40',
	(int) 1539 => '41',
	(int) 1550 => '42',
	(int) 1551 => '43',
	(int) 1573 => '44',
	(int) 1585 => '45',
	(int) 1595 => '46',
	(int) 1766 => '47',
	(int) 1748 => '48',
	(int) 1754 => '49',
	(int) 1760 => '50',
	(int) 1778 => '51',
	(int) 1736 => '52',
	(int) 1772 => '53',
	(int) 1943 => '54',
	(int) 1941 => '55',
	(int) 2035 => '56',
	(int) 2181 => '57',
	(int) 3043 => '58',
	(int) 4314 => '59',
	(int) 5264 => '60',
	(int) 6359 => '61',
	(int) 6357 => '62',
	(int) 5774 => '63',
	(int) 6356 => '64'
)
$terms = array(
	(int) 0 => '64'
)
$termName = 'Age Bracket'
$name = '18+'
$selectedTerms = array()
$termGroups = array(
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		(int) 0 => '64'
	)
)
$searchTerm = false
$termIds = array(
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		(int) 3 => '20',
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	(int) 122 => array(
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	(int) 113 => array(
		(int) 0 => '13',
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		(int) 5 => '62',
		(int) 6 => '63',
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		(int) 5 => '60',
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		(int) 7 => '6'
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	(int) 114 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
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		(int) 11 => '6'
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	(int) 115 => array(
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		(int) 2 => '18',
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		(int) 5 => '62',
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		(int) 8 => '12',
		(int) 9 => '7',
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	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 120 => array(
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		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
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	(int) 116 => array(
		(int) 0 => '13',
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		(int) 2 => '18',
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		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
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			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
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		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
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			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
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			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
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			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
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			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
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			),
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
			'banner_media_id' => '1616',
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			'created_user_id' => '8779',
			'course_length' => '40 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 14:59:06',
			'modified' => '2024-08-07 14:26:42',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'field_count' => (int) 52,
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			(int) 25 => array(
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				[maximum depth reached]
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			(int) 28 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 15 => array(
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			(int) 16 => array(
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			(int) 17 => array(
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
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			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
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			(int) 33 => '3443',
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			),
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			),
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			),
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			),
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			),
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			),
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			'course_length' => '120 minutes',
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			'created' => '2024-08-06 11:46:11',
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			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 14:33:41',
			'modified' => '2024-08-07 14:25:02',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'field_count' => (int) 74,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3166',
			(int) 1 => '3243',
			(int) 2 => '3244',
			(int) 3 => '3169',
			(int) 4 => '3170',
			(int) 5 => '3171',
			(int) 6 => '3245',
			(int) 7 => '3173',
			(int) 8 => '3174',
			(int) 9 => '3175',
			(int) 10 => '3246',
			(int) 11 => '3247',
			(int) 12 => '3178',
			(int) 13 => '3179',
			(int) 14 => '3248',
			(int) 15 => '3181',
			(int) 16 => '3182',
			(int) 17 => '3183',
			(int) 18 => '3249',
			(int) 19 => '3185',
			(int) 20 => '3186',
			(int) 21 => '3187',
			(int) 22 => '3188',
			(int) 23 => '3189',
			(int) 24 => '3190',
			(int) 25 => '3191',
			(int) 26 => '3192',
			(int) 27 => '3193',
			(int) 28 => '3195',
			(int) 29 => '3196',
			(int) 30 => '3197',
			(int) 31 => '3198',
			(int) 32 => '3250',
			(int) 33 => '3200',
			(int) 34 => '3251',
			(int) 35 => '3203',
			(int) 36 => '3204',
			(int) 37 => '3205',
			(int) 38 => '3208',
			(int) 39 => '3206',
			(int) 40 => '3207',
			(int) 41 => '3209',
			(int) 42 => '3210',
			(int) 43 => '3211',
			(int) 44 => '3212',
			(int) 45 => '3213',
			(int) 46 => '3214',
			(int) 47 => '3215',
			(int) 48 => '3216',
			(int) 49 => '3217',
			(int) 50 => '3219',
			(int) 51 => '3218',
			(int) 52 => '3220',
			(int) 53 => '3221',
			(int) 54 => '3222',
			(int) 55 => '3223',
			(int) 56 => '3224',
			(int) 57 => '3225',
			(int) 58 => '3226',
			(int) 59 => '3227',
			(int) 60 => '3228',
			(int) 61 => '3229',
			(int) 62 => '3230',
			(int) 63 => '3231',
			(int) 64 => '3232',
			(int) 65 => '3233',
			(int) 66 => '3234',
			(int) 67 => '3235',
			(int) 68 => '3237',
			(int) 69 => '3238',
			(int) 70 => '3239',
			(int) 71 => '3240',
			(int) 72 => '3241',
			(int) 73 => '3242'
		)
	),
	(int) 11 => array(
		'Course' => array(
			'id' => '113',
			'course_title' => 'Health & Safety (NHS Core Skills)',
			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
			'banner_media_id' => '1418',
			'thumbnail_media_id' => '1419',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'field_count' => (int) 107
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 498 => array(
				[maximum depth reached]
			),
			(int) 499 => array(
				[maximum depth reached]
			),
			(int) 500 => array(
				[maximum depth reached]
			),
			(int) 501 => array(
				[maximum depth reached]
			),
			(int) 502 => array(
				[maximum depth reached]
			),
			(int) 503 => array(
				[maximum depth reached]
			),
			(int) 504 => array(
				[maximum depth reached]
			),
			(int) 505 => array(
				[maximum depth reached]
			),
			(int) 506 => array(
				[maximum depth reached]
			),
			(int) 507 => array(
				[maximum depth reached]
			),
			(int) 508 => array(
				[maximum depth reached]
			),
			(int) 509 => array(
				[maximum depth reached]
			),
			(int) 510 => array(
				[maximum depth reached]
			),
			(int) 511 => array(
				[maximum depth reached]
			),
			(int) 512 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3058',
			(int) 1 => '3059',
			(int) 2 => '3060',
			(int) 3 => '3061',
			(int) 4 => '3062',
			(int) 5 => '3063',
			(int) 6 => '3064',
			(int) 7 => '3065',
			(int) 8 => '3066',
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			(int) 21 => '3254',
			(int) 22 => '3080',
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			(int) 24 => '3082',
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			(int) 26 => '3084',
			(int) 27 => '3085',
			(int) 28 => '3086',
			(int) 29 => '3087',
			(int) 30 => '3088',
			(int) 31 => '3089',
			(int) 32 => '3090',
			(int) 33 => '3091',
			(int) 34 => '3092',
			(int) 35 => '3093',
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			(int) 60 => '3119',
			(int) 61 => '3120',
			(int) 62 => '3121',
			(int) 63 => '3122',
			(int) 64 => '3123',
			(int) 65 => '3124',
			(int) 66 => '3125',
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			(int) 69 => '3128',
			(int) 70 => '3129',
			(int) 71 => '3130',
			(int) 72 => '3131',
			(int) 73 => '3132',
			(int) 74 => '3133',
			(int) 75 => '3134',
			(int) 76 => '3135',
			(int) 77 => '3136',
			(int) 78 => '3137',
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			(int) 80 => '3139',
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			(int) 84 => '3143',
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			(int) 86 => '3145',
			(int) 87 => '3146',
			(int) 88 => '3147',
			(int) 89 => '3148',
			(int) 90 => '3149',
			(int) 91 => '3150',
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			(int) 101 => '3160',
			(int) 102 => '3161',
			(int) 103 => '3162',
			(int) 104 => '3163',
			(int) 105 => '3164',
			(int) 106 => '3165'
		)
	),
	(int) 12 => array(
		'Course' => array(
			'id' => '112',
			'course_title' => 'Equality Diversity And Inclusion E-Learning',
			'description' => 'Welcome to this e-Learning package on Equality, Diversity and Human Rights. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1323',
			'thumbnail_media_id' => '1320',
			'logo_media_id' => null,
			'banner_align_id' => '4',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 09:12:40',
			'modified' => '2024-08-07 14:24:36'
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		)
	),
	(int) 13 => array(
		'Course' => array(
			'id' => '111',
			'course_title' => 'Fire General Safety Awareness Transcript ',
			'description' => 'Welcome to this e-Learning package on Fire Safety &ndash; Level 1. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1647',
			'thumbnail_media_id' => '1648',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 13:04:44',
			'modified' => '2024-08-07 14:24:24'
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
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			'thumbnail_media_id' => '1650',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 Minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 10:15:23',
			'modified' => '2024-08-07 14:23:51'
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			'thumbnail_media_id' => '1254',
			'logo_media_id' => null,
			'banner_align_id' => '0',
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			'created_user_id' => '8779',
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			'created' => '2024-07-31 08:34:50',
			'modified' => '2024-08-07 14:24:06'
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	(int) 11 => '113',
	(int) 12 => '112',
	(int) 13 => '111',
	(int) 14 => '110',
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)
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		'course_title' => 'Health & Safety (NHS Core Skills)',
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		'banner_media_id' => '1418',
		'thumbnail_media_id' => '1419',
		'logo_media_id' => null,
		'banner_align_id' => '0',
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		'created_user_id' => '8779',
		'course_length' => '120 minutes',
		'expiry_date' => null,
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		'active' => '1',
		'created' => '2024-08-05 10:38:25',
		'modified' => '2024-08-07 14:25:23'
	),
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			'course_id' => '113',
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			'lesson_order' => '0',
			'created_user_id' => '8779',
			'session_length' => '2 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 10:39:28',
			'modified' => '2024-08-06 09:33:56'
		),
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			'description' => '',
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			'created_user_id' => '8779',
			'session_length' => '8 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 10:43:55',
			'modified' => '2024-08-06 09:33:56'
		),
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			'id' => '500',
			'course_id' => '113',
			'lesson_title' => 'Control of Substances Hazardous to Health ',
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			'lesson_order' => '2',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 10:52:56',
			'modified' => '2024-08-06 09:33:56'
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			'id' => '501',
			'course_id' => '113',
			'lesson_title' => ' Managing Risk of Strangulation and Hanging',
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			'lesson_order' => '3',
			'created_user_id' => '8779',
			'session_length' => '7 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 11:07:46',
			'modified' => '2024-08-06 09:33:56'
		),
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			'id' => '502',
			'course_id' => '113',
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			'lesson_order' => '4',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 11:19:57',
			'modified' => '2024-08-06 09:33:56'
		),
		(int) 5 => array(
			'id' => '503',
			'course_id' => '113',
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			'created_user_id' => '8779',
			'session_length' => '7 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 11:31:48',
			'modified' => '2024-08-06 09:33:56'
		),
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			'id' => '504',
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			'description' => 'Learn how to use electrical equipment correctly and appropriately to avoid serious injury or death.&nbsp;&nbsp;',
			'lesson_order' => '6',
			'created_user_id' => '8779',
			'session_length' => '7 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 11:42:08',
			'modified' => '2024-08-06 09:33:56'
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			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 11:48:36',
			'modified' => '2024-08-06 09:33:56'
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			'course_id' => '113',
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			'created_user_id' => '8779',
			'session_length' => '12 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 12:01:52',
			'modified' => '2024-08-06 09:33:56'
		),
		(int) 9 => array(
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			'course_id' => '113',
			'lesson_title' => 'Display Screen Equipment ',
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			'created_user_id' => '8779',
			'session_length' => '9 minutes',
			'character_id' => '',
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			'created' => '2024-08-05 12:15:32',
			'modified' => '2024-08-06 09:33:56'
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			'created_user_id' => '8779',
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			'character_id' => '',
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			'created' => '2024-08-05 12:31:56',
			'modified' => '2024-08-06 09:33:56'
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			'character_id' => '',
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			'created' => '2024-08-05 12:36:02',
			'modified' => '2024-08-06 09:33:56'
		),
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			'created_user_id' => '8779',
			'session_length' => '7 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 13:11:17',
			'modified' => '2024-08-06 09:33:56'
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			'created_user_id' => '8779',
			'session_length' => '7 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 13:39:40',
			'modified' => '2024-08-06 09:33:56'
		),
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			'course_id' => '113',
			'lesson_title' => 'Quiz',
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			'lesson_order' => '14',
			'created_user_id' => '8779',
			'session_length' => '15 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 13:47:11',
			'modified' => '2024-08-06 09:33:56'
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	),
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			'field_type' => 'image-bullets',
			'field_label' => 'Health and safety training is required by law.    We all need to know about the risks facing us in our work, how we manage them and what our own part is in that.    This package will be valid for 3 years from 2023 to 2026. Any additional updates within that time will be provided in other ways to keep you up to date. ',
			'description' => 'CONTENTS ',
			'field_order' => '0',
			'attachment_id' => '1347',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:42:41',
			'modified' => '2024-08-05 10:42:41'
		),
		(int) 1 => array(
			'id' => '3059',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'image-bullets',
			'field_label' => 'The Trust is committed to:  ',
			'description' => 'Complying with Health and Safety legislation relevant to our undertaking and the Health and Social Care Act Regulations – in particular:  ',
			'field_order' => '0',
			'attachment_id' => '1348',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Regulation 12 – Safe care and treatment   ","Regulation 15 – Safe premises and equipment ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 2 => array(
			'id' => '3060',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'bullet-points',
			'field_label' => 'Action that can be taken ',
			'description' => 'Both the Health and Safety Executive and the CQC have the authority to review our safety systems and take appropriate action. This may be:  ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Enforcement Notices to correct or cease doing something  ","Prosecutions and Fines  ","Imprisonment "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 3 => array(
			'id' => '3061',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'text-image',
			'field_label' => 'Delivering services safely',
			'description' => 'The Health and Safety at Work Act 1974 (H.A.S.A.W.) is the main piece of law which keeps us all safe at work regardless of what our job is.  

All employees have a duty to take reasonable care for the health and safety of themselves and others who may be affected by their acts or omissions whilst at work.  

This means we look after ourselves, our patients, our visitors, our colleagues and anyone else on our premises. ',
			'field_order' => '2',
			'attachment_id' => '1349',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 4 => array(
			'id' => '3062',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'bullet-points',
			'field_label' => 'Your specific duties under the H.A.S.A.W. Act are:  ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Employees must take steps to adequately protect the health and safety of themselves and colleagues at work  ","Employees must not disrupt or interfere with anything put in place to aid in health and safety at work  ","Employees must cooperate with their employer in their attempts to meet their statutory obligations under the act. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 5 => array(
			'id' => '3063',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'bullet-points',
			'field_label' => 'This means  ',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["following health and safety instructions provided by the employer.  ","correctly using personal protective equipment and clothing.  ","taking care to use equipment safely and for its intended purpose.  ","reporting hazards and potential problems without delay. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 6 => array(
			'id' => '3064',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'image-bullets',
			'field_label' => 'Consulting with employees',
			'description' => 'Employees are consulted on health and safety issues via different avenues.  We have a network of over 200 Health and Safety Reps/champions and Health Advocates and these staff are pivotal in ensuring that the health and safety message is cascaded to staff within their area.   

Issues are consulted on via the following pathway: ',
			'field_order' => '5',
			'attachment_id' => '1350',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Health and Safety Reps, champions and Advocates meetings  ","Health and Safety Committee  ","Quality Assurance Committee  ","Trust Board "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 7 => array(
			'id' => '3065',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'image-bullets',
			'field_label' => 'Health & Safety Reps / champions & Health Advocates',
			'description' => 'Health & Safety Representatives/Champions are invaluable and vital to the effective running of the organisation. Health & Safety representatives/Champions  are legally entitled to be involved in:  ',
			'field_order' => '6',
			'attachment_id' => '1351',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Inspections within their department  ","Audits  ","Consultation on health & safety policies","Assisting their manager in raising health & safety awareness within the department  ","Promoting health and wellbeing throughout the Trust","Visits and investigations by the Health ​and Safety Executive "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 8 => array(
			'id' => '3066',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'paragraph',
			'field_label' => ' Health & Safety Reps / champions & Health Advocates ',
			'description' => 'It is expected that there is at least one Health and Safety Rep or Champion in each ward or department and there are currently around 200 across the trust made up of union and non-union appointed Reps. For anyone interested in becoming one, contact the Health and Safety Department:  

Ext: 45260   

Mobile: 07890 044140 

health.safety@mbht.nhs.uk  

or contact your Union.  

In order for the Reps and Champions to work effectively there is a one day course to explain their role and improve their knowledge and skills.  

Safety Reps/Champions meet quarterly cross-bay by Teams and each one is expected to attend twice yearly as a minimum. There is also an annual seminar day and a 6-monthly update workshop.  ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 9 => array(
			'id' => '3067',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'paragraph',
			'field_label' => 'Health, Safety and Risk Policies ',
			'description' => 'All Health, Safety and Risk policies are held on the Trust Procedural Documents Library on the intranet.  

Where relevant there will be a Policy on a Page to summarise the key things you need to know and do.  

Policies lay out responsibilities for those who need to take action and the systems for how they will do that. ',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 10 => array(
			'id' => '3068',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'image-bullets',
			'field_label' => 'Control of Substances Hazardous to Health ',
			'description' => 'The Control of Substances Hazardous to Health Regulations (C.O.S.H.H.) state that employees should not be exposed to any substances hazardous to health unless a suitable and sufficient risk assessment has been carried out, and controls are in place.  

Good management of substances also protects patients. Safe storage and is essential. ',
			'field_order' => '0',
			'attachment_id' => '1352',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["What you need to know ","What forms do hazardous substances come in?  ","How do they get into the body?  ","What should be included in a COSHH Risk Assessment?  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 11 => array(
			'id' => '3069',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'image-bullets',
			'field_label' => 'What is the COSHH inventory and how can I find a COSHH assessment for my substance?  ',
			'description' => 'There are two Policies - one for Staff and one for Managers  – which are shown later.

Hazardous substances enter or affect the body in a number of ways through different routes of entry.  

To reduce the risk of harm, the correct procedure should be followed and the correct type of personal protective equipment should be worn.  

This will be stated on the COSHH risk assessment and should be adhered to. 

ROUTES OF ENTRY ',
			'field_order' => '1',
			'attachment_id' => '1353',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["skin contact ","skin absorption ","puncture wound ","inhalation or respiration ","ingestion "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 12 => array(
			'id' => '3070',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'A substance can cause harm at different stages in its use, storage or transportation.  

Our C.O.S.H.H. assessment covers all of these stages on one form.   

This is to make sure that anyone who comes into contact with the substance, regardless of their job or role, is protected properly against the risks.  

Medicines do not normally fall under the C.O.S.H.H. Regs. 

What C.O.S.H.H. assessments must include: ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Using the substance ","Disposal of the substance ","Storing the substance ","Making up of the substance ","Transporting the substance "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 13 => array(
			'id' => '3071',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'image-bullets',
			'field_label' => 'Patients may be harmed if hazardous substances are not kept secure:  ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1354',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Do not leave substances unattended.  ","Keep substances in locked cupboards or rooms.  ","Do not leave doors unlocked or “on the latch”.","Do not leave doors unlocked or “on the latch”.","Do not write door codes on door casings or nearby. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 14 => array(
			'id' => '3072',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'paragraph',
			'field_label' => 'Patient safety ',
			'description' => 'The CQC will look at the risk to patients and how well we are controlling our risk from hazardous substances.  

HEALTH AND SOCIAL CARE ACT REGULATION 2014 REGULATION 12: SAFE CARE AND TREATMENT.  

The Health and Safety Executive will look at risk to Patients, Visitors and staff  

HEALTH AND SAFETY AT WORK ACT 1974 SECTIONS 2,3, AND 4. ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 15 => array(
			'id' => '3075',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'image-bullets',
			'field_label' => 'There have been 19 ligature incidents on Trust premises between June 21 and May 22 in our hospitals.    It is not possible to remove all ligatures or potential anchor points in our care environment as many of the hazards are present because of the equipment and environment necessary for the care and treatment of our patients. ',
			'description' => 'WHAT YOU NEED TO KNOW 

Where we cannot provide a ligature free environment, we must have robust patient management processes in place for each individual vulnerable patient.  

Where ligature risks cannot be removed, we must rely on:​  ',
			'field_order' => '0',
			'attachment_id' => '1359',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Careful assessment and attention to the individual​ patient.  ","Keeping locked, all areas which can be accessed unseen or undisturbed.​  ","Timely repair of damage and disrepair.​  ","Excellent housekeeping​. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 16 => array(
			'id' => '3076',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'image-bullets',
			'field_label' => 'All of these items can present a risk of strangulation. Click on each one for more information. ',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1360',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["EMERGENCY PULL CORDS AND LIGHT PULL CORDS should be fitted with breakable links which part under abnormal strain ","MEDICAL GAS POINTS provide a point to which a ligature can be attached ","GRID-STYLE CEILINGS allow the ceiling tiles to be easily lifted and pipes other services routed above them are revealed. These provide a secure point from which a ligature can be attached ","MONITOR/TV ARMS e.g. at the bedhead can be used as a ligature point particularly in a side room where levels of observation are lower ","DISPOSABLE PLASTIC APRONS are widely accessible and can be used as a ligature attached to a ligature anchor point ","BED CURTAIN RAILS OR WINDOW CURTAIN RAILS are often used as anchor points and the curtains can be used as a ligature. Collapsible rails and ligature – safe curtain hooks are widely used","CABLES of all types from equipment can be used as ligatures ","BLIND CORDS can be used deliberately as a ligature. They have also been the cause of accidental strangulation and must be either replaced with a hard “wand”–type closer or secured through a fixed eyelet to the window reveal or window bottom in patient areas "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 17 => array(
			'id' => '3077',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => 'All clinical areas have had assessments carried out to identify the ligature points and ligature risks in that area.  

Ligature risk assessments are stored on the H&S intranet pages.  

Matrons are required to review the assessments annually and update them.  

Make sure you know what the risks are in your area. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 18 => array(
			'id' => '3078',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'paragraph',
			'field_label' => 'All clinical areas have had assessments carried out to identify the ligature points and ligature risks in that area.  ',
			'description' => '
Ligature risk assessments are stored on the H&S intranet pages.  

Matrons are required to review the assessments annually and update them.  

Make sure you know what the risks are in your area. 


IN OUR HOSPITAL SETTINGS  

Phone 2222.  

A ligature knife is found in the 1st drawer of the Resus Trolley and the central  airway section of the grab bag, or other accessible place if no Resus Trolley is in use.  


IN OUR COMMUNITY SETTING  

Phone 999  

Try to release the tension on the ligature by placing a table or chair beneath the person  

Await assistance ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 19 => array(
			'id' => '3080',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'Protecting against splashes to the face  ',
			'description' => 'In 2021/22 we have seen 24 incidents occurring which involved hazardous substances.   

Of those incidents, 14 were splashes to the face, eyes and mouth and many of these splashes were of body fluids from patients known to carry a blood borne virus (BBV). In the vast majority of these cases, face protection was not worn. 

WHAT YOU NEED TO KNOW:',
			'field_order' => '0',
			'attachment_id' => '1362',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["How decisions are made about PPE ","Using PPE is not a choice","What to do if you have a problem or concern about PPE  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 20 => array(
			'id' => '3081',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'Where the substance is a body fluid from a patient with a BBV, it becomes reportable to the Health and Safety Executive under the Reporting of Incidents, Diseases and Dangerous Occurrences Regulations (RIDDOR) ',
			'description' => 'Splashes to the face may be received:  ',
			'field_order' => '1',
			'attachment_id' => '1363',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["When PPE is being worn but it may not be the correct type ","When PPE is not being worn as required","When PPE is being worn but the splash may breach it in an unusual way  ","Item 4During a procedure in which a splash is not generally foreseeable and PPE is not specified "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 21 => array(
			'id' => '3082',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'How is it decided that PPE is required? ',
			'description' => 'When a risk assessment is being carried out a number of things are considered before it is decided that PPE is required.  

These are things like:  ',
			'field_order' => '2',
			'attachment_id' => '1364',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Can the hazard be removed in a different way?  ","Is there a safer substance or safer way of doing the job?  ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 22 => array(
			'id' => '3083',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'bullet-points',
			'field_label' => 'Only after these things have been considered would PPE be specified because it is only effective if people use it correctly and it only protects the person using it.  ',
			'description' => 'The laws that require PPE to be worn to prevent splashes to our staff are:  ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The Management of H&S at Work Regulations 1999  ","The Control of Substances Hazardous to Health Regulations 2002  ","The Personal Protective Equipment at Work Regulations 1992  ","The Health and Safety at Work Act 1974 "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 23 => array(
			'id' => '3084',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'text-image',
			'field_label' => 'PPE is not a choice ',
			'description' => 'Where any type of PPE is specified in a risk assessment or COSHH assessment, or in training, it is A MANDATORY REQUIREMENT.   

There is no discretion to choose not to wear it if it is specified. IT IS NOT A PERSONAL CHOICE.  

There are several pieces of legislation which make the wearing of PPE a statutory requirement. ',
			'field_order' => '4',
			'attachment_id' => '1365',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 24 => array(
			'id' => '3085',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'PPE must:',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1366',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Protect against the particular hazard in question  ","Be suitable for the activities involved in the work – comfortable, give good visibility, fit securely  ","Allow appropriate communication  ","Allow appropriate mobility and dexterity   ","Allow for any individual pre-existing conditions or particular requirements of size and shape. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 25 => array(
			'id' => '3086',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'bullet-points',
			'field_label' => 'What to do if you have a problem or concern ',
			'description' => 'If you are concerned that:  ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["You do not understand why your PPE is required  ","Your PPE is not effective  ","It does not fit correctly  ","It is in poor condition  ","It is causing a health issue or pain  ","Contact your manager or supervisor to rectify any problem. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 26 => array(
			'id' => '3087',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'text-image',
			'field_label' => 'FFP3 masks',
			'description' => 'FFP3 masks must be worn when staff are caring for or in the room where a patient who is undertaking an aerosol generating procedure (AGP) with a known or suspected infectious respiratory illness, or when there is a cohort of patients with infectious respiratory illness in an area that does not meet appropriate air-changes. 

FIT testing 

Only staff FIT tested should use an FFP3 respirator and complete a FIT check for every use. Please ensure you are aware of the FFP3 you are fitted for and as masks change you are retested appropriately.   

IF THERE IS AN AMBER STICKER OR NO STICKER ON A BAY DOOR THIS INDICATES FFP3 IS REQUIRED.​ ',
			'field_order' => '7',
			'attachment_id' => '1367',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 27 => array(
			'id' => '3088',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'image-bullets',
			'field_label' => 'Slips and trips are the most common cause of injury at work.   ',
			'description' => 'On average, they cause 40 per cent of all reported major injuries and can also lead to other types of serious accidents, for example falls from height.  

Slips and trips are also the most reported injury to members of the public. 

WHAT YOU NEED TO KNOW:',
			'field_order' => '0',
			'attachment_id' => '1368',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Our most common causes of slips, trips and falls for staff.  ","What to do to prevent them "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 28 => array(
			'id' => '3089',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'image-bullets',
			'field_label' => 'In the 12 months from April 2021 to March 2022, 64 incidents were reported relating to non-patient slips, trips and falls in our workplaces. ',
			'description' => 'Causes of staff slips, trips and falls:',
			'field_order' => '1',
			'attachment_id' => '1369',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Community: 9 ","Core Clinical: 9 ","Corporate: 7 ","Estates & Facilities: 8 ","Medicine: 13 ","Non UHMB: 1 ","Surgery: 11 ","WACS: 6 "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 29 => array(
			'id' => '3090',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'text-image',
			'field_label' => '8 of these incidents have occurred where staff have slipped on floors which had just been cleaned or where spillages have occurred. In most cases “wet floor” signs were in place to warn of the risk but these are often ignored. ',
			'description' => '
HOW TO PREVENT THEM 

We work in a 24/7 busy environment so finding a good time for cleaning to be done isn’t always easy.  

Floors will be damp after cleaning and care must be taken when the warning signs indicate the risk.  

Once cleaning is completed and the floor has dried, in the hospital or clinic setting, remove the signs, as people become accustomed to seeing warning signs on dry floors and therefore begin to ignore them.  

In a patient’s own home look for spillages or leaks which can create wet floors or for any floors recently cleaned. ',
			'field_order' => '2',
			'attachment_id' => '1370',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 30 => array(
			'id' => '3091',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'bullet-points',
			'field_label' => '5 slips occurred due to spillages through incontinence, leaks from waste bags or containers, food from trolleys or trays, water from sinks and basins or in kitchens and bathrooms. ',
			'description' => 'HOW TO PREVENT THEM:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Avoid overfilling waste containers or puncturing waste bags. ","Robust spillage procedures in all areas are essential and spillages must always be cleaned up immediately.   ","If the spillage occurs outside of your area or if you are in a community environment, always ensure it is brought to the attention of the responsible person and dealt with in a timely fashion or clean it up yourself.  ","Report any faults which are leading to leaks and spills. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 31 => array(
			'id' => '3092',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'text-image',
			'field_label' => '5 incidents resulted from staff tripping over trailing cables. ',
			'description' => '
HOW TO PREVENT THEM: 

In some clinical environments, electrical cables for equipment in the work area are inevitable.  

Cable matting must always be used.   

In non-clinical areas, cables under desks and running around the work areas must be safely routed in cable-tidies and clipped out of the way of feet etc.  

In Community environments be alert to cables for devices provided for healthcare and also those relating to the patients’ own electrical devices. 

8 of the falls were over obstructions either in patients' homes or on Trust Property    

Be aware of your surroundings especially when in patients’ homes. 
',
			'field_order' => '4',
			'attachment_id' => '1371',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 32 => array(
			'id' => '3093',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'paragraph',
			'field_label' => 'What else can we do to prevent slips and trips in all workplaces? ',
			'description' => 'Report any damaged floors or mats and any repairs required to prevent leaks and spills or where lighting is not working.  

Play your part and keep the workplace tidy. Good housekeeping is essential.  

If you see items on the floor where someone could trip over them, remove them or arrange for them to be removed or for the situation to be made safe.   

If you are cleaning the floor make sure that your cleaning method is correct for the type of floor you have and use the correct concentration of cleaning product.  

If you are given safety footwear, wear it and look after it.   

Tell the responsible person about any work situation that you think is dangerous, or is becoming dangerous.  

If you have an accident or a near miss, make sure you report it through the Ulysses system promptly. This may prevent future accidents.   

When working in the community- be alert to weather and environmental conditions– such as ice, snow, flooding etc. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 33 => array(
			'id' => '3094',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'image-bullets',
			'field_label' => 'Using electrical equipment incorrectly or inappropriately or using defective electrical equipment can lead to accidents causing serious injury or death.  ',
			'description' => 'You must always carry out a visual check before using electrical equipment to identify damage which may cause an electric shock, fire or burn.   

Remember not all appliances are in hospital premises, they may be in patients’ homes.  ',
			'field_order' => '0',
			'attachment_id' => '1372',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["CRACKED PLUG/DAMAGE TO CASING – Think is this attached to an electric blanket or piece of equipment that you are about to use. Do not use it. ","BARE/EXPOSED WIRE - Some examples where this might be encountered - are you about to charge your mobile phone or are you going to use a vacuum cleaner? Do not use it. ","OVERLOADED EXTENSION LEAD AND SOCKET – an extension lead has a fuse within its plug, and each plug that is inserted into the extension lead also has a fuse. If an extension lead has a 13 amp fuse and 4 plugs inserted into it each have 13 amp fuses then the extension lead has been overloaded, however if each plug has a 3 amp fuse then the extension lead is not overloaded.   ","BURN MARKS ON PLUG.  Are you about to use a kettle and make a cup of tea for a patient in their own home? Do not use it. ","WATER COMING THROUGH AN ELECTRICAL LIGHT.  Has the tap been left running in a room above? Report it immediately and ensure the safety of occupants. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 34 => array(
			'id' => '3095',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'bullet-points',
			'field_label' => 'Before using a piece of electrical equipment you should then carry out a pre-user check. ',
			'description' => 'Pre-user checks ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Check to make sure that the equipment is suitable for the task e.g. can it be used in a wet/flammable environment?  ","Check to make sure that there are no bare wires or the plug is cracked  ","Check if it has a Portable Appliance Test (PAT) sticker  ","If equipment is defective it should be labelled, and removed from use until it is fixed.  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 35 => array(
			'id' => '3096',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Small electrical appliances should have a label on similar to the one below.  This shows that the equipment was fit for purpose on the test date under Portable Appliance Testing (PAT).  You should check to see if your appliances have this label, if not contact the Estates Department for in-hospital equipment or community equipment loan stores for community – based equipment.  If you purchase a new piece of equipment please contact the estates department to see if PAT is required. 

Medical Equipment or equipment used on patients should be maintained by the Medical Engineering Department for in-hospital equipment or community equipment loan stores for equipment in patient’s homes.  

Patients’ own equipment will not have been tested. Do not use this. ',
			'field_order' => '2',
			'attachment_id' => '1373',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 36 => array(
			'id' => '3097',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'image-bullets',
			'field_label' => 'If I don’t carry out checks or use appropriate equipment what can happen?  ',
			'description' => 'Do not touch someone who is experiencing an electric shock until the electricity supply has been turned off, otherwise you will receive a shock as well. 

TYPE OF INJURY OR HARM THAT CAN OCCUR: ',
			'field_order' => '3',
			'attachment_id' => '1374',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Death  ","Cardiac arrest  ","Burns – internal and external  ","Loss of muscle control (can’t let go) ","Broken bones – when working at height you may fall off due to the shock  ","Fire or explosion  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 37 => array(
			'id' => '3098',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'image-bullets',
			'field_label' => 'The number of incidents and accidents which involved either staff, visitors or contractors normally sits around 400 per year.    Of these incidents, around 20 are normally reported under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013.  This means they were reported to the Health and Safety Executive.  ',
			'description' => 'What you need to know ',
			'field_order' => '0',
			'attachment_id' => '1375',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Why should you report an accident?  ","Why do we investigate accidents?  ","What does RIDDOR mean? "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 38 => array(
			'id' => '3099',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'paragraph',
			'field_label' => 'Why report? ',
			'description' => 'The Trust has a duty to all patients, staff, contractors, volunteers and visitors to identify health and safety concerns and to address them before they cause an injury or harm. Any incidents or injuries must be fully investigated to understand the causes and to prevent them happening again wherever possible.  

Reporting near misses and concerns is very important as it allows wards, departments and teams to review work practices, procedures and policies to ensure that they are fit for purpose and are being followed correctly.    

Additional or revised control measures can be put in place to ensure that the near miss does not result in an accident which causes harm.  

Training is available on TMS for reporting through the Ulysses system.  

If a piece of medical equipment is in use and may have been a factor in the incident, ALWAYS QUARANTINE it, label it and store it securely until it is checked.​ ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 39 => array(
			'id' => '3100',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'image-bullets',
			'field_label' => 'Accident Investigation ',
			'description' => 'Accidents and incidents should be investigated to identify the cause so that it can be prevented from happening again.  

When investigating any accident/incident or near miss it is important that the following questions are asked.  ',
			'field_order' => '2',
			'attachment_id' => '1376',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Who ","Why ","What ","Where ","When ","How ","By asking these key questions it will provide all the information required to provide a detailed investigation. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 40 => array(
			'id' => '3101',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'bullet-points',
			'field_label' => 'Key benefits of investigation ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Making a safer work environment. ","Improving worker morale. ","Preventing further business losses from disruption, down-time and lost business. ","Developing useful skills and knowledge that can be applied throughout the organisation. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 41 => array(
			'id' => '3103',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'text-links',
			'field_label' => ' Learning to improve ',
			'description' => 'When Root Cause Analyses, Rapid Reviews and other investigations are completed, any lessons learned are shared across the Trust via the Learning to Improve Bulletin.  <br><br>This is an extremely useful way of sharing lessons and ensuring that any changes required are made right across the Trust and not just in the area where the incident has taken place.  <br><br>Find these on the <a href="https://www.uhmb.nhs.uk/our-services/services/library-and-knowledge-services">Library Internet page.</a>  ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 42 => array(
			'id' => '3104',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'image-bullets',
			'field_label' => 'Driving at work',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1378',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["CAR PARKING - only park in designed car parking areas. Do not park in the loading bay areas, on double yellow lines, hatched areas or on the helipad. Across our sites there are areas where access is required for either deliveries or the emptying of skips.  These areas are clearly marked and therefore no other vehicles should park in that area.  If staff park on the helipad or access route to the helipad it means that the helicopter cannot land or the ambulance cannot take/collect the patient to/from the helicopter. ","CYCLE LANES - Cycle lanes are provided to segregate cyclists from moving vehicles. Please respect these and look for cyclists.  ","INSURANCE – you must have business insurance if you are using your car for work.  If you travel off site even for 1 day per year e.g. for a course, then you must be insured. Check with your insurance provider as you may not be covered. Make sure that your car is road worthy for travel. ","SPEED LIMIT – stick to the speed limit on site  This is 10mph.  There are deliveries taking place, pedestrians walking from one department to another and emergency vehicles on site. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 43 => array(
			'id' => '3105',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'There are risks in everything we do but we can't be sure we are providing safe and effective care unless we know what the risks are and that we are dealing with them.   ',
			'description' => 'To manage risks, we must assess and understand them. 

RECORDING OUR RISKS AND ASSESSMENTS ',
			'field_order' => '0',
			'attachment_id' => '1379',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["We record risks and assessments so that:  ","We can communicate them clearly to ensure the right people know about them  ","We can review whether we are managing the risk by making things safer or that they are not getting worse  ","We can demonstrate we know about them and are doing something about them","We comply with the legal requirements to do so"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 44 => array(
			'id' => '3106',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'Risk Assessments ',
			'description' => 'A risk assessment is a careful evaluation of the likelihood and seriousness of harm occurring in relation to a particular hazard.  

A risk assessment document identifies:  ',
			'field_order' => '1',
			'attachment_id' => '1380',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["the hazard (something with the potential to cause harm) and   ","the likelihood that it will occur  ","how serious the harm will be if it happens    ","It also identifies who might be harmed and how, what controls are currently in place and what further controls are required to reduce the risk.  ","Risk assessments are done to keep you, our patients and visitors are safe in our hospitals. Ask your Manager for any risk assessments relating to your work and ensure you follow them.  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 45 => array(
			'id' => '3107',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'text-links',
			'field_label' => 'Risk Assessments',
			'description' => 'Health and Safety Risk assessments relating to the carrying out of specific activities e.g. Using a hazardous substance, moving and handling loads of different kinds, are required under health and safety law.​ <br><br>Find these on the risk assessment inventories on the <a href="https://nhscanl.sharepoint.com/sites/HealthSafety">H&amp;S Intranet site​.</a> ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 46 => array(
			'id' => '3108',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'text-image',
			'field_label' => 'Risk Assessments',
			'description' => 'PATIENT RISK ASSESSMENTS RELATE TO THEIR CARE AND IDENTIFY THE SPECIFIC NEEDS OF THE PATIENT e.g. mobility assessment, appropriate use of bedrails.   

Find these in the PATIENT RECORD  

INDIVIDUAL STAFF RISK ASSESSMENTS ASSESS RISKS TO THE HEALTH AND SAFETY OF THAT MEMBER OF STAFF e.g. pregnancy, stress, display screen equipment.  

For these risk assessments there are templates to use. You find these templates on the Procedural Documents Library as "attachments" to the relevant policy.  

Store completed assessments in the STAFF PERSONAL FILE.  ',
			'field_order' => '3',
			'attachment_id' => '1381',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 47 => array(
			'id' => '3109',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'text-links',
			'field_label' => 'Risk Management and Risk Assessment',
			'description' => 'SOME RISKS AFFECT THE ACHIEVEMENT OF A DEPARTMENTAL, SPECIALITY, CARE GROUP OR TRUST OBJECTIVE e.g. risks to the delivery of a safe and effective service, achievement of expected standards. These need to be dynamically managed and reviewed.  <br><br>Find these on the <a href="https://nhscanl.sharepoint.com/:w:/r/sites/TrustProceduralDocumentLibrary/_layouts/15/Doc.aspx?sourcedoc=%7B638F0B71-951A-4304-B956-8527EC66B19A%7D&amp;file=Using%20the%20Risk%20Register%20for%20Communication%20and%20Reporting.docx&amp;action=default&amp;mobileredirect=true&amp;DefaultItemOpen=1">TRUST RISK REGISTER.</a>  ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 48 => array(
			'id' => '3110',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'Risk Management',
			'description' => 'Risk management is about:',
			'field_order' => '5',
			'attachment_id' => '1382',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Everyone in the trust working together to prevent risks happening and taking the right action to reduce their impact.  ","Ensuring that risks to our aims and objectives are managed so they do not prevent us achieving those objectives. ","So, in healthcare this means minimising the potential for harm to patients and visitors during their care and to staff in the delivery of our services.  ","Ensuring risks are assessed, recorded and shared. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 49 => array(
			'id' => '3111',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'Risk Management',
			'description' => 'There is a trust process for the identification, creation, escalation and monitoring of risks and there are key people in the Care Groups who link to the Health, Safety and Risk Team, providing consistent support across the organisation.  

Training is available:',
			'field_order' => '6',
			'attachment_id' => '1383',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["An E-learning package on TMS, describing how to create a risk on the Risk Register. Look for ULYSSES – RISK REGISTER - CREATING A RISK E-LEARNING ","A practical half day workshop which helps identify risks and create them on the Risk Register  ","A 4x half day training course giving a higher level of understanding of risk  management principles and process. This is linked within the Leadership Development Programme. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 50 => array(
			'id' => '3112',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'paragraph',
			'field_label' => 'Your role in Risk Management ',
			'description' => 'If you identify or feel that there is a risk that harm might be caused you must:  

Raise it with your Manager or other responsible person. Risk cannot be managed if it is not known about.  

If you think that risk persists – monitor it to see if it is becoming more likely to happen or more serious if it does. Then report it again.  

Some risks are easily resolved and can be dealt with almost immediately once highlighted. Others take much longer but can be better controlled until fully (if ever) resolved.  

If you are a Manager, Service/Clinical Lead, Supervisor etc, create a risk on the Risk Register. This will be held in a Pending folder so that other people can see it, contribute to it and agree whether it is appropriately described and scored etc.  

Once fully discussed liaise with your Governance Business Partner for presentation to the Care Group Quality Meeting for acceptance on to the Risk Register.  ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 51 => array(
			'id' => '3113',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'image-bullets',
			'field_label' => 'We use Display Screen Equipment (computers) widely in all aspects of our work across the Trust and prolonged or regular use can cause or worsen health problems if not properly managed. These may include; musculoskeletal disorders, visual fatigue and mental stress.  ',
			'description' => 'Mainly problems arise because of:   ',
			'field_order' => '0',
			'attachment_id' => '1385',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["incorrect posture whilst using DSE or","un-corrected eyesight weaknesses highlighted by long periods of use or incorrect lighting levels.   ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 52 => array(
			'id' => '3114',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'paragraph',
			'field_label' => 'DSE Definitions ',
			'description' => 'DSE WORKSTATION:   

Comprises of alphanumeric display screen, keyboard, mouse, other accessories, desk or work surface, chair, immediate environment, laptop or iPad.  

DSE USER:   

This is an employee who habitually uses DSE as a significant part of his/her normal work, wherever they work even if for short periods at a time. Identified by completing the Self-assessment form found on the H&S intranet page.

Completion of display screen equipment self assessment forms is now recorded on TMS.   

If you "hot-desk" and do not have a permanent workstation you need to complete the E-learning package to ensure you know how to set up a workstation correctly and safely.   If you have a regular workstation or work from home regularly you need to complete DSE Self assessments.  

MAKE SURE DSE SELF ASSESSMENT AND /OR THE E-LEARNING PACKAGE HAS BEEN ADDED TO YOUR TMS TO DO LIST.   ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 53 => array(
			'id' => '3116',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'image-hotspot',
			'field_label' => 'Click on each marker for more information. ',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1387',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":48.7969,"left":468,"annotation":"Lighting \n\nThe lighting should be suitable and not cause glare on your screen. If there is an issue with the lighting, a lighting assessment can be carried out"},{"top":187.797,"left":470,"annotation":"Document Holder \n\nA document holder may be required if you transfer information from sheets of paper to the computer regularly.  This will minimise the risk of pain in the shoulders and back."},{"top":162.797,"left":394,"annotation":"Screen \n\nThe characters on the screen should be easy to read.  \n\nThe image on the screen should be free from flicker.  \n\nThe brightness and contrast should be adjustable.  \n\nThe screen must swivel and tilt easily to suit the user.  \n\nThe screen should be free of reflective glare and reflections liable to cause discomfort to you. Your screen must be positioned at the correct height, if the screen is not height adjustable then a screen riser may be required.  Your eyes should be in line with the top of the computer screen  \n\nWhere dual screens are used they should be similarly positioned minimising twisting movement of the neck from side to side."},{"top":199.797,"left":415,"annotation":"Desk / Worksurface \n\nThe desk or work surface should be large enough to accommodate the screen, keyboard, mouse, documents and any other required equipment.  \n\nThe desk or work surface should be large enough for you to find a comfortable position.  \n\nThe desk or work surface should be low reflective to reduce glare."},{"top":189.797,"left":356,"annotation":"Keyboard \n\nThe keyboard should be tiltable  and separate from the screen so as to allow you to find a comfortable working position avoiding fatigue in the arms or hands.  \n\nThe space in front of the keyboard should be sufficient to provide support for your hands and arms.  \n\nThe keyboard should have a matt surface to avoid reflective glare.  \n\nThe symbols on the keys should be legible."},{"top":179.797,"left":311,"annotation":"Mouse \n\nThe mouse should be positioned so that you do not have to stretch.  Your arm should be relaxed and your wrist should not be placed firmly on the work surface in an upright position.  If you rest on your wrist this can lead to pain after excessive use.  \n\nA gel mouse mat may be required if you do not have a straight wrist."},{"top":282.797,"left":323,"annotation":"Footrest \n\nYour feet should be flat on the floor. If they’re not, ask if you can have a footrest, which lets you rest your feet at a level that’s comfortable. Don't cross your legs, as this can cut off circulation and cause hip problems."},{"top":277.797,"left":144,"annotation":"Floor space \n\nThere should be enough space for you to change position and vary movement. Remember to keep the floor clear of any trip hazards."},{"top":48.7969,"left":380,"annotation":"Window \n\nBlinds/window coverings etc may be required to avoid glare from sunlight."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 54 => array(
			'id' => '3117',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'image-bullets',
			'field_label' => 'Equipment',
			'description' => 'New or replacement equipment comes in to our workplaces continually and any piece of this has the potential to cause harm to patients, staff or visitors if not managed properly.   

To manage it properly we need to be sure that:  ',
			'field_order' => '3',
			'attachment_id' => '1388',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["it is fit for purpose   ","it has been installed or commissioned properly   ","people know how to use it safely and understand the risks if they don’t   ","it is maintained to prevent breakdowns and accidents   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 55 => array(
			'id' => '3118',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'bullet-points',
			'field_label' => 'Definitions ',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["PATIENT EQUIPMENT in this context generally means equipment on which patients are laid, transported around the hospital, raised and lowered, seated etc. ","PPM: Planned Preventative maintenance is proactive checking, servicing and maintenance to prevent things breaking down and causing injury.   ","REPAIR is a reactive response once an incident or failure has occurred which may have caused an injury or harm.   ","PUWER: Provision and Use of Work Equipment Regulations 1998  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 56 => array(
			'id' => '3119',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'paragraph',
			'field_label' => 'Equipment',
			'description' => 'Did you know that Medical Engineering now hold the central equipment inventory for ALL types of patient equipment not just electronic devices. This now includes hoists, scales, trolleys, couches etc. You may have equipment which should be on it. Check with your Medical Engineering Team or Health and Safety.

New equipment should be recorded when it arrives.  

Go to the Medical Devices Intranet page and click on NEW EQUIPMENT RECORDER.  

Medical Engineering staff will review any equipment added and ensure it is allocated to the correct inventory.  

Always check whether there is a maintenance arrangement in place on your equipment or whether you need to make one.   

When a piece of medical/ ward or clinic –based equipment is faulty or broken you must complete a fault/decontamination form and contact the phone number on the asset label to report the fault. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 57 => array(
			'id' => '3120',
			'course_id' => '113',
			'course_lesson_id' => '508',
			'field_type' => 'text-image',
			'field_label' => 'Tyoes of Contractors',
			'description' => 'Contractors come into our Trust to undertake a wide range of jobs whether it be to replenish the vending machines, deliver papers, work on specialist equipment or undertake construction work.    

By law we have responsibilities for anyone working on our premises whether they are our employee or not. We also need to ensure our vulnerable patients are safeguarded.  

We categorise our contractors into different “types”.  

Type 1 – These contractors will be managed by the Estates Capital Services Team as they will be making changes to existing buildings or undertaking large schemes which require tight control.  

Type 2 – These contractors will be managed by the Estates Operational Services Team.  These contractors may require permits to work, may be breaching fire compartmentation or working directly for Estates.   

Type 3 – These contractors would be working within a specific department on a piece of specific equipment e.g. within x-ray and would be supervised by a member of that department whilst undertaking work.  If this contractor is going to break into the infrastructure of the building the Estates Operational Services Team should be consulted.  

Type 4 – These contractors would require no supervision as they are undertaking a very low risk activity e.g. delivering books or stocking vending machine. Normal observation would be required in a clinical area. ',
			'field_order' => '0',
			'attachment_id' => '1389',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:35:27',
			'modified' => '2024-08-05 12:35:27'
		),
		(int) 58 => array(
			'id' => '3121',
			'course_id' => '113',
			'course_lesson_id' => '508',
			'field_type' => 'image-bullets',
			'field_label' => 'Clinical areas',
			'description' => 'In clinical areas, contractors’ staff must be DBS cleared or a risk assessment detailing supervisory and other requirements must be carried out by the Appointing Officer and the clinical manager.   

DBS clearance must be proven for contractors working in areas assessed as high risk.  

REQUIRED DOCUMENTATION

Sufficient information must be provided by the contractor so we can determine what’s involved in the work.   

Contractors should provide the following:  ',
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			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Risk Assessments","Method Statements","Health and Safety Policy; and","Relevant Training Records  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
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			'modified' => '2024-08-05 12:35:27'
		),
		(int) 59 => array(
			'id' => '3122',
			'course_id' => '113',
			'course_lesson_id' => '508',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'To ensure all contractors are fully controlled:  

All departments must ensure that contractors are ‘Signed in’.   

All contractors must be inducted and informed of local rules for the department/area they are working.  

A supervision plan must be in place for all relevant hours of the day and night and that the contractors must have a point of contact e.g. Manager of the department.  

BADGES TO BE ISSUED 

TYPE 1 & 2 contractors will be issued with a contractors badge.  

TYPE 3 & 4 contractors will be issued with a visitor badge or prominently wear their own company identification. ',
			'field_order' => '2',
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			'attachment_pos' => null,
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-08-05 12:35:27',
			'modified' => '2024-08-05 12:35:27'
		),
		(int) 60 => array(
			'id' => '3123',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'text-image',
			'field_label' => 'BBV’s (Blood Borne Viruses)',
			'description' => 'BBV’s (Blood Borne Viruses) are viruses that some people carry in their blood and which may cause severe disease in certain people and few or no symptoms in others.   

The virus can spread to another person whether the carrier of the virus is ill or not. The main BBV’s of concern are:  

- HBV and HCV which cause hepatitis, a disease of the liver.  

- HIV which causes Acquired Immune Deficiency Syndrome (AIDS), affecting the immune system of the body.  

Elevated levels of anxiety and occasionally enduring psychiatric illness have also been associated with sharps injuries.  

THE RISKS ASSOCIATED WITH BLOOD AND BODY FLUID EXPOSURES  

The most serious consequence of occupational percutaneous exposure to blood or body fluids is the possibility of transmission of (BBV’s), in particular Hepatitis B virus HBV), Hepatitis C virus (HCV) and human immunodeficiency virus (HIV). lor sit amet.',
			'field_order' => '0',
			'attachment_id' => '1391',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 61 => array(
			'id' => '3124',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'bullet-points',
			'field_label' => 'In 2017/18 our staff sustained 20 needle-stick injuries for every 1000 staff.  ',
			'description' => 'Sharps injuries continue to occur: ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["After use but before disposal  ","After disposal  ","During use  ","DO IT RIGHT"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 62 => array(
			'id' => '3125',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'image-bullets',
			'field_label' => 'After use but before disposal ',
			'description' => 'Insulin pen needles are a known cause of incidents:',
			'field_order' => '2',
			'attachment_id' => '1393',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Left by bedside   ","Discarded on food trays and find their way to the kitchens  ","Left on the bed and find their way back to the laundry  ","Passed to staff to re-sheath or remove the needle    Don’t do this – if a person can self administer using their insulin pen they should be able to dispose of the needle themselves. FOLLOW THE SELF-DMINISTRATION OF INSULIN POLICY. Ensure there is a sharp-safe or sharps bin to hand for them","NEVER re-sheath a needle. This is bad practice"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 63 => array(
			'id' => '3126',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'text-image',
			'field_label' => 'During disposal',
			'description' => 'If your device is a safer device ALWAYS deploy the safety shield before you dispose of it. There are short E-Learning packages on TMS to show you how to do this – they take only a few seconds to complete.  

Ensure the sharps bin is to hand. Used sharps must not be handed to another person for disposal. They should be disposed of directly into the sharps bin by the user or placed into a receiver for later disposal.  

Sharps bins must not BE MORE THAN ¾ FULL. If you find one fuller than this, close it and replace with a new one. Always be aware that sharps may protrude from an overfull sharps bin and cause you an injury. ',
			'field_order' => '3',
			'attachment_id' => '1397',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 64 => array(
			'id' => '3127',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'paragraph',
			'field_label' => 'Sharps safety',
			'description' => 'The partial closer of a partly filled sharps bin should be pulled across to prevent spillages and accidental contact with contents.  

We performed poorly on this aspect in our last external audit. It is a simple safety precaution. 

If you use an unsafe device then there should be a risk assessment in place to justify the use and to show what controls are in place to reduce the risk of injury.    

These can be found on the Risk Assessment Inventory on the Intranet.  

If you use a non-safe sharp for which there is no risk assessment please contact the H&S Dept.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 65 => array(
			'id' => '3128',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'image-bullets',
			'field_label' => 'Correct disposal ',
			'description' => 'Has the sharp been contaminated with any medical product or their residues? ',
			'field_order' => '5',
			'attachment_id' => '1395',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["No – Dispose into orange lid sharps container E.W.C. Code 18.01.03 Hazardous ","Yes – Dispose into yellow lid sharps container E.W.C. Code 18.01.03 Hazardous "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 66 => array(
			'id' => '3129',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'image-bullets',
			'field_label' => 'Is the sharp cytotoxic or cytostatic? ',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1396',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Yes - Dispose into purple lid sharps container E.W.C. Code 18.01.09 Non Hazardous ","Item 2","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 67 => array(
			'id' => '3130',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'bullet-points',
			'field_label' => 'Actions to take in event of an injury',
			'description' => 'In event of a needlestick injury;  ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Complete first aid  ","Complete a risk assessment (found In the Blood Borne Virus Policy)  ","Refer to ED or Occupational Health  ","Complete a Clinical Incident on Ulysses   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 68 => array(
			'id' => '3131',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'text-image',
			'field_label' => 'Some Facts About Stress ',
			'description' => '828,000 workers suffering from work-related stress, depression or anxiety (new or long-standing) in 2020/21. This is compared to 526,000 in 2016/17 (HSE)  

17.9 million working days lost in 2019/2020. This is a huge increase compared to 12.5 million days lost in 2016/17 (HSE)  

Work-related stress, depression or anxiety continues to represent a significant ill health condition in the workforce of Great Britain. Work-related stress, depression or anxiety accounts for 51% of work-related ill health and 55% of working days lost, in 2019/20 (HSE)  

The occupations and industries reporting the highest rates of work-related stress, depression or anxiety remain consistently in the health and public sectors of the economy.  ',
			'field_order' => '0',
			'attachment_id' => '1398',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 69 => array(
			'id' => '3132',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-hotspot',
			'field_label' => ' Signs and symptoms of stress',
			'description' => 'Click on each marker for more info.',
			'field_order' => '1',
			'attachment_id' => '1399',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":69.3906,"left":111,"annotation":"Headaches"},{"top":329.391,"left":103,"annotation":"Indigestion"},{"top":87.3906,"left":244,"annotation":"Colds/Flu"},{"top":208.391,"left":295,"annotation":"Skin irritations"},{"top":64.3906,"left":246,"annotation":"Acne"},{"top":220.391,"left":401,"annotation":"High BP"},{"top":80.3906,"left":77,"annotation":"Sleepiness"},{"top":115.391,"left":395,"annotation":"Breathlessness"},{"top":341.391,"left":257,"annotation":"Fatigue"},{"top":398.391,"left":117,"annotation":"Frequent infections"},{"top":293.391,"left":231,"annotation":"Taught muscles"}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 70 => array(
			'id' => '3133',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-bullets',
			'field_label' => 'Behaviour',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1400',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Smoking ","Alcohol ","Increased caffeine ","Apathetic ","Irritability and aggression ","Withdrawal ","Increased forgetfulness ","Crying ","Moodiness and sulking ","Obsessive behaviour ","Increased mistakes ","Decreased personal standards "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 71 => array(
			'id' => '3134',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-bullets',
			'field_label' => 'Mind',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1401',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Confused ","Nightmares ","Negative ","Indecisiveness ","Poor concentration ","Blinkered ","Constant criticism and cynicism ","Worrying ","Hasty decisions ","Things out of proportion "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 72 => array(
			'id' => '3135',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-bullets',
			'field_label' => 'Emotion ',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1402',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Anxiety ","Apathy ","Anger ","Feeling hopeless ","Loss of confidence ","Depression ","Alienation ","Negativity ","De-motivated ","Low self-esteem "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 73 => array(
			'id' => '3136',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'bullet-points',
			'field_label' => 'How to get support ',
			'description' => 'There is lots of support:  ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Early discussion with your Manager or Workforce Advisor can help to manage the pressures you may be feeling.  ","A stress risk assessment at this point will help to identify what actions can be taken immediately to support you in your workplace.  ","A management referral or self-referral to Occupational Health will help to identify what further support you may need and direct you to appropriate available therapies and other support.  ","Occupational Health deliver a number of courses and opportunities to understand and deal with stress (mindfulness, stress management). Look on the Occupational Health intranet for details. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 74 => array(
			'id' => '3137',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'text-image',
			'field_label' => 'The approved NHS definition of violence and aggression is:  ',
			'description' => '“The application of force, severe threat or serious abuse by members of the public towards people arising out of the course of their work whether or not they are on duty. This includes severe verbal abuse or threat where this is judged likely to turn into actual violence, serious or persistent harassment (including racial or sexual harassment with a weapon; major or minor injuries and fatalities.)”  ',
			'field_order' => '0',
			'attachment_id' => '1403',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 75 => array(
			'id' => '3138',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'text-image',
			'field_label' => 'Early recognition & prevention',
			'description' => 'There are sometimes warning signs that a person’s normal behaviour is changing, such as a raised voice or clenching fists etc; if a member of staff is observant and reports these changes, actions can be taken which may avert a violent episode.  

If a person shows any indication of these changes, the member of staff must report the changes to the head of department or ward.  Even if proved unfounded, it is advisable that a senior member of staff is alerted to the potential problem.  ',
			'field_order' => '1',
			'attachment_id' => '1404',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 76 => array(
			'id' => '3139',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'bullet-points',
			'field_label' => 'De-escalation',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Remain calm  ","Maintain adequate distance  ","Move towards a safe place","Keep your body relaxed, Control your breathing to ensure you do not become tense  ","Keep the aggressor talking, Acknowledge concerns and feelings  ","Explain what is happening and why ","Use designated pathways "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 77 => array(
			'id' => '3140',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'text-image',
			'field_label' => 'Dealing with aggression',
			'description' => 'Stay calm, speak gently, slowly and clearly. 

Do not be enticed into an argument. 

Do not hide behind your authority, status or jargon. 

Tell the person who you are, ask their name and tell them what you want them to do. 

Try to defuse the situation by talking things through as reasonable adults, while remembering your first duty of care is to yourself. 

Avoid an aggressive stance.  Crossed arms, hands on hips, a wagging finger or a raised arm will challenge and confront.  

Keep your distance. 

Do not look down on the aggressor. 

Plan and keep an escape route accessible, AND IF YOU FEEL THE SITUATION HAS GONE BEYOND YOUR CONTROL DO NOT HESITATE TO USE IT. ',
			'field_order' => '3',
			'attachment_id' => '1405',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 78 => array(
			'id' => '3141',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What roles do the H&S Reps and Champions play? ',
			'description' => 'select an answer',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Inspections within their department ","Consultation on health & safety policies and issues","Audits ","All of the above and more "]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 79 => array(
			'id' => '3142',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => ' Where do you find Health and safety policies?',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => '1406',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["In the manager\u2019s office  ","On the Procedural Document Library on the intranet ","In a file in the restroom "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 80 => array(
			'id' => '3143',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are your responsibilities in relation to hazardous substances? ',
			'description' => 'select one or more answers ',
			'field_order' => '2',
			'attachment_id' => '1407',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Use whatever you think does the job best ","Ensure you know what hazardous substances there are in your area ","Read the COSHH assessment, SOP or guidance poster before you use a hazardous substance ","Ask someone else to do the job so you don\u2019t have to use them "]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 81 => array(
			'id' => '3144',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'A COSHH assessment: ',
			'description' => 'select an answer',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Should be read and understood by everyone using the substance ","Helps you protect patients ","Tells you how to store, make up, use, transport and dispose of a hazardous substance correctly ","All of the above "]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 82 => array(
			'id' => '3145',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Where ligature risks cannot be removed from the environment we must use: ',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Careful assessment and attention to the individual ","Timely repair of damage and disrepair  ","Excellent housekeeping ","Keeping locked, all areas which can be accessed unseen or undisturbed ","All of the above "]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 83 => array(
			'id' => '3146',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'The ligature knife is found:',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["In the central airway section of a Grab Bag ","At the nurses station on a ward ","In the clean utility ","In the first drawer of the Resus Trolley "]',
			'field_correct' => '0,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 84 => array(
			'id' => '3147',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What is the main reason why eye splashes occur to our staff? ',
			'description' => 'select an answer',
			'field_order' => '6',
			'attachment_id' => '1408',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Safety glasses fall off during a procedure ","Staff accidentally rub substances into their eyes  ","Staff do not wear eye protection when it is specified "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 85 => array(
			'id' => '3148',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following statements is wrong?',
			'description' => 'select an answer ',
			'field_order' => '7',
			'attachment_id' => '1409',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["If it is specified on a risk assessment or in training but you think there is no real risk you can choose not to wear it ","There are several regulations which require the use of PPE to protect staff from hazards in their work ","When your training has included the use of PPE you must use it ","When the risk assessment states PPE is required, you must use it "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 86 => array(
			'id' => '3149',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Why is PPE the least robust way of protecting staff? ',
			'description' => 'select an answer',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It only protects the individual using it ","It can be breached if not fitted and worn correctly ","It relies on the individual to make sure they wear it and human beings are \u201cthe weakest link\u201d! ","All of the above "]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 87 => array(
			'id' => '3150',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Which one of these is NOT one of our most common causes of slips, trips and falls for staff?',
			'description' => 'select an answer',
			'field_order' => '9',
			'attachment_id' => '1410',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Staff wearing high heels ","Slippery floors caused by spillages ","Floors still damp after cleaning ","Trailing cables "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 88 => array(
			'id' => '3151',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Which of these actions are good controls for reducing slips, trips and falls? ',
			'description' => 'select an answer',
			'field_order' => '10',
			'attachment_id' => '1411',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Prevent spills by reporting leaks and disposing of waste carefully to avoid puncturing waste bags ","Never run cables across walkways and be mindful of cables in the clinical areas ","Remove wet floor signs as soon as the floor dries ","Do not ignore a wet floor warning sign ","React immediately when a spillage occurs or is found ","All of the above "]',
			'field_correct' => '5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 89 => array(
			'id' => '3152',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What does RIDDOR stand for? ',
			'description' => 'select an answer',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Reporting of Incidents, Disasters and Dangerous Occurrences Regulations ","Reporting of Incidents, Deaths and Dangerous Occurrences Regulations ","Reporting of Injuries, Diseases and Dangerous Occurrences Regulations  "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 90 => array(
			'id' => '3153',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What is one of the benefits of investigating incidents? ',
			'description' => 'select an answer',
			'field_order' => '12',
			'attachment_id' => '1412',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To improve staff morale ","To blame somebody ","To undertake a tick box exercise "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 91 => array(
			'id' => '3154',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What is the speed limit on site? ',
			'description' => 'select an answer',
			'field_order' => '13',
			'attachment_id' => '1413',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["5 mph ","10 mph ","15 mph ","20 mph "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 92 => array(
			'id' => '3155',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'What does a risk assessment document identify? ',
			'description' => 'select one or more answers ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The hazard ","The likelihood it will occur ","Controls in place  ","Who may be harmed "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 93 => array(
			'id' => '3156',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Where are Health and Safety Risk assessments located?',
			'description' => 'select an answer',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Health and Safety Intranet site ","Ward or Department ","Manager\u2019s Office ","Health and Safety Office "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 94 => array(
			'id' => '3157',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'When a risk affects the achievement of an objective (e.g safe patient care) where would we record and find this? ',
			'description' => 'select an answer',
			'field_order' => '16',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Health and Safety Intranet site ","In a file in the Managers Office ","On the Trust Risk register ","Nowhere; we wouldn't record it "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 95 => array(
			'id' => '3158',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Where should you record that your DSE assessment has been completed? ',
			'description' => 'select an answer',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["TMS (as DSE Self-assessment) ","On the noticeboard ","In your diary "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 96 => array(
			'id' => '3159',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What does PPM stand for?',
			'description' => 'select an answer',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Push, Pull Movement ","Prepared Property Maintenance  ","Planned Preventative Maintenance ","Proven Preventative Maintenance"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 97 => array(
			'id' => '3160',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Who holds the central equipment inventory?',
			'description' => 'select an answer',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Estates ","Medical Engineering ","Health and Safety ","Supplies "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 98 => array(
			'id' => '3161',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'During disposal you should always: ',
			'description' => 'select an answer',
			'field_order' => '20',
			'attachment_id' => '1414',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Completely fill the sharps bin before closing it ","Pass your sharp to a colleague to make sure it is disposed of correctly  ","Deploy any safety device "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 99 => array(
			'id' => '3162',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'The partial closer should always be used:',
			'description' => 'select an answer',
			'field_order' => '21',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To prevent accidental spillages ","To keep the area tidy ","To prevent smells "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 100 => array(
			'id' => '3163',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'How many reported working days were lost in 2019/20 due to work-related stress, depression or anxiety?',
			'description' => 'select an answer',
			'field_order' => '22',
			'attachment_id' => '1415',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["7.6 thousand ","17.9 million ","15.1 million  "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 101 => array(
			'id' => '3164',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'How does the HSE define stress?',
			'description' => 'select an answer',
			'field_order' => '23',
			'attachment_id' => '1416',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["\u201cThe adverse reaction people have to excessive pressures or other types of demands placed upon them.\u201d  ","\u201cThe non-specific response of the body to any demand for change.\u201d ","\u201cState of mental or emotional strain or tension resulting from adverse or demanding circumstances.\u201d "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 102 => array(
			'id' => '3165',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'What should a member of staff do if they have been a victim of violence or aggression at work?',
			'description' => 'select one or more answers',
			'field_order' => '24',
			'attachment_id' => '1417',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Complete a clinical incident ","Report it to their manager ","Report it to the police ","Request support if their case ends up in court "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 103 => array(
			'id' => '3252',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'media-field',
			'field_label' => 'COSHH Policy on a Page: ',
			'description' => 'For STAFF',
			'field_order' => '5',
			'attachment_id' => '1495',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 104 => array(
			'id' => '3253',
			'course_id' => '113',
			'course_lesson_id' => '500',
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			'description' => 'For MANAGERS',
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			'description' => 'Dealing with a ligature incident is very traumatic for all the staff involved. 

It is important to ensure all staff that may be affected:  

  1. Attend a departmental debriefing , as soon as possible  post incident, to discuss the effects the incident has had and talk through any personal and work issues that the incident may have raised.  

2. During the briefing, all counselling services from the Occupational Health Department should be made available to all staff and immediate referrals completed for those who want it.  

Contact Telephone Number: 01524 512290  ',
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			'description' => 'CONTENTS ',
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			'field_label' => 'The Trust is committed to:  ',
			'description' => 'Complying with Health and Safety legislation relevant to our undertaking and the Health and Social Care Act Regulations – in particular:  ',
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			'field_label' => 'Action that can be taken ',
			'description' => 'Both the Health and Safety Executive and the CQC have the authority to review our safety systems and take appropriate action. This may be:  ',
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			'description' => 'The Health and Safety at Work Act 1974 (H.A.S.A.W.) is the main piece of law which keeps us all safe at work regardless of what our job is.  

All employees have a duty to take reasonable care for the health and safety of themselves and others who may be affected by their acts or omissions whilst at work.  

This means we look after ourselves, our patients, our visitors, our colleagues and anyone else on our premises. ',
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			'field_label' => 'Your specific duties under the H.A.S.A.W. Act are:  ',
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			'description' => '',
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			'field_label' => 'Consulting with employees',
			'description' => 'Employees are consulted on health and safety issues via different avenues.  We have a network of over 200 Health and Safety Reps/champions and Health Advocates and these staff are pivotal in ensuring that the health and safety message is cascaded to staff within their area.   

Issues are consulted on via the following pathway: ',
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			'description' => 'Health & Safety Representatives/Champions are invaluable and vital to the effective running of the organisation. Health & Safety representatives/Champions  are legally entitled to be involved in:  ',
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			'description' => 'It is expected that there is at least one Health and Safety Rep or Champion in each ward or department and there are currently around 200 across the trust made up of union and non-union appointed Reps. For anyone interested in becoming one, contact the Health and Safety Department:  

Ext: 45260   

Mobile: 07890 044140 

health.safety@mbht.nhs.uk  

or contact your Union.  

In order for the Reps and Champions to work effectively there is a one day course to explain their role and improve their knowledge and skills.  

Safety Reps/Champions meet quarterly cross-bay by Teams and each one is expected to attend twice yearly as a minimum. There is also an annual seminar day and a 6-monthly update workshop.  ',
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			'description' => 'All Health, Safety and Risk policies are held on the Trust Procedural Documents Library on the intranet.  

Where relevant there will be a Policy on a Page to summarise the key things you need to know and do.  

Policies lay out responsibilities for those who need to take action and the systems for how they will do that. ',
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			'description' => 'The Control of Substances Hazardous to Health Regulations (C.O.S.H.H.) state that employees should not be exposed to any substances hazardous to health unless a suitable and sufficient risk assessment has been carried out, and controls are in place.  

Good management of substances also protects patients. Safe storage and is essential. ',
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			'modified' => '2024-08-06 09:30:52'
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			'id' => '3069',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'image-bullets',
			'field_label' => 'What is the COSHH inventory and how can I find a COSHH assessment for my substance?  ',
			'description' => 'There are two Policies - one for Staff and one for Managers  – which are shown later.

Hazardous substances enter or affect the body in a number of ways through different routes of entry.  

To reduce the risk of harm, the correct procedure should be followed and the correct type of personal protective equipment should be worn.  

This will be stated on the COSHH risk assessment and should be adhered to. 

ROUTES OF ENTRY ',
			'field_order' => '1',
			'attachment_id' => '1353',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["skin contact ","skin absorption ","puncture wound ","inhalation or respiration ","ingestion "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 12 => array(
			'id' => '3070',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'A substance can cause harm at different stages in its use, storage or transportation.  

Our C.O.S.H.H. assessment covers all of these stages on one form.   

This is to make sure that anyone who comes into contact with the substance, regardless of their job or role, is protected properly against the risks.  

Medicines do not normally fall under the C.O.S.H.H. Regs. 

What C.O.S.H.H. assessments must include: ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Using the substance ","Disposal of the substance ","Storing the substance ","Making up of the substance ","Transporting the substance "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 13 => array(
			'id' => '3071',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'image-bullets',
			'field_label' => 'Patients may be harmed if hazardous substances are not kept secure:  ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1354',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Do not leave substances unattended.  ","Keep substances in locked cupboards or rooms.  ","Do not leave doors unlocked or “on the latch”.","Do not leave doors unlocked or “on the latch”.","Do not write door codes on door casings or nearby. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 14 => array(
			'id' => '3072',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'paragraph',
			'field_label' => 'Patient safety ',
			'description' => 'The CQC will look at the risk to patients and how well we are controlling our risk from hazardous substances.  

HEALTH AND SOCIAL CARE ACT REGULATION 2014 REGULATION 12: SAFE CARE AND TREATMENT.  

The Health and Safety Executive will look at risk to Patients, Visitors and staff  

HEALTH AND SAFETY AT WORK ACT 1974 SECTIONS 2,3, AND 4. ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 15 => array(
			'id' => '3252',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'media-field',
			'field_label' => 'COSHH Policy on a Page: ',
			'description' => 'For STAFF',
			'field_order' => '5',
			'attachment_id' => '1495',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 16 => array(
			'id' => '3253',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'media-field',
			'field_label' => 'COSHH Policy on a Page: ',
			'description' => 'For MANAGERS',
			'field_order' => '6',
			'attachment_id' => '1496',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 17 => array(
			'id' => '3075',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'image-bullets',
			'field_label' => 'There have been 19 ligature incidents on Trust premises between June 21 and May 22 in our hospitals.    It is not possible to remove all ligatures or potential anchor points in our care environment as many of the hazards are present because of the equipment and environment necessary for the care and treatment of our patients. ',
			'description' => 'WHAT YOU NEED TO KNOW 

Where we cannot provide a ligature free environment, we must have robust patient management processes in place for each individual vulnerable patient.  

Where ligature risks cannot be removed, we must rely on:​  ',
			'field_order' => '0',
			'attachment_id' => '1359',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Careful assessment and attention to the individual​ patient.  ","Keeping locked, all areas which can be accessed unseen or undisturbed.​  ","Timely repair of damage and disrepair.​  ","Excellent housekeeping​. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 18 => array(
			'id' => '3077',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => 'All clinical areas have had assessments carried out to identify the ligature points and ligature risks in that area.  

Ligature risk assessments are stored on the H&S intranet pages.  

Matrons are required to review the assessments annually and update them.  

Make sure you know what the risks are in your area. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 19 => array(
			'id' => '3076',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'image-bullets',
			'field_label' => 'All of these items can present a risk of strangulation. Click on each one for more information. ',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1360',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["EMERGENCY PULL CORDS AND LIGHT PULL CORDS should be fitted with breakable links which part under abnormal strain ","MEDICAL GAS POINTS provide a point to which a ligature can be attached ","GRID-STYLE CEILINGS allow the ceiling tiles to be easily lifted and pipes other services routed above them are revealed. These provide a secure point from which a ligature can be attached ","MONITOR/TV ARMS e.g. at the bedhead can be used as a ligature point particularly in a side room where levels of observation are lower ","DISPOSABLE PLASTIC APRONS are widely accessible and can be used as a ligature attached to a ligature anchor point ","BED CURTAIN RAILS OR WINDOW CURTAIN RAILS are often used as anchor points and the curtains can be used as a ligature. Collapsible rails and ligature – safe curtain hooks are widely used","CABLES of all types from equipment can be used as ligatures ","BLIND CORDS can be used deliberately as a ligature. They have also been the cause of accidental strangulation and must be either replaced with a hard “wand”–type closer or secured through a fixed eyelet to the window reveal or window bottom in patient areas "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 20 => array(
			'id' => '3078',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'paragraph',
			'field_label' => 'All clinical areas have had assessments carried out to identify the ligature points and ligature risks in that area.  ',
			'description' => '
Ligature risk assessments are stored on the H&S intranet pages.  

Matrons are required to review the assessments annually and update them.  

Make sure you know what the risks are in your area. 


IN OUR HOSPITAL SETTINGS  

Phone 2222.  

A ligature knife is found in the 1st drawer of the Resus Trolley and the central  airway section of the grab bag, or other accessible place if no Resus Trolley is in use.  


IN OUR COMMUNITY SETTING  

Phone 999  

Try to release the tension on the ligature by placing a table or chair beneath the person  

Await assistance ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 21 => array(
			'id' => '3254',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'media-field',
			'field_label' => 'Staff Wellbeing',
			'description' => 'Dealing with a ligature incident is very traumatic for all the staff involved. 

It is important to ensure all staff that may be affected:  

  1. Attend a departmental debriefing , as soon as possible  post incident, to discuss the effects the incident has had and talk through any personal and work issues that the incident may have raised.  

2. During the briefing, all counselling services from the Occupational Health Department should be made available to all staff and immediate referrals completed for those who want it.  

Contact Telephone Number: 01524 512290  ',
			'field_order' => '4',
			'attachment_id' => '1497',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 22 => array(
			'id' => '3080',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'Protecting against splashes to the face  ',
			'description' => 'In 2021/22 we have seen 24 incidents occurring which involved hazardous substances.   

Of those incidents, 14 were splashes to the face, eyes and mouth and many of these splashes were of body fluids from patients known to carry a blood borne virus (BBV). In the vast majority of these cases, face protection was not worn. 

WHAT YOU NEED TO KNOW:',
			'field_order' => '0',
			'attachment_id' => '1362',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["How decisions are made about PPE ","Using PPE is not a choice","What to do if you have a problem or concern about PPE  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 23 => array(
			'id' => '3081',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'Where the substance is a body fluid from a patient with a BBV, it becomes reportable to the Health and Safety Executive under the Reporting of Incidents, Diseases and Dangerous Occurrences Regulations (RIDDOR) ',
			'description' => 'Splashes to the face may be received:  ',
			'field_order' => '1',
			'attachment_id' => '1363',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["When PPE is being worn but it may not be the correct type ","When PPE is not being worn as required","When PPE is being worn but the splash may breach it in an unusual way  ","Item 4During a procedure in which a splash is not generally foreseeable and PPE is not specified "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 24 => array(
			'id' => '3082',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'How is it decided that PPE is required? ',
			'description' => 'When a risk assessment is being carried out a number of things are considered before it is decided that PPE is required.  

These are things like:  ',
			'field_order' => '2',
			'attachment_id' => '1364',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Can the hazard be removed in a different way?  ","Is there a safer substance or safer way of doing the job?  ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 25 => array(
			'id' => '3083',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'bullet-points',
			'field_label' => 'Only after these things have been considered would PPE be specified because it is only effective if people use it correctly and it only protects the person using it.  ',
			'description' => 'The laws that require PPE to be worn to prevent splashes to our staff are:  ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The Management of H&S at Work Regulations 1999  ","The Control of Substances Hazardous to Health Regulations 2002  ","The Personal Protective Equipment at Work Regulations 1992  ","The Health and Safety at Work Act 1974 "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 26 => array(
			'id' => '3084',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'text-image',
			'field_label' => 'PPE is not a choice ',
			'description' => 'Where any type of PPE is specified in a risk assessment or COSHH assessment, or in training, it is A MANDATORY REQUIREMENT.   

There is no discretion to choose not to wear it if it is specified. IT IS NOT A PERSONAL CHOICE.  

There are several pieces of legislation which make the wearing of PPE a statutory requirement. ',
			'field_order' => '4',
			'attachment_id' => '1365',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 27 => array(
			'id' => '3085',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'PPE must:',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1366',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Protect against the particular hazard in question  ","Be suitable for the activities involved in the work – comfortable, give good visibility, fit securely  ","Allow appropriate communication  ","Allow appropriate mobility and dexterity   ","Allow for any individual pre-existing conditions or particular requirements of size and shape. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 28 => array(
			'id' => '3086',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'bullet-points',
			'field_label' => 'What to do if you have a problem or concern ',
			'description' => 'If you are concerned that:  ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["You do not understand why your PPE is required  ","Your PPE is not effective  ","It does not fit correctly  ","It is in poor condition  ","It is causing a health issue or pain  ","Contact your manager or supervisor to rectify any problem. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 29 => array(
			'id' => '3087',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'text-image',
			'field_label' => 'FFP3 masks',
			'description' => 'FFP3 masks must be worn when staff are caring for or in the room where a patient who is undertaking an aerosol generating procedure (AGP) with a known or suspected infectious respiratory illness, or when there is a cohort of patients with infectious respiratory illness in an area that does not meet appropriate air-changes. 

FIT testing 

Only staff FIT tested should use an FFP3 respirator and complete a FIT check for every use. Please ensure you are aware of the FFP3 you are fitted for and as masks change you are retested appropriately.   

IF THERE IS AN AMBER STICKER OR NO STICKER ON A BAY DOOR THIS INDICATES FFP3 IS REQUIRED.​ ',
			'field_order' => '7',
			'attachment_id' => '1367',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 30 => array(
			'id' => '3088',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'image-bullets',
			'field_label' => 'Slips and trips are the most common cause of injury at work.   ',
			'description' => 'On average, they cause 40 per cent of all reported major injuries and can also lead to other types of serious accidents, for example falls from height.  

Slips and trips are also the most reported injury to members of the public. 

WHAT YOU NEED TO KNOW:',
			'field_order' => '0',
			'attachment_id' => '1368',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Our most common causes of slips, trips and falls for staff.  ","What to do to prevent them "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 31 => array(
			'id' => '3089',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'image-bullets',
			'field_label' => 'In the 12 months from April 2021 to March 2022, 64 incidents were reported relating to non-patient slips, trips and falls in our workplaces. ',
			'description' => 'Causes of staff slips, trips and falls:',
			'field_order' => '1',
			'attachment_id' => '1369',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Community: 9 ","Core Clinical: 9 ","Corporate: 7 ","Estates & Facilities: 8 ","Medicine: 13 ","Non UHMB: 1 ","Surgery: 11 ","WACS: 6 "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 32 => array(
			'id' => '3090',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'text-image',
			'field_label' => '8 of these incidents have occurred where staff have slipped on floors which had just been cleaned or where spillages have occurred. In most cases “wet floor” signs were in place to warn of the risk but these are often ignored. ',
			'description' => '
HOW TO PREVENT THEM 

We work in a 24/7 busy environment so finding a good time for cleaning to be done isn’t always easy.  

Floors will be damp after cleaning and care must be taken when the warning signs indicate the risk.  

Once cleaning is completed and the floor has dried, in the hospital or clinic setting, remove the signs, as people become accustomed to seeing warning signs on dry floors and therefore begin to ignore them.  

In a patient’s own home look for spillages or leaks which can create wet floors or for any floors recently cleaned. ',
			'field_order' => '2',
			'attachment_id' => '1370',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 33 => array(
			'id' => '3091',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'bullet-points',
			'field_label' => '5 slips occurred due to spillages through incontinence, leaks from waste bags or containers, food from trolleys or trays, water from sinks and basins or in kitchens and bathrooms. ',
			'description' => 'HOW TO PREVENT THEM:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Avoid overfilling waste containers or puncturing waste bags. ","Robust spillage procedures in all areas are essential and spillages must always be cleaned up immediately.   ","If the spillage occurs outside of your area or if you are in a community environment, always ensure it is brought to the attention of the responsible person and dealt with in a timely fashion or clean it up yourself.  ","Report any faults which are leading to leaks and spills. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 34 => array(
			'id' => '3092',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'text-image',
			'field_label' => '5 incidents resulted from staff tripping over trailing cables. ',
			'description' => '
HOW TO PREVENT THEM: 

In some clinical environments, electrical cables for equipment in the work area are inevitable.  

Cable matting must always be used.   

In non-clinical areas, cables under desks and running around the work areas must be safely routed in cable-tidies and clipped out of the way of feet etc.  

In Community environments be alert to cables for devices provided for healthcare and also those relating to the patients’ own electrical devices. 

8 of the falls were over obstructions either in patients' homes or on Trust Property    

Be aware of your surroundings especially when in patients’ homes. 
',
			'field_order' => '4',
			'attachment_id' => '1371',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 35 => array(
			'id' => '3093',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'paragraph',
			'field_label' => 'What else can we do to prevent slips and trips in all workplaces? ',
			'description' => 'Report any damaged floors or mats and any repairs required to prevent leaks and spills or where lighting is not working.  

Play your part and keep the workplace tidy. Good housekeeping is essential.  

If you see items on the floor where someone could trip over them, remove them or arrange for them to be removed or for the situation to be made safe.   

If you are cleaning the floor make sure that your cleaning method is correct for the type of floor you have and use the correct concentration of cleaning product.  

If you are given safety footwear, wear it and look after it.   

Tell the responsible person about any work situation that you think is dangerous, or is becoming dangerous.  

If you have an accident or a near miss, make sure you report it through the Ulysses system promptly. This may prevent future accidents.   

When working in the community- be alert to weather and environmental conditions– such as ice, snow, flooding etc. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 36 => array(
			'id' => '3094',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'image-bullets',
			'field_label' => 'Using electrical equipment incorrectly or inappropriately or using defective electrical equipment can lead to accidents causing serious injury or death.  ',
			'description' => 'You must always carry out a visual check before using electrical equipment to identify damage which may cause an electric shock, fire or burn.   

Remember not all appliances are in hospital premises, they may be in patients’ homes.  ',
			'field_order' => '0',
			'attachment_id' => '1372',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["CRACKED PLUG/DAMAGE TO CASING – Think is this attached to an electric blanket or piece of equipment that you are about to use. Do not use it. ","BARE/EXPOSED WIRE - Some examples where this might be encountered - are you about to charge your mobile phone or are you going to use a vacuum cleaner? Do not use it. ","OVERLOADED EXTENSION LEAD AND SOCKET – an extension lead has a fuse within its plug, and each plug that is inserted into the extension lead also has a fuse. If an extension lead has a 13 amp fuse and 4 plugs inserted into it each have 13 amp fuses then the extension lead has been overloaded, however if each plug has a 3 amp fuse then the extension lead is not overloaded.   ","BURN MARKS ON PLUG.  Are you about to use a kettle and make a cup of tea for a patient in their own home? Do not use it. ","WATER COMING THROUGH AN ELECTRICAL LIGHT.  Has the tap been left running in a room above? Report it immediately and ensure the safety of occupants. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 37 => array(
			'id' => '3095',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'bullet-points',
			'field_label' => 'Before using a piece of electrical equipment you should then carry out a pre-user check. ',
			'description' => 'Pre-user checks ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Check to make sure that the equipment is suitable for the task e.g. can it be used in a wet/flammable environment?  ","Check to make sure that there are no bare wires or the plug is cracked  ","Check if it has a Portable Appliance Test (PAT) sticker  ","If equipment is defective it should be labelled, and removed from use until it is fixed.  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 38 => array(
			'id' => '3096',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Small electrical appliances should have a label on similar to the one below.  This shows that the equipment was fit for purpose on the test date under Portable Appliance Testing (PAT).  You should check to see if your appliances have this label, if not contact the Estates Department for in-hospital equipment or community equipment loan stores for community – based equipment.  If you purchase a new piece of equipment please contact the estates department to see if PAT is required. 

Medical Equipment or equipment used on patients should be maintained by the Medical Engineering Department for in-hospital equipment or community equipment loan stores for equipment in patient’s homes.  

Patients’ own equipment will not have been tested. Do not use this. ',
			'field_order' => '2',
			'attachment_id' => '1373',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 39 => array(
			'id' => '3097',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'image-bullets',
			'field_label' => 'If I don’t carry out checks or use appropriate equipment what can happen?  ',
			'description' => 'Do not touch someone who is experiencing an electric shock until the electricity supply has been turned off, otherwise you will receive a shock as well. 

TYPE OF INJURY OR HARM THAT CAN OCCUR: ',
			'field_order' => '3',
			'attachment_id' => '1374',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Death  ","Cardiac arrest  ","Burns – internal and external  ","Loss of muscle control (can’t let go) ","Broken bones – when working at height you may fall off due to the shock  ","Fire or explosion  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 40 => array(
			'id' => '3098',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'image-bullets',
			'field_label' => 'The number of incidents and accidents which involved either staff, visitors or contractors normally sits around 400 per year.    Of these incidents, around 20 are normally reported under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013.  This means they were reported to the Health and Safety Executive.  ',
			'description' => 'What you need to know ',
			'field_order' => '0',
			'attachment_id' => '1375',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Why should you report an accident?  ","Why do we investigate accidents?  ","What does RIDDOR mean? "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 41 => array(
			'id' => '3099',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'paragraph',
			'field_label' => 'Why report? ',
			'description' => 'The Trust has a duty to all patients, staff, contractors, volunteers and visitors to identify health and safety concerns and to address them before they cause an injury or harm. Any incidents or injuries must be fully investigated to understand the causes and to prevent them happening again wherever possible.  

Reporting near misses and concerns is very important as it allows wards, departments and teams to review work practices, procedures and policies to ensure that they are fit for purpose and are being followed correctly.    

Additional or revised control measures can be put in place to ensure that the near miss does not result in an accident which causes harm.  

Training is available on TMS for reporting through the Ulysses system.  

If a piece of medical equipment is in use and may have been a factor in the incident, ALWAYS QUARANTINE it, label it and store it securely until it is checked.​ ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 42 => array(
			'id' => '3100',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'image-bullets',
			'field_label' => 'Accident Investigation ',
			'description' => 'Accidents and incidents should be investigated to identify the cause so that it can be prevented from happening again.  

When investigating any accident/incident or near miss it is important that the following questions are asked.  ',
			'field_order' => '2',
			'attachment_id' => '1376',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Who ","Why ","What ","Where ","When ","How ","By asking these key questions it will provide all the information required to provide a detailed investigation. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 43 => array(
			'id' => '3101',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'bullet-points',
			'field_label' => 'Key benefits of investigation ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Making a safer work environment. ","Improving worker morale. ","Preventing further business losses from disruption, down-time and lost business. ","Developing useful skills and knowledge that can be applied throughout the organisation. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 44 => array(
			'id' => '3255',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'media-field',
			'field_label' => 'RIDDOR on a page',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1498',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 45 => array(
			'id' => '3103',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'text-links',
			'field_label' => ' Learning to improve ',
			'description' => 'When Root Cause Analyses, Rapid Reviews and other investigations are completed, any lessons learned are shared across the Trust via the Learning to Improve Bulletin.  <br><br>This is an extremely useful way of sharing lessons and ensuring that any changes required are made right across the Trust and not just in the area where the incident has taken place.  <br><br>Find these on the <a href="https://www.uhmb.nhs.uk/our-services/services/library-and-knowledge-services">Library Internet page.</a>  ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 46 => array(
			'id' => '3104',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'image-bullets',
			'field_label' => 'Driving at work',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1378',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["CAR PARKING - only park in designed car parking areas. Do not park in the loading bay areas, on double yellow lines, hatched areas or on the helipad. Across our sites there are areas where access is required for either deliveries or the emptying of skips.  These areas are clearly marked and therefore no other vehicles should park in that area.  If staff park on the helipad or access route to the helipad it means that the helicopter cannot land or the ambulance cannot take/collect the patient to/from the helicopter. ","CYCLE LANES - Cycle lanes are provided to segregate cyclists from moving vehicles. Please respect these and look for cyclists.  ","INSURANCE – you must have business insurance if you are using your car for work.  If you travel off site even for 1 day per year e.g. for a course, then you must be insured. Check with your insurance provider as you may not be covered. Make sure that your car is road worthy for travel. ","SPEED LIMIT – stick to the speed limit on site  This is 10mph.  There are deliveries taking place, pedestrians walking from one department to another and emergency vehicles on site. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 47 => array(
			'id' => '3105',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'There are risks in everything we do but we can't be sure we are providing safe and effective care unless we know what the risks are and that we are dealing with them.   ',
			'description' => 'To manage risks, we must assess and understand them. 

RECORDING OUR RISKS AND ASSESSMENTS ',
			'field_order' => '0',
			'attachment_id' => '1379',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["We record risks and assessments so that:  ","We can communicate them clearly to ensure the right people know about them  ","We can review whether we are managing the risk by making things safer or that they are not getting worse  ","We can demonstrate we know about them and are doing something about them","We comply with the legal requirements to do so"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 48 => array(
			'id' => '3106',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'Risk Assessments ',
			'description' => 'A risk assessment is a careful evaluation of the likelihood and seriousness of harm occurring in relation to a particular hazard.  

A risk assessment document identifies:  ',
			'field_order' => '1',
			'attachment_id' => '1380',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["the hazard (something with the potential to cause harm) and   ","the likelihood that it will occur  ","how serious the harm will be if it happens    ","It also identifies who might be harmed and how, what controls are currently in place and what further controls are required to reduce the risk.  ","Risk assessments are done to keep you, our patients and visitors are safe in our hospitals. Ask your Manager for any risk assessments relating to your work and ensure you follow them.  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 49 => array(
			'id' => '3107',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'text-links',
			'field_label' => 'Risk Assessments',
			'description' => 'Health and Safety Risk assessments relating to the carrying out of specific activities e.g. Using a hazardous substance, moving and handling loads of different kinds, are required under health and safety law.​ <br><br>Find these on the risk assessment inventories on the <a href="https://nhscanl.sharepoint.com/sites/HealthSafety">H&amp;S Intranet site​.</a> ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 50 => array(
			'id' => '3108',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'text-image',
			'field_label' => 'Risk Assessments',
			'description' => 'PATIENT RISK ASSESSMENTS RELATE TO THEIR CARE AND IDENTIFY THE SPECIFIC NEEDS OF THE PATIENT e.g. mobility assessment, appropriate use of bedrails.   

Find these in the PATIENT RECORD  

INDIVIDUAL STAFF RISK ASSESSMENTS ASSESS RISKS TO THE HEALTH AND SAFETY OF THAT MEMBER OF STAFF e.g. pregnancy, stress, display screen equipment.  

For these risk assessments there are templates to use. You find these templates on the Procedural Documents Library as "attachments" to the relevant policy.  

Store completed assessments in the STAFF PERSONAL FILE.  ',
			'field_order' => '3',
			'attachment_id' => '1381',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 51 => array(
			'id' => '3109',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'text-links',
			'field_label' => 'Risk Management and Risk Assessment',
			'description' => 'SOME RISKS AFFECT THE ACHIEVEMENT OF A DEPARTMENTAL, SPECIALITY, CARE GROUP OR TRUST OBJECTIVE e.g. risks to the delivery of a safe and effective service, achievement of expected standards. These need to be dynamically managed and reviewed.  <br><br>Find these on the <a href="https://nhscanl.sharepoint.com/:w:/r/sites/TrustProceduralDocumentLibrary/_layouts/15/Doc.aspx?sourcedoc=%7B638F0B71-951A-4304-B956-8527EC66B19A%7D&amp;file=Using%20the%20Risk%20Register%20for%20Communication%20and%20Reporting.docx&amp;action=default&amp;mobileredirect=true&amp;DefaultItemOpen=1">TRUST RISK REGISTER.</a>  ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 52 => array(
			'id' => '3110',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'Risk Management',
			'description' => 'Risk management is about:',
			'field_order' => '5',
			'attachment_id' => '1382',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Everyone in the trust working together to prevent risks happening and taking the right action to reduce their impact.  ","Ensuring that risks to our aims and objectives are managed so they do not prevent us achieving those objectives. ","So, in healthcare this means minimising the potential for harm to patients and visitors during their care and to staff in the delivery of our services.  ","Ensuring risks are assessed, recorded and shared. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 53 => array(
			'id' => '3111',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'Risk Management',
			'description' => 'There is a trust process for the identification, creation, escalation and monitoring of risks and there are key people in the Care Groups who link to the Health, Safety and Risk Team, providing consistent support across the organisation.  

Training is available:',
			'field_order' => '6',
			'attachment_id' => '1383',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["An E-learning package on TMS, describing how to create a risk on the Risk Register. Look for ULYSSES – RISK REGISTER - CREATING A RISK E-LEARNING ","A practical half day workshop which helps identify risks and create them on the Risk Register  ","A 4x half day training course giving a higher level of understanding of risk  management principles and process. This is linked within the Leadership Development Programme. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 54 => array(
			'id' => '3112',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'paragraph',
			'field_label' => 'Your role in Risk Management ',
			'description' => 'If you identify or feel that there is a risk that harm might be caused you must:  

Raise it with your Manager or other responsible person. Risk cannot be managed if it is not known about.  

If you think that risk persists – monitor it to see if it is becoming more likely to happen or more serious if it does. Then report it again.  

Some risks are easily resolved and can be dealt with almost immediately once highlighted. Others take much longer but can be better controlled until fully (if ever) resolved.  

If you are a Manager, Service/Clinical Lead, Supervisor etc, create a risk on the Risk Register. This will be held in a Pending folder so that other people can see it, contribute to it and agree whether it is appropriately described and scored etc.  

Once fully discussed liaise with your Governance Business Partner for presentation to the Care Group Quality Meeting for acceptance on to the Risk Register.  ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 55 => array(
			'id' => '3113',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'image-bullets',
			'field_label' => 'We use Display Screen Equipment (computers) widely in all aspects of our work across the Trust and prolonged or regular use can cause or worsen health problems if not properly managed. These may include; musculoskeletal disorders, visual fatigue and mental stress.  ',
			'description' => 'Mainly problems arise because of:   ',
			'field_order' => '0',
			'attachment_id' => '1385',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["incorrect posture whilst using DSE or","un-corrected eyesight weaknesses highlighted by long periods of use or incorrect lighting levels.   ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 56 => array(
			'id' => '3114',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'paragraph',
			'field_label' => 'DSE Definitions ',
			'description' => 'DSE WORKSTATION:   

Comprises of alphanumeric display screen, keyboard, mouse, other accessories, desk or work surface, chair, immediate environment, laptop or iPad.  

DSE USER:   

This is an employee who habitually uses DSE as a significant part of his/her normal work, wherever they work even if for short periods at a time. Identified by completing the Self-assessment form found on the H&S intranet page.

Completion of display screen equipment self assessment forms is now recorded on TMS.   

If you "hot-desk" and do not have a permanent workstation you need to complete the E-learning package to ensure you know how to set up a workstation correctly and safely.   If you have a regular workstation or work from home regularly you need to complete DSE Self assessments.  

MAKE SURE DSE SELF ASSESSMENT AND /OR THE E-LEARNING PACKAGE HAS BEEN ADDED TO YOUR TMS TO DO LIST.   ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 57 => array(
			'id' => '3116',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'image-hotspot',
			'field_label' => 'Click on each marker for more information. ',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1387',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":48.7969,"left":468,"annotation":"Lighting \n\nThe lighting should be suitable and not cause glare on your screen. If there is an issue with the lighting, a lighting assessment can be carried out"},{"top":187.797,"left":470,"annotation":"Document Holder \n\nA document holder may be required if you transfer information from sheets of paper to the computer regularly.  This will minimise the risk of pain in the shoulders and back."},{"top":162.797,"left":394,"annotation":"Screen \n\nThe characters on the screen should be easy to read.  \n\nThe image on the screen should be free from flicker.  \n\nThe brightness and contrast should be adjustable.  \n\nThe screen must swivel and tilt easily to suit the user.  \n\nThe screen should be free of reflective glare and reflections liable to cause discomfort to you. Your screen must be positioned at the correct height, if the screen is not height adjustable then a screen riser may be required.  Your eyes should be in line with the top of the computer screen  \n\nWhere dual screens are used they should be similarly positioned minimising twisting movement of the neck from side to side."},{"top":199.797,"left":415,"annotation":"Desk / Worksurface \n\nThe desk or work surface should be large enough to accommodate the screen, keyboard, mouse, documents and any other required equipment.  \n\nThe desk or work surface should be large enough for you to find a comfortable position.  \n\nThe desk or work surface should be low reflective to reduce glare."},{"top":189.797,"left":356,"annotation":"Keyboard \n\nThe keyboard should be tiltable  and separate from the screen so as to allow you to find a comfortable working position avoiding fatigue in the arms or hands.  \n\nThe space in front of the keyboard should be sufficient to provide support for your hands and arms.  \n\nThe keyboard should have a matt surface to avoid reflective glare.  \n\nThe symbols on the keys should be legible."},{"top":179.797,"left":311,"annotation":"Mouse \n\nThe mouse should be positioned so that you do not have to stretch.  Your arm should be relaxed and your wrist should not be placed firmly on the work surface in an upright position.  If you rest on your wrist this can lead to pain after excessive use.  \n\nA gel mouse mat may be required if you do not have a straight wrist."},{"top":282.797,"left":323,"annotation":"Footrest \n\nYour feet should be flat on the floor. If they’re not, ask if you can have a footrest, which lets you rest your feet at a level that’s comfortable. Don't cross your legs, as this can cut off circulation and cause hip problems."},{"top":277.797,"left":144,"annotation":"Floor space \n\nThere should be enough space for you to change position and vary movement. Remember to keep the floor clear of any trip hazards."},{"top":48.7969,"left":380,"annotation":"Window \n\nBlinds/window coverings etc may be required to avoid glare from sunlight."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 58 => array(
			'id' => '3117',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'image-bullets',
			'field_label' => 'Equipment',
			'description' => 'New or replacement equipment comes in to our workplaces continually and any piece of this has the potential to cause harm to patients, staff or visitors if not managed properly.   

To manage it properly we need to be sure that:  ',
			'field_order' => '3',
			'attachment_id' => '1388',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["it is fit for purpose   ","it has been installed or commissioned properly   ","people know how to use it safely and understand the risks if they don’t   ","it is maintained to prevent breakdowns and accidents   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 59 => array(
			'id' => '3118',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'bullet-points',
			'field_label' => 'Definitions ',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["PATIENT EQUIPMENT in this context generally means equipment on which patients are laid, transported around the hospital, raised and lowered, seated etc. ","PPM: Planned Preventative maintenance is proactive checking, servicing and maintenance to prevent things breaking down and causing injury.   ","REPAIR is a reactive response once an incident or failure has occurred which may have caused an injury or harm.   ","PUWER: Provision and Use of Work Equipment Regulations 1998  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 60 => array(
			'id' => '3119',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'paragraph',
			'field_label' => 'Equipment',
			'description' => 'Did you know that Medical Engineering now hold the central equipment inventory for ALL types of patient equipment not just electronic devices. This now includes hoists, scales, trolleys, couches etc. You may have equipment which should be on it. Check with your Medical Engineering Team or Health and Safety.

New equipment should be recorded when it arrives.  

Go to the Medical Devices Intranet page and click on NEW EQUIPMENT RECORDER.  

Medical Engineering staff will review any equipment added and ensure it is allocated to the correct inventory.  

Always check whether there is a maintenance arrangement in place on your equipment or whether you need to make one.   

When a piece of medical/ ward or clinic –based equipment is faulty or broken you must complete a fault/decontamination form and contact the phone number on the asset label to report the fault. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 61 => array(
			'id' => '3120',
			'course_id' => '113',
			'course_lesson_id' => '508',
			'field_type' => 'text-image',
			'field_label' => 'Tyoes of Contractors',
			'description' => 'Contractors come into our Trust to undertake a wide range of jobs whether it be to replenish the vending machines, deliver papers, work on specialist equipment or undertake construction work.    

By law we have responsibilities for anyone working on our premises whether they are our employee or not. We also need to ensure our vulnerable patients are safeguarded.  

We categorise our contractors into different “types”.  

Type 1 – These contractors will be managed by the Estates Capital Services Team as they will be making changes to existing buildings or undertaking large schemes which require tight control.  

Type 2 – These contractors will be managed by the Estates Operational Services Team.  These contractors may require permits to work, may be breaching fire compartmentation or working directly for Estates.   

Type 3 – These contractors would be working within a specific department on a piece of specific equipment e.g. within x-ray and would be supervised by a member of that department whilst undertaking work.  If this contractor is going to break into the infrastructure of the building the Estates Operational Services Team should be consulted.  

Type 4 – These contractors would require no supervision as they are undertaking a very low risk activity e.g. delivering books or stocking vending machine. Normal observation would be required in a clinical area. ',
			'field_order' => '0',
			'attachment_id' => '1389',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:35:27',
			'modified' => '2024-08-05 12:35:27'
		),
		(int) 62 => array(
			'id' => '3121',
			'course_id' => '113',
			'course_lesson_id' => '508',
			'field_type' => 'image-bullets',
			'field_label' => 'Clinical areas',
			'description' => 'In clinical areas, contractors’ staff must be DBS cleared or a risk assessment detailing supervisory and other requirements must be carried out by the Appointing Officer and the clinical manager.   

DBS clearance must be proven for contractors working in areas assessed as high risk.  

REQUIRED DOCUMENTATION

Sufficient information must be provided by the contractor so we can determine what’s involved in the work.   

Contractors should provide the following:  ',
			'field_order' => '1',
			'attachment_id' => '1390',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Risk Assessments","Method Statements","Health and Safety Policy; and","Relevant Training Records  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:35:27',
			'modified' => '2024-08-05 12:35:27'
		),
		(int) 63 => array(
			'id' => '3122',
			'course_id' => '113',
			'course_lesson_id' => '508',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'To ensure all contractors are fully controlled:  

All departments must ensure that contractors are ‘Signed in’.   

All contractors must be inducted and informed of local rules for the department/area they are working.  

A supervision plan must be in place for all relevant hours of the day and night and that the contractors must have a point of contact e.g. Manager of the department.  

BADGES TO BE ISSUED 

TYPE 1 & 2 contractors will be issued with a contractors badge.  

TYPE 3 & 4 contractors will be issued with a visitor badge or prominently wear their own company identification. ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:35:27',
			'modified' => '2024-08-05 12:35:27'
		),
		(int) 64 => array(
			'id' => '3123',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'text-image',
			'field_label' => 'BBV’s (Blood Borne Viruses)',
			'description' => 'BBV’s (Blood Borne Viruses) are viruses that some people carry in their blood and which may cause severe disease in certain people and few or no symptoms in others.   

The virus can spread to another person whether the carrier of the virus is ill or not. The main BBV’s of concern are:  

- HBV and HCV which cause hepatitis, a disease of the liver.  

- HIV which causes Acquired Immune Deficiency Syndrome (AIDS), affecting the immune system of the body.  

Elevated levels of anxiety and occasionally enduring psychiatric illness have also been associated with sharps injuries.  

THE RISKS ASSOCIATED WITH BLOOD AND BODY FLUID EXPOSURES  

The most serious consequence of occupational percutaneous exposure to blood or body fluids is the possibility of transmission of (BBV’s), in particular Hepatitis B virus HBV), Hepatitis C virus (HCV) and human immunodeficiency virus (HIV). lor sit amet.',
			'field_order' => '0',
			'attachment_id' => '1391',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 65 => array(
			'id' => '3124',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'bullet-points',
			'field_label' => 'In 2017/18 our staff sustained 20 needle-stick injuries for every 1000 staff.  ',
			'description' => 'Sharps injuries continue to occur: ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["After use but before disposal  ","After disposal  ","During use  ","DO IT RIGHT"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 66 => array(
			'id' => '3125',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'image-bullets',
			'field_label' => 'After use but before disposal ',
			'description' => 'Insulin pen needles are a known cause of incidents:',
			'field_order' => '2',
			'attachment_id' => '1393',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Left by bedside   ","Discarded on food trays and find their way to the kitchens  ","Left on the bed and find their way back to the laundry  ","Passed to staff to re-sheath or remove the needle    Don’t do this – if a person can self administer using their insulin pen they should be able to dispose of the needle themselves. FOLLOW THE SELF-DMINISTRATION OF INSULIN POLICY. Ensure there is a sharp-safe or sharps bin to hand for them","NEVER re-sheath a needle. This is bad practice"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 67 => array(
			'id' => '3126',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'text-image',
			'field_label' => 'During disposal',
			'description' => 'If your device is a safer device ALWAYS deploy the safety shield before you dispose of it. There are short E-Learning packages on TMS to show you how to do this – they take only a few seconds to complete.  

Ensure the sharps bin is to hand. Used sharps must not be handed to another person for disposal. They should be disposed of directly into the sharps bin by the user or placed into a receiver for later disposal.  

Sharps bins must not BE MORE THAN ¾ FULL. If you find one fuller than this, close it and replace with a new one. Always be aware that sharps may protrude from an overfull sharps bin and cause you an injury. ',
			'field_order' => '3',
			'attachment_id' => '1397',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 68 => array(
			'id' => '3127',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'paragraph',
			'field_label' => 'Sharps safety',
			'description' => 'The partial closer of a partly filled sharps bin should be pulled across to prevent spillages and accidental contact with contents.  

We performed poorly on this aspect in our last external audit. It is a simple safety precaution. 

If you use an unsafe device then there should be a risk assessment in place to justify the use and to show what controls are in place to reduce the risk of injury.    

These can be found on the Risk Assessment Inventory on the Intranet.  

If you use a non-safe sharp for which there is no risk assessment please contact the H&S Dept.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 69 => array(
			'id' => '3128',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'image-bullets',
			'field_label' => 'Correct disposal ',
			'description' => 'Has the sharp been contaminated with any medical product or their residues? ',
			'field_order' => '5',
			'attachment_id' => '1395',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["No – Dispose into orange lid sharps container E.W.C. Code 18.01.03 Hazardous ","Yes – Dispose into yellow lid sharps container E.W.C. Code 18.01.03 Hazardous "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 70 => array(
			'id' => '3129',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'image-bullets',
			'field_label' => 'Is the sharp cytotoxic or cytostatic? ',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1396',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Yes - Dispose into purple lid sharps container E.W.C. Code 18.01.09 Non Hazardous ","Item 2","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 71 => array(
			'id' => '3130',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'bullet-points',
			'field_label' => 'Actions to take in event of an injury',
			'description' => 'In event of a needlestick injury;  ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Complete first aid  ","Complete a risk assessment (found In the Blood Borne Virus Policy)  ","Refer to ED or Occupational Health  ","Complete a Clinical Incident on Ulysses   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 72 => array(
			'id' => '3131',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'text-image',
			'field_label' => 'Some Facts About Stress ',
			'description' => '828,000 workers suffering from work-related stress, depression or anxiety (new or long-standing) in 2020/21. This is compared to 526,000 in 2016/17 (HSE)  

17.9 million working days lost in 2019/2020. This is a huge increase compared to 12.5 million days lost in 2016/17 (HSE)  

Work-related stress, depression or anxiety continues to represent a significant ill health condition in the workforce of Great Britain. Work-related stress, depression or anxiety accounts for 51% of work-related ill health and 55% of working days lost, in 2019/20 (HSE)  

The occupations and industries reporting the highest rates of work-related stress, depression or anxiety remain consistently in the health and public sectors of the economy.  ',
			'field_order' => '0',
			'attachment_id' => '1398',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 73 => array(
			'id' => '3132',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-hotspot',
			'field_label' => ' Signs and symptoms of stress',
			'description' => 'Click on each marker for more info.',
			'field_order' => '1',
			'attachment_id' => '1399',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":69.3906,"left":111,"annotation":"Headaches"},{"top":329.391,"left":103,"annotation":"Indigestion"},{"top":87.3906,"left":244,"annotation":"Colds/Flu"},{"top":208.391,"left":295,"annotation":"Skin irritations"},{"top":64.3906,"left":246,"annotation":"Acne"},{"top":220.391,"left":401,"annotation":"High BP"},{"top":80.3906,"left":77,"annotation":"Sleepiness"},{"top":115.391,"left":395,"annotation":"Breathlessness"},{"top":341.391,"left":257,"annotation":"Fatigue"},{"top":398.391,"left":117,"annotation":"Frequent infections"},{"top":293.391,"left":231,"annotation":"Taught muscles"}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 74 => array(
			'id' => '3133',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-bullets',
			'field_label' => 'Behaviour',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1400',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Smoking ","Alcohol ","Increased caffeine ","Apathetic ","Irritability and aggression ","Withdrawal ","Increased forgetfulness ","Crying ","Moodiness and sulking ","Obsessive behaviour ","Increased mistakes ","Decreased personal standards "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 75 => array(
			'id' => '3134',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-bullets',
			'field_label' => 'Mind',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1401',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Confused ","Nightmares ","Negative ","Indecisiveness ","Poor concentration ","Blinkered ","Constant criticism and cynicism ","Worrying ","Hasty decisions ","Things out of proportion "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 76 => array(
			'id' => '3135',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-bullets',
			'field_label' => 'Emotion ',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1402',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Anxiety ","Apathy ","Anger ","Feeling hopeless ","Loss of confidence ","Depression ","Alienation ","Negativity ","De-motivated ","Low self-esteem "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 77 => array(
			'id' => '3136',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'bullet-points',
			'field_label' => 'How to get support ',
			'description' => 'There is lots of support:  ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Early discussion with your Manager or Workforce Advisor can help to manage the pressures you may be feeling.  ","A stress risk assessment at this point will help to identify what actions can be taken immediately to support you in your workplace.  ","A management referral or self-referral to Occupational Health will help to identify what further support you may need and direct you to appropriate available therapies and other support.  ","Occupational Health deliver a number of courses and opportunities to understand and deal with stress (mindfulness, stress management). Look on the Occupational Health intranet for details. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 78 => array(
			'id' => '3137',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'text-image',
			'field_label' => 'The approved NHS definition of violence and aggression is:  ',
			'description' => '“The application of force, severe threat or serious abuse by members of the public towards people arising out of the course of their work whether or not they are on duty. This includes severe verbal abuse or threat where this is judged likely to turn into actual violence, serious or persistent harassment (including racial or sexual harassment with a weapon; major or minor injuries and fatalities.)”  ',
			'field_order' => '0',
			'attachment_id' => '1403',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 79 => array(
			'id' => '3138',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'text-image',
			'field_label' => 'Early recognition & prevention',
			'description' => 'There are sometimes warning signs that a person’s normal behaviour is changing, such as a raised voice or clenching fists etc; if a member of staff is observant and reports these changes, actions can be taken which may avert a violent episode.  

If a person shows any indication of these changes, the member of staff must report the changes to the head of department or ward.  Even if proved unfounded, it is advisable that a senior member of staff is alerted to the potential problem.  ',
			'field_order' => '1',
			'attachment_id' => '1404',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 80 => array(
			'id' => '3139',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'bullet-points',
			'field_label' => 'De-escalation',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Remain calm  ","Maintain adequate distance  ","Move towards a safe place","Keep your body relaxed, Control your breathing to ensure you do not become tense  ","Keep the aggressor talking, Acknowledge concerns and feelings  ","Explain what is happening and why ","Use designated pathways "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 81 => array(
			'id' => '3140',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'text-image',
			'field_label' => 'Dealing with aggression',
			'description' => 'Stay calm, speak gently, slowly and clearly. 

Do not be enticed into an argument. 

Do not hide behind your authority, status or jargon. 

Tell the person who you are, ask their name and tell them what you want them to do. 

Try to defuse the situation by talking things through as reasonable adults, while remembering your first duty of care is to yourself. 

Avoid an aggressive stance.  Crossed arms, hands on hips, a wagging finger or a raised arm will challenge and confront.  

Keep your distance. 

Do not look down on the aggressor. 

Plan and keep an escape route accessible, AND IF YOU FEEL THE SITUATION HAS GONE BEYOND YOUR CONTROL DO NOT HESITATE TO USE IT. ',
			'field_order' => '3',
			'attachment_id' => '1405',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 82 => array(
			'id' => '3141',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What roles do the H&S Reps and Champions play? ',
			'description' => 'select an answer',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Inspections within their department ","Consultation on health & safety policies and issues","Audits ","All of the above and more "]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 83 => array(
			'id' => '3142',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => ' Where do you find Health and safety policies?',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => '1406',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["In the manager\u2019s office  ","On the Procedural Document Library on the intranet ","In a file in the restroom "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 84 => array(
			'id' => '3143',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are your responsibilities in relation to hazardous substances? ',
			'description' => 'select one or more answers ',
			'field_order' => '2',
			'attachment_id' => '1407',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Use whatever you think does the job best ","Ensure you know what hazardous substances there are in your area ","Read the COSHH assessment, SOP or guidance poster before you use a hazardous substance ","Ask someone else to do the job so you don\u2019t have to use them "]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 85 => array(
			'id' => '3144',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'A COSHH assessment: ',
			'description' => 'select an answer',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Should be read and understood by everyone using the substance ","Helps you protect patients ","Tells you how to store, make up, use, transport and dispose of a hazardous substance correctly ","All of the above "]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 86 => array(
			'id' => '3145',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Where ligature risks cannot be removed from the environment we must use: ',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Careful assessment and attention to the individual ","Timely repair of damage and disrepair  ","Excellent housekeeping ","Keeping locked, all areas which can be accessed unseen or undisturbed ","All of the above "]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 87 => array(
			'id' => '3146',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'The ligature knife is found:',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["In the central airway section of a Grab Bag ","At the nurses station on a ward ","In the clean utility ","In the first drawer of the Resus Trolley "]',
			'field_correct' => '0,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 88 => array(
			'id' => '3147',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What is the main reason why eye splashes occur to our staff? ',
			'description' => 'select an answer',
			'field_order' => '6',
			'attachment_id' => '1408',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Safety glasses fall off during a procedure ","Staff accidentally rub substances into their eyes  ","Staff do not wear eye protection when it is specified "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 89 => array(
			'id' => '3148',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following statements is wrong?',
			'description' => 'select an answer ',
			'field_order' => '7',
			'attachment_id' => '1409',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["If it is specified on a risk assessment or in training but you think there is no real risk you can choose not to wear it ","There are several regulations which require the use of PPE to protect staff from hazards in their work ","When your training has included the use of PPE you must use it ","When the risk assessment states PPE is required, you must use it "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 90 => array(
			'id' => '3149',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Why is PPE the least robust way of protecting staff? ',
			'description' => 'select an answer',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It only protects the individual using it ","It can be breached if not fitted and worn correctly ","It relies on the individual to make sure they wear it and human beings are \u201cthe weakest link\u201d! ","All of the above "]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 91 => array(
			'id' => '3150',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Which one of these is NOT one of our most common causes of slips, trips and falls for staff?',
			'description' => 'select an answer',
			'field_order' => '9',
			'attachment_id' => '1410',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Staff wearing high heels ","Slippery floors caused by spillages ","Floors still damp after cleaning ","Trailing cables "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 92 => array(
			'id' => '3151',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Which of these actions are good controls for reducing slips, trips and falls? ',
			'description' => 'select an answer',
			'field_order' => '10',
			'attachment_id' => '1411',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Prevent spills by reporting leaks and disposing of waste carefully to avoid puncturing waste bags ","Never run cables across walkways and be mindful of cables in the clinical areas ","Remove wet floor signs as soon as the floor dries ","Do not ignore a wet floor warning sign ","React immediately when a spillage occurs or is found ","All of the above "]',
			'field_correct' => '5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 93 => array(
			'id' => '3152',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What does RIDDOR stand for? ',
			'description' => 'select an answer',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Reporting of Incidents, Disasters and Dangerous Occurrences Regulations ","Reporting of Incidents, Deaths and Dangerous Occurrences Regulations ","Reporting of Injuries, Diseases and Dangerous Occurrences Regulations  "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 94 => array(
			'id' => '3153',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What is one of the benefits of investigating incidents? ',
			'description' => 'select an answer',
			'field_order' => '12',
			'attachment_id' => '1412',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To improve staff morale ","To blame somebody ","To undertake a tick box exercise "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 95 => array(
			'id' => '3154',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What is the speed limit on site? ',
			'description' => 'select an answer',
			'field_order' => '13',
			'attachment_id' => '1413',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["5 mph ","10 mph ","15 mph ","20 mph "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 96 => array(
			'id' => '3155',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'What does a risk assessment document identify? ',
			'description' => 'select one or more answers ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The hazard ","The likelihood it will occur ","Controls in place  ","Who may be harmed "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 97 => array(
			'id' => '3156',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Where are Health and Safety Risk assessments located?',
			'description' => 'select an answer',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Health and Safety Intranet site ","Ward or Department ","Manager\u2019s Office ","Health and Safety Office "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 98 => array(
			'id' => '3157',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'When a risk affects the achievement of an objective (e.g safe patient care) where would we record and find this? ',
			'description' => 'select an answer',
			'field_order' => '16',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Health and Safety Intranet site ","In a file in the Managers Office ","On the Trust Risk register ","Nowhere; we wouldn't record it "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 99 => array(
			'id' => '3158',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Where should you record that your DSE assessment has been completed? ',
			'description' => 'select an answer',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["TMS (as DSE Self-assessment) ","On the noticeboard ","In your diary "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 100 => array(
			'id' => '3159',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What does PPM stand for?',
			'description' => 'select an answer',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Push, Pull Movement ","Prepared Property Maintenance  ","Planned Preventative Maintenance ","Proven Preventative Maintenance"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 101 => array(
			'id' => '3160',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Who holds the central equipment inventory?',
			'description' => 'select an answer',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Estates ","Medical Engineering ","Health and Safety ","Supplies "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 102 => array(
			'id' => '3161',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'During disposal you should always: ',
			'description' => 'select an answer',
			'field_order' => '20',
			'attachment_id' => '1414',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Completely fill the sharps bin before closing it ","Pass your sharp to a colleague to make sure it is disposed of correctly  ","Deploy any safety device "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 103 => array(
			'id' => '3162',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'The partial closer should always be used:',
			'description' => 'select an answer',
			'field_order' => '21',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To prevent accidental spillages ","To keep the area tidy ","To prevent smells "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 104 => array(
			'id' => '3163',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'How many reported working days were lost in 2019/20 due to work-related stress, depression or anxiety?',
			'description' => 'select an answer',
			'field_order' => '22',
			'attachment_id' => '1415',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["7.6 thousand ","17.9 million ","15.1 million  "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 105 => array(
			'id' => '3164',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'How does the HSE define stress?',
			'description' => 'select an answer',
			'field_order' => '23',
			'attachment_id' => '1416',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["\u201cThe adverse reaction people have to excessive pressures or other types of demands placed upon them.\u201d  ","\u201cThe non-specific response of the body to any demand for change.\u201d ","\u201cState of mental or emotional strain or tension resulting from adverse or demanding circumstances.\u201d "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 106 => array(
			'id' => '3165',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'What should a member of staff do if they have been a victim of violence or aggression at work?',
			'description' => 'select one or more answers',
			'field_order' => '24',
			'attachment_id' => '1417',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Complete a clinical incident ","Report it to their manager ","Report it to the police ","Request support if their case ends up in court "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3058',
		(int) 1 => '3059',
		(int) 2 => '3060',
		(int) 3 => '3061',
		(int) 4 => '3062',
		(int) 5 => '3063',
		(int) 6 => '3064',
		(int) 7 => '3065',
		(int) 8 => '3066',
		(int) 9 => '3067',
		(int) 10 => '3068',
		(int) 11 => '3069',
		(int) 12 => '3070',
		(int) 13 => '3071',
		(int) 14 => '3072',
		(int) 15 => '3252',
		(int) 16 => '3253',
		(int) 17 => '3075',
		(int) 18 => '3077',
		(int) 19 => '3076',
		(int) 20 => '3078',
		(int) 21 => '3254',
		(int) 22 => '3080',
		(int) 23 => '3081',
		(int) 24 => '3082',
		(int) 25 => '3083',
		(int) 26 => '3084',
		(int) 27 => '3085',
		(int) 28 => '3086',
		(int) 29 => '3087',
		(int) 30 => '3088',
		(int) 31 => '3089',
		(int) 32 => '3090',
		(int) 33 => '3091',
		(int) 34 => '3092',
		(int) 35 => '3093',
		(int) 36 => '3094',
		(int) 37 => '3095',
		(int) 38 => '3096',
		(int) 39 => '3097',
		(int) 40 => '3098',
		(int) 41 => '3099',
		(int) 42 => '3100',
		(int) 43 => '3101',
		(int) 44 => '3255',
		(int) 45 => '3103',
		(int) 46 => '3104',
		(int) 47 => '3105',
		(int) 48 => '3106',
		(int) 49 => '3107',
		(int) 50 => '3108',
		(int) 51 => '3109',
		(int) 52 => '3110',
		(int) 53 => '3111',
		(int) 54 => '3112',
		(int) 55 => '3113',
		(int) 56 => '3114',
		(int) 57 => '3116',
		(int) 58 => '3117',
		(int) 59 => '3118',
		(int) 60 => '3119',
		(int) 61 => '3120',
		(int) 62 => '3121',
		(int) 63 => '3122',
		(int) 64 => '3123',
		(int) 65 => '3124',
		(int) 66 => '3125',
		(int) 67 => '3126',
		(int) 68 => '3127',
		(int) 69 => '3128',
		(int) 70 => '3129',
		(int) 71 => '3130',
		(int) 72 => '3131',
		(int) 73 => '3132',
		(int) 74 => '3133',
		(int) 75 => '3134',
		(int) 76 => '3135',
		(int) 77 => '3136',
		(int) 78 => '3137',
		(int) 79 => '3138',
		(int) 80 => '3139',
		(int) 81 => '3140',
		(int) 82 => '3141',
		(int) 83 => '3142',
		(int) 84 => '3143',
		(int) 85 => '3144',
		(int) 86 => '3145',
		(int) 87 => '3146',
		(int) 88 => '3147',
		(int) 89 => '3148',
		(int) 90 => '3149',
		(int) 91 => '3150',
		(int) 92 => '3151',
		(int) 93 => '3152',
		(int) 94 => '3153',
		(int) 95 => '3154',
		(int) 96 => '3155',
		(int) 97 => '3156',
		(int) 98 => '3157',
		(int) 99 => '3158',
		(int) 100 => '3159',
		(int) 101 => '3160',
		(int) 102 => '3161',
		(int) 103 => '3162',
		(int) 104 => '3163',
		(int) 105 => '3164',
		(int) 106 => '3165'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '113'
$k = (int) 11
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
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		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '60',
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		(int) 10 => '6'
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	(int) 111 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 113 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 112 => array(
		(int) 0 => '13',
		(int) 1 => '64',
		(int) 2 => '62',
		(int) 3 => '63',
		(int) 4 => '61',
		(int) 5 => '60',
		(int) 6 => '7',
		(int) 7 => '6'
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	(int) 114 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
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	(int) 115 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 118 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 116 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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			),
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
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			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
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			(int) 18 => array(
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			),
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				[maximum depth reached]
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			(int) 31 => array(
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			),
			(int) 32 => array(
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			),
			(int) 33 => array(
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			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
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			(int) 38 => array(
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
			'banner_media_id' => '1616',
			'thumbnail_media_id' => '1617',
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			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 14:59:06',
			'modified' => '2024-08-07 14:26:42',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'field_count' => (int) 52,
			'answer_count' => (int) 0,
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			(int) 15 => array(
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			(int) 16 => array(
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			(int) 24 => array(
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			(int) 28 => array(
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			(int) 17 => array(
				[maximum depth reached]
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			(int) 18 => array(
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			(int) 19 => array(
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			(int) 20 => array(
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			(int) 22 => array(
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			(int) 23 => array(
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			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
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			(int) 26 => array(
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			(int) 27 => array(
				[maximum depth reached]
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			(int) 28 => array(
				[maximum depth reached]
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			(int) 29 => array(
				[maximum depth reached]
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			(int) 30 => array(
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			(int) 31 => array(
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			(int) 32 => array(
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			(int) 39 => array(
				[maximum depth reached]
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			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
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			(int) 42 => array(
				[maximum depth reached]
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			(int) 43 => array(
				[maximum depth reached]
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			(int) 44 => array(
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			(int) 45 => array(
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			),
			(int) 46 => array(
				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3166',
			(int) 1 => '3243',
			(int) 2 => '3244',
			(int) 3 => '3169',
			(int) 4 => '3170',
			(int) 5 => '3171',
			(int) 6 => '3245',
			(int) 7 => '3173',
			(int) 8 => '3174',
			(int) 9 => '3175',
			(int) 10 => '3246',
			(int) 11 => '3247',
			(int) 12 => '3178',
			(int) 13 => '3179',
			(int) 14 => '3248',
			(int) 15 => '3181',
			(int) 16 => '3182',
			(int) 17 => '3183',
			(int) 18 => '3249',
			(int) 19 => '3185',
			(int) 20 => '3186',
			(int) 21 => '3187',
			(int) 22 => '3188',
			(int) 23 => '3189',
			(int) 24 => '3190',
			(int) 25 => '3191',
			(int) 26 => '3192',
			(int) 27 => '3193',
			(int) 28 => '3195',
			(int) 29 => '3196',
			(int) 30 => '3197',
			(int) 31 => '3198',
			(int) 32 => '3250',
			(int) 33 => '3200',
			(int) 34 => '3251',
			(int) 35 => '3203',
			(int) 36 => '3204',
			(int) 37 => '3205',
			(int) 38 => '3208',
			(int) 39 => '3206',
			(int) 40 => '3207',
			(int) 41 => '3209',
			(int) 42 => '3210',
			(int) 43 => '3211',
			(int) 44 => '3212',
			(int) 45 => '3213',
			(int) 46 => '3214',
			(int) 47 => '3215',
			(int) 48 => '3216',
			(int) 49 => '3217',
			(int) 50 => '3219',
			(int) 51 => '3218',
			(int) 52 => '3220',
			(int) 53 => '3221',
			(int) 54 => '3222',
			(int) 55 => '3223',
			(int) 56 => '3224',
			(int) 57 => '3225',
			(int) 58 => '3226',
			(int) 59 => '3227',
			(int) 60 => '3228',
			(int) 61 => '3229',
			(int) 62 => '3230',
			(int) 63 => '3231',
			(int) 64 => '3232',
			(int) 65 => '3233',
			(int) 66 => '3234',
			(int) 67 => '3235',
			(int) 68 => '3237',
			(int) 69 => '3238',
			(int) 70 => '3239',
			(int) 71 => '3240',
			(int) 72 => '3241',
			(int) 73 => '3242'
		)
	),
	(int) 11 => array(
		'Course' => array(
			'id' => '113',
			'course_title' => 'Health & Safety (NHS Core Skills)',
			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
			'banner_media_id' => '1418',
			'thumbnail_media_id' => '1419',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'field_count' => (int) 107
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 498 => array(
				[maximum depth reached]
			),
			(int) 499 => array(
				[maximum depth reached]
			),
			(int) 500 => array(
				[maximum depth reached]
			),
			(int) 501 => array(
				[maximum depth reached]
			),
			(int) 502 => array(
				[maximum depth reached]
			),
			(int) 503 => array(
				[maximum depth reached]
			),
			(int) 504 => array(
				[maximum depth reached]
			),
			(int) 505 => array(
				[maximum depth reached]
			),
			(int) 506 => array(
				[maximum depth reached]
			),
			(int) 507 => array(
				[maximum depth reached]
			),
			(int) 508 => array(
				[maximum depth reached]
			),
			(int) 509 => array(
				[maximum depth reached]
			),
			(int) 510 => array(
				[maximum depth reached]
			),
			(int) 511 => array(
				[maximum depth reached]
			),
			(int) 512 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
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			),
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			),
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			),
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				[maximum depth reached]
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			(int) 75 => array(
				[maximum depth reached]
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			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
			(int) 81 => array(
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			),
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
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			),
			(int) 102 => array(
				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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	),
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			'id' => '112',
			'course_title' => 'Equality Diversity And Inclusion E-Learning',
			'description' => 'Welcome to this e-Learning package on Equality, Diversity and Human Rights. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1323',
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			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 09:12:40',
			'modified' => '2024-08-07 14:24:36'
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			),
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			),
			(int) 6 => array(
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			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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	),
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			'description' => 'Welcome to this e-Learning package on Fire Safety &ndash; Level 1. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
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			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 13:04:44',
			'modified' => '2024-08-07 14:24:24'
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			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 31 => array(
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			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
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			),
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			),
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			)
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	),
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			'course_title' => 'Conflict Resolution (Core Skill) Training',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Conflict Resolution Level 1&nbsp;in the UK Core Skills Training Framework (UK CSTF).',
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			'logo_media_id' => null,
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			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 Minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 10:15:23',
			'modified' => '2024-08-07 14:23:51'
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			'field_label' => 'Health and safety training is required by law.    We all need to know about the risks facing us in our work, how we manage them and what our own part is in that.    This package will be valid for 3 years from 2023 to 2026. Any additional updates within that time will be provided in other ways to keep you up to date. ',
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			'description' => 'The Health and Safety at Work Act 1974 (H.A.S.A.W.) is the main piece of law which keeps us all safe at work regardless of what our job is.  

All employees have a duty to take reasonable care for the health and safety of themselves and others who may be affected by their acts or omissions whilst at work.  

This means we look after ourselves, our patients, our visitors, our colleagues and anyone else on our premises. ',
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			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 4 => array(
			'id' => '3062',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'bullet-points',
			'field_label' => 'Your specific duties under the H.A.S.A.W. Act are:  ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Employees must take steps to adequately protect the health and safety of themselves and colleagues at work  ","Employees must not disrupt or interfere with anything put in place to aid in health and safety at work  ","Employees must cooperate with their employer in their attempts to meet their statutory obligations under the act. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 5 => array(
			'id' => '3063',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'bullet-points',
			'field_label' => 'This means  ',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["following health and safety instructions provided by the employer.  ","correctly using personal protective equipment and clothing.  ","taking care to use equipment safely and for its intended purpose.  ","reporting hazards and potential problems without delay. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 6 => array(
			'id' => '3064',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'image-bullets',
			'field_label' => 'Consulting with employees',
			'description' => 'Employees are consulted on health and safety issues via different avenues.  We have a network of over 200 Health and Safety Reps/champions and Health Advocates and these staff are pivotal in ensuring that the health and safety message is cascaded to staff within their area.   

Issues are consulted on via the following pathway: ',
			'field_order' => '5',
			'attachment_id' => '1350',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Health and Safety Reps, champions and Advocates meetings  ","Health and Safety Committee  ","Quality Assurance Committee  ","Trust Board "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 7 => array(
			'id' => '3065',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'image-bullets',
			'field_label' => 'Health & Safety Reps / champions & Health Advocates',
			'description' => 'Health & Safety Representatives/Champions are invaluable and vital to the effective running of the organisation. Health & Safety representatives/Champions  are legally entitled to be involved in:  ',
			'field_order' => '6',
			'attachment_id' => '1351',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Inspections within their department  ","Audits  ","Consultation on health & safety policies","Assisting their manager in raising health & safety awareness within the department  ","Promoting health and wellbeing throughout the Trust","Visits and investigations by the Health ​and Safety Executive "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 8 => array(
			'id' => '3066',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'paragraph',
			'field_label' => ' Health & Safety Reps / champions & Health Advocates ',
			'description' => 'It is expected that there is at least one Health and Safety Rep or Champion in each ward or department and there are currently around 200 across the trust made up of union and non-union appointed Reps. For anyone interested in becoming one, contact the Health and Safety Department:  

Ext: 45260   

Mobile: 07890 044140 

health.safety@mbht.nhs.uk  

or contact your Union.  

In order for the Reps and Champions to work effectively there is a one day course to explain their role and improve their knowledge and skills.  

Safety Reps/Champions meet quarterly cross-bay by Teams and each one is expected to attend twice yearly as a minimum. There is also an annual seminar day and a 6-monthly update workshop.  ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 9 => array(
			'id' => '3067',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'paragraph',
			'field_label' => 'Health, Safety and Risk Policies ',
			'description' => 'All Health, Safety and Risk policies are held on the Trust Procedural Documents Library on the intranet.  

Where relevant there will be a Policy on a Page to summarise the key things you need to know and do.  

Policies lay out responsibilities for those who need to take action and the systems for how they will do that. ',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 10 => array(
			'id' => '3068',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'image-bullets',
			'field_label' => 'Control of Substances Hazardous to Health ',
			'description' => 'The Control of Substances Hazardous to Health Regulations (C.O.S.H.H.) state that employees should not be exposed to any substances hazardous to health unless a suitable and sufficient risk assessment has been carried out, and controls are in place.  

Good management of substances also protects patients. Safe storage and is essential. ',
			'field_order' => '0',
			'attachment_id' => '1352',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["What you need to know ","What forms do hazardous substances come in?  ","How do they get into the body?  ","What should be included in a COSHH Risk Assessment?  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 11 => array(
			'id' => '3069',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'image-bullets',
			'field_label' => 'What is the COSHH inventory and how can I find a COSHH assessment for my substance?  ',
			'description' => 'There are two Policies - one for Staff and one for Managers  – which are shown later.

Hazardous substances enter or affect the body in a number of ways through different routes of entry.  

To reduce the risk of harm, the correct procedure should be followed and the correct type of personal protective equipment should be worn.  

This will be stated on the COSHH risk assessment and should be adhered to. 

ROUTES OF ENTRY ',
			'field_order' => '1',
			'attachment_id' => '1353',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["skin contact ","skin absorption ","puncture wound ","inhalation or respiration ","ingestion "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 12 => array(
			'id' => '3070',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'A substance can cause harm at different stages in its use, storage or transportation.  

Our C.O.S.H.H. assessment covers all of these stages on one form.   

This is to make sure that anyone who comes into contact with the substance, regardless of their job or role, is protected properly against the risks.  

Medicines do not normally fall under the C.O.S.H.H. Regs. 

What C.O.S.H.H. assessments must include: ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Using the substance ","Disposal of the substance ","Storing the substance ","Making up of the substance ","Transporting the substance "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 13 => array(
			'id' => '3071',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'image-bullets',
			'field_label' => 'Patients may be harmed if hazardous substances are not kept secure:  ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1354',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Do not leave substances unattended.  ","Keep substances in locked cupboards or rooms.  ","Do not leave doors unlocked or “on the latch”.","Do not leave doors unlocked or “on the latch”.","Do not write door codes on door casings or nearby. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 14 => array(
			'id' => '3072',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'paragraph',
			'field_label' => 'Patient safety ',
			'description' => 'The CQC will look at the risk to patients and how well we are controlling our risk from hazardous substances.  

HEALTH AND SOCIAL CARE ACT REGULATION 2014 REGULATION 12: SAFE CARE AND TREATMENT.  

The Health and Safety Executive will look at risk to Patients, Visitors and staff  

HEALTH AND SAFETY AT WORK ACT 1974 SECTIONS 2,3, AND 4. ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 15 => array(
			'id' => '3075',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'image-bullets',
			'field_label' => 'There have been 19 ligature incidents on Trust premises between June 21 and May 22 in our hospitals.    It is not possible to remove all ligatures or potential anchor points in our care environment as many of the hazards are present because of the equipment and environment necessary for the care and treatment of our patients. ',
			'description' => 'WHAT YOU NEED TO KNOW 

Where we cannot provide a ligature free environment, we must have robust patient management processes in place for each individual vulnerable patient.  

Where ligature risks cannot be removed, we must rely on:​  ',
			'field_order' => '0',
			'attachment_id' => '1359',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Careful assessment and attention to the individual​ patient.  ","Keeping locked, all areas which can be accessed unseen or undisturbed.​  ","Timely repair of damage and disrepair.​  ","Excellent housekeeping​. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 16 => array(
			'id' => '3076',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'image-bullets',
			'field_label' => 'All of these items can present a risk of strangulation. Click on each one for more information. ',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1360',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["EMERGENCY PULL CORDS AND LIGHT PULL CORDS should be fitted with breakable links which part under abnormal strain ","MEDICAL GAS POINTS provide a point to which a ligature can be attached ","GRID-STYLE CEILINGS allow the ceiling tiles to be easily lifted and pipes other services routed above them are revealed. These provide a secure point from which a ligature can be attached ","MONITOR/TV ARMS e.g. at the bedhead can be used as a ligature point particularly in a side room where levels of observation are lower ","DISPOSABLE PLASTIC APRONS are widely accessible and can be used as a ligature attached to a ligature anchor point ","BED CURTAIN RAILS OR WINDOW CURTAIN RAILS are often used as anchor points and the curtains can be used as a ligature. Collapsible rails and ligature – safe curtain hooks are widely used","CABLES of all types from equipment can be used as ligatures ","BLIND CORDS can be used deliberately as a ligature. They have also been the cause of accidental strangulation and must be either replaced with a hard “wand”–type closer or secured through a fixed eyelet to the window reveal or window bottom in patient areas "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 17 => array(
			'id' => '3077',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => 'All clinical areas have had assessments carried out to identify the ligature points and ligature risks in that area.  

Ligature risk assessments are stored on the H&S intranet pages.  

Matrons are required to review the assessments annually and update them.  

Make sure you know what the risks are in your area. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 18 => array(
			'id' => '3078',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'paragraph',
			'field_label' => 'All clinical areas have had assessments carried out to identify the ligature points and ligature risks in that area.  ',
			'description' => '
Ligature risk assessments are stored on the H&S intranet pages.  

Matrons are required to review the assessments annually and update them.  

Make sure you know what the risks are in your area. 


IN OUR HOSPITAL SETTINGS  

Phone 2222.  

A ligature knife is found in the 1st drawer of the Resus Trolley and the central  airway section of the grab bag, or other accessible place if no Resus Trolley is in use.  


IN OUR COMMUNITY SETTING  

Phone 999  

Try to release the tension on the ligature by placing a table or chair beneath the person  

Await assistance ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 19 => array(
			'id' => '3080',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'Protecting against splashes to the face  ',
			'description' => 'In 2021/22 we have seen 24 incidents occurring which involved hazardous substances.   

Of those incidents, 14 were splashes to the face, eyes and mouth and many of these splashes were of body fluids from patients known to carry a blood borne virus (BBV). In the vast majority of these cases, face protection was not worn. 

WHAT YOU NEED TO KNOW:',
			'field_order' => '0',
			'attachment_id' => '1362',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["How decisions are made about PPE ","Using PPE is not a choice","What to do if you have a problem or concern about PPE  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 20 => array(
			'id' => '3081',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'Where the substance is a body fluid from a patient with a BBV, it becomes reportable to the Health and Safety Executive under the Reporting of Incidents, Diseases and Dangerous Occurrences Regulations (RIDDOR) ',
			'description' => 'Splashes to the face may be received:  ',
			'field_order' => '1',
			'attachment_id' => '1363',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["When PPE is being worn but it may not be the correct type ","When PPE is not being worn as required","When PPE is being worn but the splash may breach it in an unusual way  ","Item 4During a procedure in which a splash is not generally foreseeable and PPE is not specified "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 21 => array(
			'id' => '3082',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'How is it decided that PPE is required? ',
			'description' => 'When a risk assessment is being carried out a number of things are considered before it is decided that PPE is required.  

These are things like:  ',
			'field_order' => '2',
			'attachment_id' => '1364',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Can the hazard be removed in a different way?  ","Is there a safer substance or safer way of doing the job?  ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 22 => array(
			'id' => '3083',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'bullet-points',
			'field_label' => 'Only after these things have been considered would PPE be specified because it is only effective if people use it correctly and it only protects the person using it.  ',
			'description' => 'The laws that require PPE to be worn to prevent splashes to our staff are:  ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The Management of H&S at Work Regulations 1999  ","The Control of Substances Hazardous to Health Regulations 2002  ","The Personal Protective Equipment at Work Regulations 1992  ","The Health and Safety at Work Act 1974 "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 23 => array(
			'id' => '3084',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'text-image',
			'field_label' => 'PPE is not a choice ',
			'description' => 'Where any type of PPE is specified in a risk assessment or COSHH assessment, or in training, it is A MANDATORY REQUIREMENT.   

There is no discretion to choose not to wear it if it is specified. IT IS NOT A PERSONAL CHOICE.  

There are several pieces of legislation which make the wearing of PPE a statutory requirement. ',
			'field_order' => '4',
			'attachment_id' => '1365',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 24 => array(
			'id' => '3085',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'PPE must:',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1366',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Protect against the particular hazard in question  ","Be suitable for the activities involved in the work – comfortable, give good visibility, fit securely  ","Allow appropriate communication  ","Allow appropriate mobility and dexterity   ","Allow for any individual pre-existing conditions or particular requirements of size and shape. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 25 => array(
			'id' => '3086',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'bullet-points',
			'field_label' => 'What to do if you have a problem or concern ',
			'description' => 'If you are concerned that:  ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["You do not understand why your PPE is required  ","Your PPE is not effective  ","It does not fit correctly  ","It is in poor condition  ","It is causing a health issue or pain  ","Contact your manager or supervisor to rectify any problem. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 26 => array(
			'id' => '3087',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'text-image',
			'field_label' => 'FFP3 masks',
			'description' => 'FFP3 masks must be worn when staff are caring for or in the room where a patient who is undertaking an aerosol generating procedure (AGP) with a known or suspected infectious respiratory illness, or when there is a cohort of patients with infectious respiratory illness in an area that does not meet appropriate air-changes. 

FIT testing 

Only staff FIT tested should use an FFP3 respirator and complete a FIT check for every use. Please ensure you are aware of the FFP3 you are fitted for and as masks change you are retested appropriately.   

IF THERE IS AN AMBER STICKER OR NO STICKER ON A BAY DOOR THIS INDICATES FFP3 IS REQUIRED.​ ',
			'field_order' => '7',
			'attachment_id' => '1367',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 27 => array(
			'id' => '3088',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'image-bullets',
			'field_label' => 'Slips and trips are the most common cause of injury at work.   ',
			'description' => 'On average, they cause 40 per cent of all reported major injuries and can also lead to other types of serious accidents, for example falls from height.  

Slips and trips are also the most reported injury to members of the public. 

WHAT YOU NEED TO KNOW:',
			'field_order' => '0',
			'attachment_id' => '1368',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Our most common causes of slips, trips and falls for staff.  ","What to do to prevent them "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 28 => array(
			'id' => '3089',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'image-bullets',
			'field_label' => 'In the 12 months from April 2021 to March 2022, 64 incidents were reported relating to non-patient slips, trips and falls in our workplaces. ',
			'description' => 'Causes of staff slips, trips and falls:',
			'field_order' => '1',
			'attachment_id' => '1369',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Community: 9 ","Core Clinical: 9 ","Corporate: 7 ","Estates & Facilities: 8 ","Medicine: 13 ","Non UHMB: 1 ","Surgery: 11 ","WACS: 6 "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 29 => array(
			'id' => '3090',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'text-image',
			'field_label' => '8 of these incidents have occurred where staff have slipped on floors which had just been cleaned or where spillages have occurred. In most cases “wet floor” signs were in place to warn of the risk but these are often ignored. ',
			'description' => '
HOW TO PREVENT THEM 

We work in a 24/7 busy environment so finding a good time for cleaning to be done isn’t always easy.  

Floors will be damp after cleaning and care must be taken when the warning signs indicate the risk.  

Once cleaning is completed and the floor has dried, in the hospital or clinic setting, remove the signs, as people become accustomed to seeing warning signs on dry floors and therefore begin to ignore them.  

In a patient’s own home look for spillages or leaks which can create wet floors or for any floors recently cleaned. ',
			'field_order' => '2',
			'attachment_id' => '1370',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 30 => array(
			'id' => '3091',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'bullet-points',
			'field_label' => '5 slips occurred due to spillages through incontinence, leaks from waste bags or containers, food from trolleys or trays, water from sinks and basins or in kitchens and bathrooms. ',
			'description' => 'HOW TO PREVENT THEM:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Avoid overfilling waste containers or puncturing waste bags. ","Robust spillage procedures in all areas are essential and spillages must always be cleaned up immediately.   ","If the spillage occurs outside of your area or if you are in a community environment, always ensure it is brought to the attention of the responsible person and dealt with in a timely fashion or clean it up yourself.  ","Report any faults which are leading to leaks and spills. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 31 => array(
			'id' => '3092',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'text-image',
			'field_label' => '5 incidents resulted from staff tripping over trailing cables. ',
			'description' => '
HOW TO PREVENT THEM: 

In some clinical environments, electrical cables for equipment in the work area are inevitable.  

Cable matting must always be used.   

In non-clinical areas, cables under desks and running around the work areas must be safely routed in cable-tidies and clipped out of the way of feet etc.  

In Community environments be alert to cables for devices provided for healthcare and also those relating to the patients’ own electrical devices. 

8 of the falls were over obstructions either in patients' homes or on Trust Property    

Be aware of your surroundings especially when in patients’ homes. 
',
			'field_order' => '4',
			'attachment_id' => '1371',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 32 => array(
			'id' => '3093',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'paragraph',
			'field_label' => 'What else can we do to prevent slips and trips in all workplaces? ',
			'description' => 'Report any damaged floors or mats and any repairs required to prevent leaks and spills or where lighting is not working.  

Play your part and keep the workplace tidy. Good housekeeping is essential.  

If you see items on the floor where someone could trip over them, remove them or arrange for them to be removed or for the situation to be made safe.   

If you are cleaning the floor make sure that your cleaning method is correct for the type of floor you have and use the correct concentration of cleaning product.  

If you are given safety footwear, wear it and look after it.   

Tell the responsible person about any work situation that you think is dangerous, or is becoming dangerous.  

If you have an accident or a near miss, make sure you report it through the Ulysses system promptly. This may prevent future accidents.   

When working in the community- be alert to weather and environmental conditions– such as ice, snow, flooding etc. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 33 => array(
			'id' => '3094',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'image-bullets',
			'field_label' => 'Using electrical equipment incorrectly or inappropriately or using defective electrical equipment can lead to accidents causing serious injury or death.  ',
			'description' => 'You must always carry out a visual check before using electrical equipment to identify damage which may cause an electric shock, fire or burn.   

Remember not all appliances are in hospital premises, they may be in patients’ homes.  ',
			'field_order' => '0',
			'attachment_id' => '1372',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["CRACKED PLUG/DAMAGE TO CASING – Think is this attached to an electric blanket or piece of equipment that you are about to use. Do not use it. ","BARE/EXPOSED WIRE - Some examples where this might be encountered - are you about to charge your mobile phone or are you going to use a vacuum cleaner? Do not use it. ","OVERLOADED EXTENSION LEAD AND SOCKET – an extension lead has a fuse within its plug, and each plug that is inserted into the extension lead also has a fuse. If an extension lead has a 13 amp fuse and 4 plugs inserted into it each have 13 amp fuses then the extension lead has been overloaded, however if each plug has a 3 amp fuse then the extension lead is not overloaded.   ","BURN MARKS ON PLUG.  Are you about to use a kettle and make a cup of tea for a patient in their own home? Do not use it. ","WATER COMING THROUGH AN ELECTRICAL LIGHT.  Has the tap been left running in a room above? Report it immediately and ensure the safety of occupants. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 34 => array(
			'id' => '3095',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'bullet-points',
			'field_label' => 'Before using a piece of electrical equipment you should then carry out a pre-user check. ',
			'description' => 'Pre-user checks ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Check to make sure that the equipment is suitable for the task e.g. can it be used in a wet/flammable environment?  ","Check to make sure that there are no bare wires or the plug is cracked  ","Check if it has a Portable Appliance Test (PAT) sticker  ","If equipment is defective it should be labelled, and removed from use until it is fixed.  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 35 => array(
			'id' => '3096',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Small electrical appliances should have a label on similar to the one below.  This shows that the equipment was fit for purpose on the test date under Portable Appliance Testing (PAT).  You should check to see if your appliances have this label, if not contact the Estates Department for in-hospital equipment or community equipment loan stores for community – based equipment.  If you purchase a new piece of equipment please contact the estates department to see if PAT is required. 

Medical Equipment or equipment used on patients should be maintained by the Medical Engineering Department for in-hospital equipment or community equipment loan stores for equipment in patient’s homes.  

Patients’ own equipment will not have been tested. Do not use this. ',
			'field_order' => '2',
			'attachment_id' => '1373',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 36 => array(
			'id' => '3097',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'image-bullets',
			'field_label' => 'If I don’t carry out checks or use appropriate equipment what can happen?  ',
			'description' => 'Do not touch someone who is experiencing an electric shock until the electricity supply has been turned off, otherwise you will receive a shock as well. 

TYPE OF INJURY OR HARM THAT CAN OCCUR: ',
			'field_order' => '3',
			'attachment_id' => '1374',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Death  ","Cardiac arrest  ","Burns – internal and external  ","Loss of muscle control (can’t let go) ","Broken bones – when working at height you may fall off due to the shock  ","Fire or explosion  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 37 => array(
			'id' => '3098',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'image-bullets',
			'field_label' => 'The number of incidents and accidents which involved either staff, visitors or contractors normally sits around 400 per year.    Of these incidents, around 20 are normally reported under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013.  This means they were reported to the Health and Safety Executive.  ',
			'description' => 'What you need to know ',
			'field_order' => '0',
			'attachment_id' => '1375',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Why should you report an accident?  ","Why do we investigate accidents?  ","What does RIDDOR mean? "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 38 => array(
			'id' => '3099',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'paragraph',
			'field_label' => 'Why report? ',
			'description' => 'The Trust has a duty to all patients, staff, contractors, volunteers and visitors to identify health and safety concerns and to address them before they cause an injury or harm. Any incidents or injuries must be fully investigated to understand the causes and to prevent them happening again wherever possible.  

Reporting near misses and concerns is very important as it allows wards, departments and teams to review work practices, procedures and policies to ensure that they are fit for purpose and are being followed correctly.    

Additional or revised control measures can be put in place to ensure that the near miss does not result in an accident which causes harm.  

Training is available on TMS for reporting through the Ulysses system.  

If a piece of medical equipment is in use and may have been a factor in the incident, ALWAYS QUARANTINE it, label it and store it securely until it is checked.​ ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 39 => array(
			'id' => '3100',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'image-bullets',
			'field_label' => 'Accident Investigation ',
			'description' => 'Accidents and incidents should be investigated to identify the cause so that it can be prevented from happening again.  

When investigating any accident/incident or near miss it is important that the following questions are asked.  ',
			'field_order' => '2',
			'attachment_id' => '1376',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Who ","Why ","What ","Where ","When ","How ","By asking these key questions it will provide all the information required to provide a detailed investigation. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 40 => array(
			'id' => '3101',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'bullet-points',
			'field_label' => 'Key benefits of investigation ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Making a safer work environment. ","Improving worker morale. ","Preventing further business losses from disruption, down-time and lost business. ","Developing useful skills and knowledge that can be applied throughout the organisation. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 41 => array(
			'id' => '3103',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'text-links',
			'field_label' => ' Learning to improve ',
			'description' => 'When Root Cause Analyses, Rapid Reviews and other investigations are completed, any lessons learned are shared across the Trust via the Learning to Improve Bulletin.  <br><br>This is an extremely useful way of sharing lessons and ensuring that any changes required are made right across the Trust and not just in the area where the incident has taken place.  <br><br>Find these on the <a href="https://www.uhmb.nhs.uk/our-services/services/library-and-knowledge-services">Library Internet page.</a>  ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 42 => array(
			'id' => '3104',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'image-bullets',
			'field_label' => 'Driving at work',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1378',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["CAR PARKING - only park in designed car parking areas. Do not park in the loading bay areas, on double yellow lines, hatched areas or on the helipad. Across our sites there are areas where access is required for either deliveries or the emptying of skips.  These areas are clearly marked and therefore no other vehicles should park in that area.  If staff park on the helipad or access route to the helipad it means that the helicopter cannot land or the ambulance cannot take/collect the patient to/from the helicopter. ","CYCLE LANES - Cycle lanes are provided to segregate cyclists from moving vehicles. Please respect these and look for cyclists.  ","INSURANCE – you must have business insurance if you are using your car for work.  If you travel off site even for 1 day per year e.g. for a course, then you must be insured. Check with your insurance provider as you may not be covered. Make sure that your car is road worthy for travel. ","SPEED LIMIT – stick to the speed limit on site  This is 10mph.  There are deliveries taking place, pedestrians walking from one department to another and emergency vehicles on site. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 43 => array(
			'id' => '3105',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'There are risks in everything we do but we can't be sure we are providing safe and effective care unless we know what the risks are and that we are dealing with them.   ',
			'description' => 'To manage risks, we must assess and understand them. 

RECORDING OUR RISKS AND ASSESSMENTS ',
			'field_order' => '0',
			'attachment_id' => '1379',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["We record risks and assessments so that:  ","We can communicate them clearly to ensure the right people know about them  ","We can review whether we are managing the risk by making things safer or that they are not getting worse  ","We can demonstrate we know about them and are doing something about them","We comply with the legal requirements to do so"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 44 => array(
			'id' => '3106',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'Risk Assessments ',
			'description' => 'A risk assessment is a careful evaluation of the likelihood and seriousness of harm occurring in relation to a particular hazard.  

A risk assessment document identifies:  ',
			'field_order' => '1',
			'attachment_id' => '1380',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["the hazard (something with the potential to cause harm) and   ","the likelihood that it will occur  ","how serious the harm will be if it happens    ","It also identifies who might be harmed and how, what controls are currently in place and what further controls are required to reduce the risk.  ","Risk assessments are done to keep you, our patients and visitors are safe in our hospitals. Ask your Manager for any risk assessments relating to your work and ensure you follow them.  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 45 => array(
			'id' => '3107',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'text-links',
			'field_label' => 'Risk Assessments',
			'description' => 'Health and Safety Risk assessments relating to the carrying out of specific activities e.g. Using a hazardous substance, moving and handling loads of different kinds, are required under health and safety law.​ <br><br>Find these on the risk assessment inventories on the <a href="https://nhscanl.sharepoint.com/sites/HealthSafety">H&amp;S Intranet site​.</a> ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 46 => array(
			'id' => '3108',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'text-image',
			'field_label' => 'Risk Assessments',
			'description' => 'PATIENT RISK ASSESSMENTS RELATE TO THEIR CARE AND IDENTIFY THE SPECIFIC NEEDS OF THE PATIENT e.g. mobility assessment, appropriate use of bedrails.   

Find these in the PATIENT RECORD  

INDIVIDUAL STAFF RISK ASSESSMENTS ASSESS RISKS TO THE HEALTH AND SAFETY OF THAT MEMBER OF STAFF e.g. pregnancy, stress, display screen equipment.  

For these risk assessments there are templates to use. You find these templates on the Procedural Documents Library as "attachments" to the relevant policy.  

Store completed assessments in the STAFF PERSONAL FILE.  ',
			'field_order' => '3',
			'attachment_id' => '1381',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 47 => array(
			'id' => '3109',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'text-links',
			'field_label' => 'Risk Management and Risk Assessment',
			'description' => 'SOME RISKS AFFECT THE ACHIEVEMENT OF A DEPARTMENTAL, SPECIALITY, CARE GROUP OR TRUST OBJECTIVE e.g. risks to the delivery of a safe and effective service, achievement of expected standards. These need to be dynamically managed and reviewed.  <br><br>Find these on the <a href="https://nhscanl.sharepoint.com/:w:/r/sites/TrustProceduralDocumentLibrary/_layouts/15/Doc.aspx?sourcedoc=%7B638F0B71-951A-4304-B956-8527EC66B19A%7D&amp;file=Using%20the%20Risk%20Register%20for%20Communication%20and%20Reporting.docx&amp;action=default&amp;mobileredirect=true&amp;DefaultItemOpen=1">TRUST RISK REGISTER.</a>  ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 48 => array(
			'id' => '3110',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'Risk Management',
			'description' => 'Risk management is about:',
			'field_order' => '5',
			'attachment_id' => '1382',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Everyone in the trust working together to prevent risks happening and taking the right action to reduce their impact.  ","Ensuring that risks to our aims and objectives are managed so they do not prevent us achieving those objectives. ","So, in healthcare this means minimising the potential for harm to patients and visitors during their care and to staff in the delivery of our services.  ","Ensuring risks are assessed, recorded and shared. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 49 => array(
			'id' => '3111',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'Risk Management',
			'description' => 'There is a trust process for the identification, creation, escalation and monitoring of risks and there are key people in the Care Groups who link to the Health, Safety and Risk Team, providing consistent support across the organisation.  

Training is available:',
			'field_order' => '6',
			'attachment_id' => '1383',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["An E-learning package on TMS, describing how to create a risk on the Risk Register. Look for ULYSSES – RISK REGISTER - CREATING A RISK E-LEARNING ","A practical half day workshop which helps identify risks and create them on the Risk Register  ","A 4x half day training course giving a higher level of understanding of risk  management principles and process. This is linked within the Leadership Development Programme. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 50 => array(
			'id' => '3112',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'paragraph',
			'field_label' => 'Your role in Risk Management ',
			'description' => 'If you identify or feel that there is a risk that harm might be caused you must:  

Raise it with your Manager or other responsible person. Risk cannot be managed if it is not known about.  

If you think that risk persists – monitor it to see if it is becoming more likely to happen or more serious if it does. Then report it again.  

Some risks are easily resolved and can be dealt with almost immediately once highlighted. Others take much longer but can be better controlled until fully (if ever) resolved.  

If you are a Manager, Service/Clinical Lead, Supervisor etc, create a risk on the Risk Register. This will be held in a Pending folder so that other people can see it, contribute to it and agree whether it is appropriately described and scored etc.  

Once fully discussed liaise with your Governance Business Partner for presentation to the Care Group Quality Meeting for acceptance on to the Risk Register.  ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 51 => array(
			'id' => '3113',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'image-bullets',
			'field_label' => 'We use Display Screen Equipment (computers) widely in all aspects of our work across the Trust and prolonged or regular use can cause or worsen health problems if not properly managed. These may include; musculoskeletal disorders, visual fatigue and mental stress.  ',
			'description' => 'Mainly problems arise because of:   ',
			'field_order' => '0',
			'attachment_id' => '1385',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["incorrect posture whilst using DSE or","un-corrected eyesight weaknesses highlighted by long periods of use or incorrect lighting levels.   ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 52 => array(
			'id' => '3114',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'paragraph',
			'field_label' => 'DSE Definitions ',
			'description' => 'DSE WORKSTATION:   

Comprises of alphanumeric display screen, keyboard, mouse, other accessories, desk or work surface, chair, immediate environment, laptop or iPad.  

DSE USER:   

This is an employee who habitually uses DSE as a significant part of his/her normal work, wherever they work even if for short periods at a time. Identified by completing the Self-assessment form found on the H&S intranet page.

Completion of display screen equipment self assessment forms is now recorded on TMS.   

If you "hot-desk" and do not have a permanent workstation you need to complete the E-learning package to ensure you know how to set up a workstation correctly and safely.   If you have a regular workstation or work from home regularly you need to complete DSE Self assessments.  

MAKE SURE DSE SELF ASSESSMENT AND /OR THE E-LEARNING PACKAGE HAS BEEN ADDED TO YOUR TMS TO DO LIST.   ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 53 => array(
			'id' => '3116',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'image-hotspot',
			'field_label' => 'Click on each marker for more information. ',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1387',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":48.7969,"left":468,"annotation":"Lighting \n\nThe lighting should be suitable and not cause glare on your screen. If there is an issue with the lighting, a lighting assessment can be carried out"},{"top":187.797,"left":470,"annotation":"Document Holder \n\nA document holder may be required if you transfer information from sheets of paper to the computer regularly.  This will minimise the risk of pain in the shoulders and back."},{"top":162.797,"left":394,"annotation":"Screen \n\nThe characters on the screen should be easy to read.  \n\nThe image on the screen should be free from flicker.  \n\nThe brightness and contrast should be adjustable.  \n\nThe screen must swivel and tilt easily to suit the user.  \n\nThe screen should be free of reflective glare and reflections liable to cause discomfort to you. Your screen must be positioned at the correct height, if the screen is not height adjustable then a screen riser may be required.  Your eyes should be in line with the top of the computer screen  \n\nWhere dual screens are used they should be similarly positioned minimising twisting movement of the neck from side to side."},{"top":199.797,"left":415,"annotation":"Desk / Worksurface \n\nThe desk or work surface should be large enough to accommodate the screen, keyboard, mouse, documents and any other required equipment.  \n\nThe desk or work surface should be large enough for you to find a comfortable position.  \n\nThe desk or work surface should be low reflective to reduce glare."},{"top":189.797,"left":356,"annotation":"Keyboard \n\nThe keyboard should be tiltable  and separate from the screen so as to allow you to find a comfortable working position avoiding fatigue in the arms or hands.  \n\nThe space in front of the keyboard should be sufficient to provide support for your hands and arms.  \n\nThe keyboard should have a matt surface to avoid reflective glare.  \n\nThe symbols on the keys should be legible."},{"top":179.797,"left":311,"annotation":"Mouse \n\nThe mouse should be positioned so that you do not have to stretch.  Your arm should be relaxed and your wrist should not be placed firmly on the work surface in an upright position.  If you rest on your wrist this can lead to pain after excessive use.  \n\nA gel mouse mat may be required if you do not have a straight wrist."},{"top":282.797,"left":323,"annotation":"Footrest \n\nYour feet should be flat on the floor. If they’re not, ask if you can have a footrest, which lets you rest your feet at a level that’s comfortable. Don't cross your legs, as this can cut off circulation and cause hip problems."},{"top":277.797,"left":144,"annotation":"Floor space \n\nThere should be enough space for you to change position and vary movement. Remember to keep the floor clear of any trip hazards."},{"top":48.7969,"left":380,"annotation":"Window \n\nBlinds/window coverings etc may be required to avoid glare from sunlight."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 54 => array(
			'id' => '3117',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'image-bullets',
			'field_label' => 'Equipment',
			'description' => 'New or replacement equipment comes in to our workplaces continually and any piece of this has the potential to cause harm to patients, staff or visitors if not managed properly.   

To manage it properly we need to be sure that:  ',
			'field_order' => '3',
			'attachment_id' => '1388',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["it is fit for purpose   ","it has been installed or commissioned properly   ","people know how to use it safely and understand the risks if they don’t   ","it is maintained to prevent breakdowns and accidents   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 55 => array(
			'id' => '3118',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'bullet-points',
			'field_label' => 'Definitions ',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["PATIENT EQUIPMENT in this context generally means equipment on which patients are laid, transported around the hospital, raised and lowered, seated etc. ","PPM: Planned Preventative maintenance is proactive checking, servicing and maintenance to prevent things breaking down and causing injury.   ","REPAIR is a reactive response once an incident or failure has occurred which may have caused an injury or harm.   ","PUWER: Provision and Use of Work Equipment Regulations 1998  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 56 => array(
			'id' => '3119',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'paragraph',
			'field_label' => 'Equipment',
			'description' => 'Did you know that Medical Engineering now hold the central equipment inventory for ALL types of patient equipment not just electronic devices. This now includes hoists, scales, trolleys, couches etc. You may have equipment which should be on it. Check with your Medical Engineering Team or Health and Safety.

New equipment should be recorded when it arrives.  

Go to the Medical Devices Intranet page and click on NEW EQUIPMENT RECORDER.  

Medical Engineering staff will review any equipment added and ensure it is allocated to the correct inventory.  

Always check whether there is a maintenance arrangement in place on your equipment or whether you need to make one.   

When a piece of medical/ ward or clinic –based equipment is faulty or broken you must complete a fault/decontamination form and contact the phone number on the asset label to report the fault. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 57 => array(
			'id' => '3120',
			'course_id' => '113',
			'course_lesson_id' => '508',
			'field_type' => 'text-image',
			'field_label' => 'Tyoes of Contractors',
			'description' => 'Contractors come into our Trust to undertake a wide range of jobs whether it be to replenish the vending machines, deliver papers, work on specialist equipment or undertake construction work.    

By law we have responsibilities for anyone working on our premises whether they are our employee or not. We also need to ensure our vulnerable patients are safeguarded.  

We categorise our contractors into different “types”.  

Type 1 – These contractors will be managed by the Estates Capital Services Team as they will be making changes to existing buildings or undertaking large schemes which require tight control.  

Type 2 – These contractors will be managed by the Estates Operational Services Team.  These contractors may require permits to work, may be breaching fire compartmentation or working directly for Estates.   

Type 3 – These contractors would be working within a specific department on a piece of specific equipment e.g. within x-ray and would be supervised by a member of that department whilst undertaking work.  If this contractor is going to break into the infrastructure of the building the Estates Operational Services Team should be consulted.  

Type 4 – These contractors would require no supervision as they are undertaking a very low risk activity e.g. delivering books or stocking vending machine. Normal observation would be required in a clinical area. ',
			'field_order' => '0',
			'attachment_id' => '1389',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:35:27',
			'modified' => '2024-08-05 12:35:27'
		),
		(int) 58 => array(
			'id' => '3121',
			'course_id' => '113',
			'course_lesson_id' => '508',
			'field_type' => 'image-bullets',
			'field_label' => 'Clinical areas',
			'description' => 'In clinical areas, contractors’ staff must be DBS cleared or a risk assessment detailing supervisory and other requirements must be carried out by the Appointing Officer and the clinical manager.   

DBS clearance must be proven for contractors working in areas assessed as high risk.  

REQUIRED DOCUMENTATION

Sufficient information must be provided by the contractor so we can determine what’s involved in the work.   

Contractors should provide the following:  ',
			'field_order' => '1',
			'attachment_id' => '1390',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Risk Assessments","Method Statements","Health and Safety Policy; and","Relevant Training Records  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:35:27',
			'modified' => '2024-08-05 12:35:27'
		),
		(int) 59 => array(
			'id' => '3122',
			'course_id' => '113',
			'course_lesson_id' => '508',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'To ensure all contractors are fully controlled:  

All departments must ensure that contractors are ‘Signed in’.   

All contractors must be inducted and informed of local rules for the department/area they are working.  

A supervision plan must be in place for all relevant hours of the day and night and that the contractors must have a point of contact e.g. Manager of the department.  

BADGES TO BE ISSUED 

TYPE 1 & 2 contractors will be issued with a contractors badge.  

TYPE 3 & 4 contractors will be issued with a visitor badge or prominently wear their own company identification. ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:35:27',
			'modified' => '2024-08-05 12:35:27'
		),
		(int) 60 => array(
			'id' => '3123',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'text-image',
			'field_label' => 'BBV’s (Blood Borne Viruses)',
			'description' => 'BBV’s (Blood Borne Viruses) are viruses that some people carry in their blood and which may cause severe disease in certain people and few or no symptoms in others.   

The virus can spread to another person whether the carrier of the virus is ill or not. The main BBV’s of concern are:  

- HBV and HCV which cause hepatitis, a disease of the liver.  

- HIV which causes Acquired Immune Deficiency Syndrome (AIDS), affecting the immune system of the body.  

Elevated levels of anxiety and occasionally enduring psychiatric illness have also been associated with sharps injuries.  

THE RISKS ASSOCIATED WITH BLOOD AND BODY FLUID EXPOSURES  

The most serious consequence of occupational percutaneous exposure to blood or body fluids is the possibility of transmission of (BBV’s), in particular Hepatitis B virus HBV), Hepatitis C virus (HCV) and human immunodeficiency virus (HIV). lor sit amet.',
			'field_order' => '0',
			'attachment_id' => '1391',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 61 => array(
			'id' => '3124',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'bullet-points',
			'field_label' => 'In 2017/18 our staff sustained 20 needle-stick injuries for every 1000 staff.  ',
			'description' => 'Sharps injuries continue to occur: ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["After use but before disposal  ","After disposal  ","During use  ","DO IT RIGHT"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 62 => array(
			'id' => '3125',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'image-bullets',
			'field_label' => 'After use but before disposal ',
			'description' => 'Insulin pen needles are a known cause of incidents:',
			'field_order' => '2',
			'attachment_id' => '1393',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Left by bedside   ","Discarded on food trays and find their way to the kitchens  ","Left on the bed and find their way back to the laundry  ","Passed to staff to re-sheath or remove the needle    Don’t do this – if a person can self administer using their insulin pen they should be able to dispose of the needle themselves. FOLLOW THE SELF-DMINISTRATION OF INSULIN POLICY. Ensure there is a sharp-safe or sharps bin to hand for them","NEVER re-sheath a needle. This is bad practice"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 63 => array(
			'id' => '3126',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'text-image',
			'field_label' => 'During disposal',
			'description' => 'If your device is a safer device ALWAYS deploy the safety shield before you dispose of it. There are short E-Learning packages on TMS to show you how to do this – they take only a few seconds to complete.  

Ensure the sharps bin is to hand. Used sharps must not be handed to another person for disposal. They should be disposed of directly into the sharps bin by the user or placed into a receiver for later disposal.  

Sharps bins must not BE MORE THAN ¾ FULL. If you find one fuller than this, close it and replace with a new one. Always be aware that sharps may protrude from an overfull sharps bin and cause you an injury. ',
			'field_order' => '3',
			'attachment_id' => '1397',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 64 => array(
			'id' => '3127',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'paragraph',
			'field_label' => 'Sharps safety',
			'description' => 'The partial closer of a partly filled sharps bin should be pulled across to prevent spillages and accidental contact with contents.  

We performed poorly on this aspect in our last external audit. It is a simple safety precaution. 

If you use an unsafe device then there should be a risk assessment in place to justify the use and to show what controls are in place to reduce the risk of injury.    

These can be found on the Risk Assessment Inventory on the Intranet.  

If you use a non-safe sharp for which there is no risk assessment please contact the H&S Dept.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 65 => array(
			'id' => '3128',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'image-bullets',
			'field_label' => 'Correct disposal ',
			'description' => 'Has the sharp been contaminated with any medical product or their residues? ',
			'field_order' => '5',
			'attachment_id' => '1395',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["No – Dispose into orange lid sharps container E.W.C. Code 18.01.03 Hazardous ","Yes – Dispose into yellow lid sharps container E.W.C. Code 18.01.03 Hazardous "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 66 => array(
			'id' => '3129',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'image-bullets',
			'field_label' => 'Is the sharp cytotoxic or cytostatic? ',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1396',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Yes - Dispose into purple lid sharps container E.W.C. Code 18.01.09 Non Hazardous ","Item 2","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 67 => array(
			'id' => '3130',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'bullet-points',
			'field_label' => 'Actions to take in event of an injury',
			'description' => 'In event of a needlestick injury;  ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Complete first aid  ","Complete a risk assessment (found In the Blood Borne Virus Policy)  ","Refer to ED or Occupational Health  ","Complete a Clinical Incident on Ulysses   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 68 => array(
			'id' => '3131',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'text-image',
			'field_label' => 'Some Facts About Stress ',
			'description' => '828,000 workers suffering from work-related stress, depression or anxiety (new or long-standing) in 2020/21. This is compared to 526,000 in 2016/17 (HSE)  

17.9 million working days lost in 2019/2020. This is a huge increase compared to 12.5 million days lost in 2016/17 (HSE)  

Work-related stress, depression or anxiety continues to represent a significant ill health condition in the workforce of Great Britain. Work-related stress, depression or anxiety accounts for 51% of work-related ill health and 55% of working days lost, in 2019/20 (HSE)  

The occupations and industries reporting the highest rates of work-related stress, depression or anxiety remain consistently in the health and public sectors of the economy.  ',
			'field_order' => '0',
			'attachment_id' => '1398',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 69 => array(
			'id' => '3132',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-hotspot',
			'field_label' => ' Signs and symptoms of stress',
			'description' => 'Click on each marker for more info.',
			'field_order' => '1',
			'attachment_id' => '1399',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":69.3906,"left":111,"annotation":"Headaches"},{"top":329.391,"left":103,"annotation":"Indigestion"},{"top":87.3906,"left":244,"annotation":"Colds/Flu"},{"top":208.391,"left":295,"annotation":"Skin irritations"},{"top":64.3906,"left":246,"annotation":"Acne"},{"top":220.391,"left":401,"annotation":"High BP"},{"top":80.3906,"left":77,"annotation":"Sleepiness"},{"top":115.391,"left":395,"annotation":"Breathlessness"},{"top":341.391,"left":257,"annotation":"Fatigue"},{"top":398.391,"left":117,"annotation":"Frequent infections"},{"top":293.391,"left":231,"annotation":"Taught muscles"}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 70 => array(
			'id' => '3133',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-bullets',
			'field_label' => 'Behaviour',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1400',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Smoking ","Alcohol ","Increased caffeine ","Apathetic ","Irritability and aggression ","Withdrawal ","Increased forgetfulness ","Crying ","Moodiness and sulking ","Obsessive behaviour ","Increased mistakes ","Decreased personal standards "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 71 => array(
			'id' => '3134',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-bullets',
			'field_label' => 'Mind',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1401',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Confused ","Nightmares ","Negative ","Indecisiveness ","Poor concentration ","Blinkered ","Constant criticism and cynicism ","Worrying ","Hasty decisions ","Things out of proportion "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 72 => array(
			'id' => '3135',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-bullets',
			'field_label' => 'Emotion ',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1402',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Anxiety ","Apathy ","Anger ","Feeling hopeless ","Loss of confidence ","Depression ","Alienation ","Negativity ","De-motivated ","Low self-esteem "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 73 => array(
			'id' => '3136',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'bullet-points',
			'field_label' => 'How to get support ',
			'description' => 'There is lots of support:  ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Early discussion with your Manager or Workforce Advisor can help to manage the pressures you may be feeling.  ","A stress risk assessment at this point will help to identify what actions can be taken immediately to support you in your workplace.  ","A management referral or self-referral to Occupational Health will help to identify what further support you may need and direct you to appropriate available therapies and other support.  ","Occupational Health deliver a number of courses and opportunities to understand and deal with stress (mindfulness, stress management). Look on the Occupational Health intranet for details. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 74 => array(
			'id' => '3137',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'text-image',
			'field_label' => 'The approved NHS definition of violence and aggression is:  ',
			'description' => '“The application of force, severe threat or serious abuse by members of the public towards people arising out of the course of their work whether or not they are on duty. This includes severe verbal abuse or threat where this is judged likely to turn into actual violence, serious or persistent harassment (including racial or sexual harassment with a weapon; major or minor injuries and fatalities.)”  ',
			'field_order' => '0',
			'attachment_id' => '1403',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 75 => array(
			'id' => '3138',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'text-image',
			'field_label' => 'Early recognition & prevention',
			'description' => 'There are sometimes warning signs that a person’s normal behaviour is changing, such as a raised voice or clenching fists etc; if a member of staff is observant and reports these changes, actions can be taken which may avert a violent episode.  

If a person shows any indication of these changes, the member of staff must report the changes to the head of department or ward.  Even if proved unfounded, it is advisable that a senior member of staff is alerted to the potential problem.  ',
			'field_order' => '1',
			'attachment_id' => '1404',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 76 => array(
			'id' => '3139',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'bullet-points',
			'field_label' => 'De-escalation',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Remain calm  ","Maintain adequate distance  ","Move towards a safe place","Keep your body relaxed, Control your breathing to ensure you do not become tense  ","Keep the aggressor talking, Acknowledge concerns and feelings  ","Explain what is happening and why ","Use designated pathways "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 77 => array(
			'id' => '3140',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'text-image',
			'field_label' => 'Dealing with aggression',
			'description' => 'Stay calm, speak gently, slowly and clearly. 

Do not be enticed into an argument. 

Do not hide behind your authority, status or jargon. 

Tell the person who you are, ask their name and tell them what you want them to do. 

Try to defuse the situation by talking things through as reasonable adults, while remembering your first duty of care is to yourself. 

Avoid an aggressive stance.  Crossed arms, hands on hips, a wagging finger or a raised arm will challenge and confront.  

Keep your distance. 

Do not look down on the aggressor. 

Plan and keep an escape route accessible, AND IF YOU FEEL THE SITUATION HAS GONE BEYOND YOUR CONTROL DO NOT HESITATE TO USE IT. ',
			'field_order' => '3',
			'attachment_id' => '1405',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 78 => array(
			'id' => '3141',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What roles do the H&S Reps and Champions play? ',
			'description' => 'select an answer',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Inspections within their department ","Consultation on health & safety policies and issues","Audits ","All of the above and more "]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 79 => array(
			'id' => '3142',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => ' Where do you find Health and safety policies?',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => '1406',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["In the manager\u2019s office  ","On the Procedural Document Library on the intranet ","In a file in the restroom "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 80 => array(
			'id' => '3143',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are your responsibilities in relation to hazardous substances? ',
			'description' => 'select one or more answers ',
			'field_order' => '2',
			'attachment_id' => '1407',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Use whatever you think does the job best ","Ensure you know what hazardous substances there are in your area ","Read the COSHH assessment, SOP or guidance poster before you use a hazardous substance ","Ask someone else to do the job so you don\u2019t have to use them "]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 81 => array(
			'id' => '3144',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'A COSHH assessment: ',
			'description' => 'select an answer',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Should be read and understood by everyone using the substance ","Helps you protect patients ","Tells you how to store, make up, use, transport and dispose of a hazardous substance correctly ","All of the above "]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 82 => array(
			'id' => '3145',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Where ligature risks cannot be removed from the environment we must use: ',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Careful assessment and attention to the individual ","Timely repair of damage and disrepair  ","Excellent housekeeping ","Keeping locked, all areas which can be accessed unseen or undisturbed ","All of the above "]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 83 => array(
			'id' => '3146',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'The ligature knife is found:',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["In the central airway section of a Grab Bag ","At the nurses station on a ward ","In the clean utility ","In the first drawer of the Resus Trolley "]',
			'field_correct' => '0,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 84 => array(
			'id' => '3147',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What is the main reason why eye splashes occur to our staff? ',
			'description' => 'select an answer',
			'field_order' => '6',
			'attachment_id' => '1408',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Safety glasses fall off during a procedure ","Staff accidentally rub substances into their eyes  ","Staff do not wear eye protection when it is specified "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 85 => array(
			'id' => '3148',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following statements is wrong?',
			'description' => 'select an answer ',
			'field_order' => '7',
			'attachment_id' => '1409',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["If it is specified on a risk assessment or in training but you think there is no real risk you can choose not to wear it ","There are several regulations which require the use of PPE to protect staff from hazards in their work ","When your training has included the use of PPE you must use it ","When the risk assessment states PPE is required, you must use it "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 86 => array(
			'id' => '3149',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Why is PPE the least robust way of protecting staff? ',
			'description' => 'select an answer',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It only protects the individual using it ","It can be breached if not fitted and worn correctly ","It relies on the individual to make sure they wear it and human beings are \u201cthe weakest link\u201d! ","All of the above "]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 87 => array(
			'id' => '3150',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Which one of these is NOT one of our most common causes of slips, trips and falls for staff?',
			'description' => 'select an answer',
			'field_order' => '9',
			'attachment_id' => '1410',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Staff wearing high heels ","Slippery floors caused by spillages ","Floors still damp after cleaning ","Trailing cables "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 88 => array(
			'id' => '3151',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Which of these actions are good controls for reducing slips, trips and falls? ',
			'description' => 'select an answer',
			'field_order' => '10',
			'attachment_id' => '1411',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Prevent spills by reporting leaks and disposing of waste carefully to avoid puncturing waste bags ","Never run cables across walkways and be mindful of cables in the clinical areas ","Remove wet floor signs as soon as the floor dries ","Do not ignore a wet floor warning sign ","React immediately when a spillage occurs or is found ","All of the above "]',
			'field_correct' => '5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 89 => array(
			'id' => '3152',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What does RIDDOR stand for? ',
			'description' => 'select an answer',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Reporting of Incidents, Disasters and Dangerous Occurrences Regulations ","Reporting of Incidents, Deaths and Dangerous Occurrences Regulations ","Reporting of Injuries, Diseases and Dangerous Occurrences Regulations  "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 90 => array(
			'id' => '3153',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What is one of the benefits of investigating incidents? ',
			'description' => 'select an answer',
			'field_order' => '12',
			'attachment_id' => '1412',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To improve staff morale ","To blame somebody ","To undertake a tick box exercise "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 91 => array(
			'id' => '3154',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What is the speed limit on site? ',
			'description' => 'select an answer',
			'field_order' => '13',
			'attachment_id' => '1413',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["5 mph ","10 mph ","15 mph ","20 mph "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 92 => array(
			'id' => '3155',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'What does a risk assessment document identify? ',
			'description' => 'select one or more answers ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The hazard ","The likelihood it will occur ","Controls in place  ","Who may be harmed "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 93 => array(
			'id' => '3156',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Where are Health and Safety Risk assessments located?',
			'description' => 'select an answer',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Health and Safety Intranet site ","Ward or Department ","Manager\u2019s Office ","Health and Safety Office "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 94 => array(
			'id' => '3157',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'When a risk affects the achievement of an objective (e.g safe patient care) where would we record and find this? ',
			'description' => 'select an answer',
			'field_order' => '16',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Health and Safety Intranet site ","In a file in the Managers Office ","On the Trust Risk register ","Nowhere; we wouldn't record it "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 95 => array(
			'id' => '3158',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Where should you record that your DSE assessment has been completed? ',
			'description' => 'select an answer',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["TMS (as DSE Self-assessment) ","On the noticeboard ","In your diary "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 96 => array(
			'id' => '3159',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What does PPM stand for?',
			'description' => 'select an answer',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Push, Pull Movement ","Prepared Property Maintenance  ","Planned Preventative Maintenance ","Proven Preventative Maintenance"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 97 => array(
			'id' => '3160',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Who holds the central equipment inventory?',
			'description' => 'select an answer',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Estates ","Medical Engineering ","Health and Safety ","Supplies "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 98 => array(
			'id' => '3161',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'During disposal you should always: ',
			'description' => 'select an answer',
			'field_order' => '20',
			'attachment_id' => '1414',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Completely fill the sharps bin before closing it ","Pass your sharp to a colleague to make sure it is disposed of correctly  ","Deploy any safety device "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 99 => array(
			'id' => '3162',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'The partial closer should always be used:',
			'description' => 'select an answer',
			'field_order' => '21',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To prevent accidental spillages ","To keep the area tidy ","To prevent smells "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 100 => array(
			'id' => '3163',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'How many reported working days were lost in 2019/20 due to work-related stress, depression or anxiety?',
			'description' => 'select an answer',
			'field_order' => '22',
			'attachment_id' => '1415',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["7.6 thousand ","17.9 million ","15.1 million  "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 101 => array(
			'id' => '3164',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'How does the HSE define stress?',
			'description' => 'select an answer',
			'field_order' => '23',
			'attachment_id' => '1416',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["\u201cThe adverse reaction people have to excessive pressures or other types of demands placed upon them.\u201d  ","\u201cThe non-specific response of the body to any demand for change.\u201d ","\u201cState of mental or emotional strain or tension resulting from adverse or demanding circumstances.\u201d "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 102 => array(
			'id' => '3165',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'What should a member of staff do if they have been a victim of violence or aggression at work?',
			'description' => 'select one or more answers',
			'field_order' => '24',
			'attachment_id' => '1417',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Complete a clinical incident ","Report it to their manager ","Report it to the police ","Request support if their case ends up in court "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 103 => array(
			'id' => '3252',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'media-field',
			'field_label' => 'COSHH Policy on a Page: ',
			'description' => 'For STAFF',
			'field_order' => '5',
			'attachment_id' => '1495',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 104 => array(
			'id' => '3253',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'media-field',
			'field_label' => 'COSHH Policy on a Page: ',
			'description' => 'For MANAGERS',
			'field_order' => '6',
			'attachment_id' => '1496',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 105 => array(
			'id' => '3254',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'media-field',
			'field_label' => 'Staff Wellbeing',
			'description' => 'Dealing with a ligature incident is very traumatic for all the staff involved. 

It is important to ensure all staff that may be affected:  

  1. Attend a departmental debriefing , as soon as possible  post incident, to discuss the effects the incident has had and talk through any personal and work issues that the incident may have raised.  

2. During the briefing, all counselling services from the Occupational Health Department should be made available to all staff and immediate referrals completed for those who want it.  

Contact Telephone Number: 01524 512290  ',
			'field_order' => '4',
			'attachment_id' => '1497',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 106 => array(
			'id' => '3255',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'media-field',
			'field_label' => 'RIDDOR on a page',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1498',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		)
	),
	'LessonFieldList' => array(
		(int) 498 => array(
			(int) 0 => array(
				[maximum depth reached]
			)
		),
		(int) 499 => array(
			(int) 0 => array(
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			'course_id' => '113',
			'course_lesson_id' => '498',
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			'field_label' => 'Health and safety training is required by law.    We all need to know about the risks facing us in our work, how we manage them and what our own part is in that.    This package will be valid for 3 years from 2023 to 2026. Any additional updates within that time will be provided in other ways to keep you up to date. ',
			'description' => 'CONTENTS ',
			'field_order' => '0',
			'attachment_id' => '1347',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Your responsibilities  ","Accident and incident reporting and investigation ","Control Of Substances Hazardous to Health  ","Managing the risk of strangulation and hanging – ligature risk management  ","Personal Protective Equipment   ","Slips Trips and Falls  ","Electrical safety ","Driving at work and Traffic routes  ","Risk management and risk assessment  ","Consultation and Health and Safety Reps, Champions and Advocates.  ","Display Screen equipment  ","Maintaining Equipment  ","Contractors  ","Sharps  ","Stress "]',
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			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:42:41',
			'modified' => '2024-08-05 10:42:41'
		),
		(int) 1 => array(
			'id' => '3059',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'image-bullets',
			'field_label' => 'The Trust is committed to:  ',
			'description' => 'Complying with Health and Safety legislation relevant to our undertaking and the Health and Social Care Act Regulations – in particular:  ',
			'field_order' => '0',
			'attachment_id' => '1348',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Regulation 12 – Safe care and treatment   ","Regulation 15 – Safe premises and equipment ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 2 => array(
			'id' => '3060',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'bullet-points',
			'field_label' => 'Action that can be taken ',
			'description' => 'Both the Health and Safety Executive and the CQC have the authority to review our safety systems and take appropriate action. This may be:  ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Enforcement Notices to correct or cease doing something  ","Prosecutions and Fines  ","Imprisonment "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 3 => array(
			'id' => '3061',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'text-image',
			'field_label' => 'Delivering services safely',
			'description' => 'The Health and Safety at Work Act 1974 (H.A.S.A.W.) is the main piece of law which keeps us all safe at work regardless of what our job is.  

All employees have a duty to take reasonable care for the health and safety of themselves and others who may be affected by their acts or omissions whilst at work.  

This means we look after ourselves, our patients, our visitors, our colleagues and anyone else on our premises. ',
			'field_order' => '2',
			'attachment_id' => '1349',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'modified' => '2024-08-05 10:51:55'
		),
		(int) 4 => array(
			'id' => '3062',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'bullet-points',
			'field_label' => 'Your specific duties under the H.A.S.A.W. Act are:  ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Employees must take steps to adequately protect the health and safety of themselves and colleagues at work  ","Employees must not disrupt or interfere with anything put in place to aid in health and safety at work  ","Employees must cooperate with their employer in their attempts to meet their statutory obligations under the act. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 5 => array(
			'id' => '3063',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'bullet-points',
			'field_label' => 'This means  ',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["following health and safety instructions provided by the employer.  ","correctly using personal protective equipment and clothing.  ","taking care to use equipment safely and for its intended purpose.  ","reporting hazards and potential problems without delay. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 6 => array(
			'id' => '3064',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'image-bullets',
			'field_label' => 'Consulting with employees',
			'description' => 'Employees are consulted on health and safety issues via different avenues.  We have a network of over 200 Health and Safety Reps/champions and Health Advocates and these staff are pivotal in ensuring that the health and safety message is cascaded to staff within their area.   

Issues are consulted on via the following pathway: ',
			'field_order' => '5',
			'attachment_id' => '1350',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Health and Safety Reps, champions and Advocates meetings  ","Health and Safety Committee  ","Quality Assurance Committee  ","Trust Board "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 7 => array(
			'id' => '3065',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'image-bullets',
			'field_label' => 'Health & Safety Reps / champions & Health Advocates',
			'description' => 'Health & Safety Representatives/Champions are invaluable and vital to the effective running of the organisation. Health & Safety representatives/Champions  are legally entitled to be involved in:  ',
			'field_order' => '6',
			'attachment_id' => '1351',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Inspections within their department  ","Audits  ","Consultation on health & safety policies","Assisting their manager in raising health & safety awareness within the department  ","Promoting health and wellbeing throughout the Trust","Visits and investigations by the Health ​and Safety Executive "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 8 => array(
			'id' => '3066',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'paragraph',
			'field_label' => ' Health & Safety Reps / champions & Health Advocates ',
			'description' => 'It is expected that there is at least one Health and Safety Rep or Champion in each ward or department and there are currently around 200 across the trust made up of union and non-union appointed Reps. For anyone interested in becoming one, contact the Health and Safety Department:  

Ext: 45260   

Mobile: 07890 044140 

health.safety@mbht.nhs.uk  

or contact your Union.  

In order for the Reps and Champions to work effectively there is a one day course to explain their role and improve their knowledge and skills.  

Safety Reps/Champions meet quarterly cross-bay by Teams and each one is expected to attend twice yearly as a minimum. There is also an annual seminar day and a 6-monthly update workshop.  ',
			'field_order' => '7',
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			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
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			'id' => '3067',
			'course_id' => '113',
			'course_lesson_id' => '499',
			'field_type' => 'paragraph',
			'field_label' => 'Health, Safety and Risk Policies ',
			'description' => 'All Health, Safety and Risk policies are held on the Trust Procedural Documents Library on the intranet.  

Where relevant there will be a Policy on a Page to summarise the key things you need to know and do.  

Policies lay out responsibilities for those who need to take action and the systems for how they will do that. ',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-08-05 10:51:55',
			'modified' => '2024-08-05 10:51:55'
		),
		(int) 10 => array(
			'id' => '3068',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'image-bullets',
			'field_label' => 'Control of Substances Hazardous to Health ',
			'description' => 'The Control of Substances Hazardous to Health Regulations (C.O.S.H.H.) state that employees should not be exposed to any substances hazardous to health unless a suitable and sufficient risk assessment has been carried out, and controls are in place.  

Good management of substances also protects patients. Safe storage and is essential. ',
			'field_order' => '0',
			'attachment_id' => '1352',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["What you need to know ","What forms do hazardous substances come in?  ","How do they get into the body?  ","What should be included in a COSHH Risk Assessment?  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 11 => array(
			'id' => '3069',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'image-bullets',
			'field_label' => 'What is the COSHH inventory and how can I find a COSHH assessment for my substance?  ',
			'description' => 'There are two Policies - one for Staff and one for Managers  – which are shown later.

Hazardous substances enter or affect the body in a number of ways through different routes of entry.  

To reduce the risk of harm, the correct procedure should be followed and the correct type of personal protective equipment should be worn.  

This will be stated on the COSHH risk assessment and should be adhered to. 

ROUTES OF ENTRY ',
			'field_order' => '1',
			'attachment_id' => '1353',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["skin contact ","skin absorption ","puncture wound ","inhalation or respiration ","ingestion "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 12 => array(
			'id' => '3070',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'A substance can cause harm at different stages in its use, storage or transportation.  

Our C.O.S.H.H. assessment covers all of these stages on one form.   

This is to make sure that anyone who comes into contact with the substance, regardless of their job or role, is protected properly against the risks.  

Medicines do not normally fall under the C.O.S.H.H. Regs. 

What C.O.S.H.H. assessments must include: ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Using the substance ","Disposal of the substance ","Storing the substance ","Making up of the substance ","Transporting the substance "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 13 => array(
			'id' => '3071',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'image-bullets',
			'field_label' => 'Patients may be harmed if hazardous substances are not kept secure:  ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1354',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Do not leave substances unattended.  ","Keep substances in locked cupboards or rooms.  ","Do not leave doors unlocked or “on the latch”.","Do not leave doors unlocked or “on the latch”.","Do not write door codes on door casings or nearby. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 14 => array(
			'id' => '3072',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'paragraph',
			'field_label' => 'Patient safety ',
			'description' => 'The CQC will look at the risk to patients and how well we are controlling our risk from hazardous substances.  

HEALTH AND SOCIAL CARE ACT REGULATION 2014 REGULATION 12: SAFE CARE AND TREATMENT.  

The Health and Safety Executive will look at risk to Patients, Visitors and staff  

HEALTH AND SAFETY AT WORK ACT 1974 SECTIONS 2,3, AND 4. ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 15 => array(
			'id' => '3252',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'media-field',
			'field_label' => 'COSHH Policy on a Page: ',
			'description' => 'For STAFF',
			'field_order' => '5',
			'attachment_id' => '1495',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 16 => array(
			'id' => '3253',
			'course_id' => '113',
			'course_lesson_id' => '500',
			'field_type' => 'media-field',
			'field_label' => 'COSHH Policy on a Page: ',
			'description' => 'For MANAGERS',
			'field_order' => '6',
			'attachment_id' => '1496',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:30:52',
			'modified' => '2024-08-06 09:30:52'
		),
		(int) 17 => array(
			'id' => '3075',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'image-bullets',
			'field_label' => 'There have been 19 ligature incidents on Trust premises between June 21 and May 22 in our hospitals.    It is not possible to remove all ligatures or potential anchor points in our care environment as many of the hazards are present because of the equipment and environment necessary for the care and treatment of our patients. ',
			'description' => 'WHAT YOU NEED TO KNOW 

Where we cannot provide a ligature free environment, we must have robust patient management processes in place for each individual vulnerable patient.  

Where ligature risks cannot be removed, we must rely on:​  ',
			'field_order' => '0',
			'attachment_id' => '1359',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Careful assessment and attention to the individual​ patient.  ","Keeping locked, all areas which can be accessed unseen or undisturbed.​  ","Timely repair of damage and disrepair.​  ","Excellent housekeeping​. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 18 => array(
			'id' => '3077',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => 'All clinical areas have had assessments carried out to identify the ligature points and ligature risks in that area.  

Ligature risk assessments are stored on the H&S intranet pages.  

Matrons are required to review the assessments annually and update them.  

Make sure you know what the risks are in your area. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 19 => array(
			'id' => '3076',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'image-bullets',
			'field_label' => 'All of these items can present a risk of strangulation. Click on each one for more information. ',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1360',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["EMERGENCY PULL CORDS AND LIGHT PULL CORDS should be fitted with breakable links which part under abnormal strain ","MEDICAL GAS POINTS provide a point to which a ligature can be attached ","GRID-STYLE CEILINGS allow the ceiling tiles to be easily lifted and pipes other services routed above them are revealed. These provide a secure point from which a ligature can be attached ","MONITOR/TV ARMS e.g. at the bedhead can be used as a ligature point particularly in a side room where levels of observation are lower ","DISPOSABLE PLASTIC APRONS are widely accessible and can be used as a ligature attached to a ligature anchor point ","BED CURTAIN RAILS OR WINDOW CURTAIN RAILS are often used as anchor points and the curtains can be used as a ligature. Collapsible rails and ligature – safe curtain hooks are widely used","CABLES of all types from equipment can be used as ligatures ","BLIND CORDS can be used deliberately as a ligature. They have also been the cause of accidental strangulation and must be either replaced with a hard “wand”–type closer or secured through a fixed eyelet to the window reveal or window bottom in patient areas "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 20 => array(
			'id' => '3078',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'paragraph',
			'field_label' => 'All clinical areas have had assessments carried out to identify the ligature points and ligature risks in that area.  ',
			'description' => '
Ligature risk assessments are stored on the H&S intranet pages.  

Matrons are required to review the assessments annually and update them.  

Make sure you know what the risks are in your area. 


IN OUR HOSPITAL SETTINGS  

Phone 2222.  

A ligature knife is found in the 1st drawer of the Resus Trolley and the central  airway section of the grab bag, or other accessible place if no Resus Trolley is in use.  


IN OUR COMMUNITY SETTING  

Phone 999  

Try to release the tension on the ligature by placing a table or chair beneath the person  

Await assistance ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 21 => array(
			'id' => '3254',
			'course_id' => '113',
			'course_lesson_id' => '501',
			'field_type' => 'media-field',
			'field_label' => 'Staff Wellbeing',
			'description' => 'Dealing with a ligature incident is very traumatic for all the staff involved. 

It is important to ensure all staff that may be affected:  

  1. Attend a departmental debriefing , as soon as possible  post incident, to discuss the effects the incident has had and talk through any personal and work issues that the incident may have raised.  

2. During the briefing, all counselling services from the Occupational Health Department should be made available to all staff and immediate referrals completed for those who want it.  

Contact Telephone Number: 01524 512290  ',
			'field_order' => '4',
			'attachment_id' => '1497',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:32:37',
			'modified' => '2024-08-06 09:32:37'
		),
		(int) 22 => array(
			'id' => '3080',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'Protecting against splashes to the face  ',
			'description' => 'In 2021/22 we have seen 24 incidents occurring which involved hazardous substances.   

Of those incidents, 14 were splashes to the face, eyes and mouth and many of these splashes were of body fluids from patients known to carry a blood borne virus (BBV). In the vast majority of these cases, face protection was not worn. 

WHAT YOU NEED TO KNOW:',
			'field_order' => '0',
			'attachment_id' => '1362',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["How decisions are made about PPE ","Using PPE is not a choice","What to do if you have a problem or concern about PPE  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 23 => array(
			'id' => '3081',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'Where the substance is a body fluid from a patient with a BBV, it becomes reportable to the Health and Safety Executive under the Reporting of Incidents, Diseases and Dangerous Occurrences Regulations (RIDDOR) ',
			'description' => 'Splashes to the face may be received:  ',
			'field_order' => '1',
			'attachment_id' => '1363',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["When PPE is being worn but it may not be the correct type ","When PPE is not being worn as required","When PPE is being worn but the splash may breach it in an unusual way  ","Item 4During a procedure in which a splash is not generally foreseeable and PPE is not specified "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 24 => array(
			'id' => '3082',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'How is it decided that PPE is required? ',
			'description' => 'When a risk assessment is being carried out a number of things are considered before it is decided that PPE is required.  

These are things like:  ',
			'field_order' => '2',
			'attachment_id' => '1364',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Can the hazard be removed in a different way?  ","Is there a safer substance or safer way of doing the job?  ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 25 => array(
			'id' => '3083',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'bullet-points',
			'field_label' => 'Only after these things have been considered would PPE be specified because it is only effective if people use it correctly and it only protects the person using it.  ',
			'description' => 'The laws that require PPE to be worn to prevent splashes to our staff are:  ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The Management of H&S at Work Regulations 1999  ","The Control of Substances Hazardous to Health Regulations 2002  ","The Personal Protective Equipment at Work Regulations 1992  ","The Health and Safety at Work Act 1974 "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 26 => array(
			'id' => '3084',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'text-image',
			'field_label' => 'PPE is not a choice ',
			'description' => 'Where any type of PPE is specified in a risk assessment or COSHH assessment, or in training, it is A MANDATORY REQUIREMENT.   

There is no discretion to choose not to wear it if it is specified. IT IS NOT A PERSONAL CHOICE.  

There are several pieces of legislation which make the wearing of PPE a statutory requirement. ',
			'field_order' => '4',
			'attachment_id' => '1365',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 27 => array(
			'id' => '3085',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'image-bullets',
			'field_label' => 'PPE must:',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1366',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Protect against the particular hazard in question  ","Be suitable for the activities involved in the work – comfortable, give good visibility, fit securely  ","Allow appropriate communication  ","Allow appropriate mobility and dexterity   ","Allow for any individual pre-existing conditions or particular requirements of size and shape. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 28 => array(
			'id' => '3086',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'bullet-points',
			'field_label' => 'What to do if you have a problem or concern ',
			'description' => 'If you are concerned that:  ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["You do not understand why your PPE is required  ","Your PPE is not effective  ","It does not fit correctly  ","It is in poor condition  ","It is causing a health issue or pain  ","Contact your manager or supervisor to rectify any problem. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 29 => array(
			'id' => '3087',
			'course_id' => '113',
			'course_lesson_id' => '502',
			'field_type' => 'text-image',
			'field_label' => 'FFP3 masks',
			'description' => 'FFP3 masks must be worn when staff are caring for or in the room where a patient who is undertaking an aerosol generating procedure (AGP) with a known or suspected infectious respiratory illness, or when there is a cohort of patients with infectious respiratory illness in an area that does not meet appropriate air-changes. 

FIT testing 

Only staff FIT tested should use an FFP3 respirator and complete a FIT check for every use. Please ensure you are aware of the FFP3 you are fitted for and as masks change you are retested appropriately.   

IF THERE IS AN AMBER STICKER OR NO STICKER ON A BAY DOOR THIS INDICATES FFP3 IS REQUIRED.​ ',
			'field_order' => '7',
			'attachment_id' => '1367',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:30:38',
			'modified' => '2024-08-05 11:30:38'
		),
		(int) 30 => array(
			'id' => '3088',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'image-bullets',
			'field_label' => 'Slips and trips are the most common cause of injury at work.   ',
			'description' => 'On average, they cause 40 per cent of all reported major injuries and can also lead to other types of serious accidents, for example falls from height.  

Slips and trips are also the most reported injury to members of the public. 

WHAT YOU NEED TO KNOW:',
			'field_order' => '0',
			'attachment_id' => '1368',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Our most common causes of slips, trips and falls for staff.  ","What to do to prevent them "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 31 => array(
			'id' => '3089',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'image-bullets',
			'field_label' => 'In the 12 months from April 2021 to March 2022, 64 incidents were reported relating to non-patient slips, trips and falls in our workplaces. ',
			'description' => 'Causes of staff slips, trips and falls:',
			'field_order' => '1',
			'attachment_id' => '1369',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Community: 9 ","Core Clinical: 9 ","Corporate: 7 ","Estates & Facilities: 8 ","Medicine: 13 ","Non UHMB: 1 ","Surgery: 11 ","WACS: 6 "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 32 => array(
			'id' => '3090',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'text-image',
			'field_label' => '8 of these incidents have occurred where staff have slipped on floors which had just been cleaned or where spillages have occurred. In most cases “wet floor” signs were in place to warn of the risk but these are often ignored. ',
			'description' => '
HOW TO PREVENT THEM 

We work in a 24/7 busy environment so finding a good time for cleaning to be done isn’t always easy.  

Floors will be damp after cleaning and care must be taken when the warning signs indicate the risk.  

Once cleaning is completed and the floor has dried, in the hospital or clinic setting, remove the signs, as people become accustomed to seeing warning signs on dry floors and therefore begin to ignore them.  

In a patient’s own home look for spillages or leaks which can create wet floors or for any floors recently cleaned. ',
			'field_order' => '2',
			'attachment_id' => '1370',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 33 => array(
			'id' => '3091',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'bullet-points',
			'field_label' => '5 slips occurred due to spillages through incontinence, leaks from waste bags or containers, food from trolleys or trays, water from sinks and basins or in kitchens and bathrooms. ',
			'description' => 'HOW TO PREVENT THEM:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Avoid overfilling waste containers or puncturing waste bags. ","Robust spillage procedures in all areas are essential and spillages must always be cleaned up immediately.   ","If the spillage occurs outside of your area or if you are in a community environment, always ensure it is brought to the attention of the responsible person and dealt with in a timely fashion or clean it up yourself.  ","Report any faults which are leading to leaks and spills. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 34 => array(
			'id' => '3092',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'text-image',
			'field_label' => '5 incidents resulted from staff tripping over trailing cables. ',
			'description' => '
HOW TO PREVENT THEM: 

In some clinical environments, electrical cables for equipment in the work area are inevitable.  

Cable matting must always be used.   

In non-clinical areas, cables under desks and running around the work areas must be safely routed in cable-tidies and clipped out of the way of feet etc.  

In Community environments be alert to cables for devices provided for healthcare and also those relating to the patients’ own electrical devices. 

8 of the falls were over obstructions either in patients' homes or on Trust Property    

Be aware of your surroundings especially when in patients’ homes. 
',
			'field_order' => '4',
			'attachment_id' => '1371',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 35 => array(
			'id' => '3093',
			'course_id' => '113',
			'course_lesson_id' => '503',
			'field_type' => 'paragraph',
			'field_label' => 'What else can we do to prevent slips and trips in all workplaces? ',
			'description' => 'Report any damaged floors or mats and any repairs required to prevent leaks and spills or where lighting is not working.  

Play your part and keep the workplace tidy. Good housekeeping is essential.  

If you see items on the floor where someone could trip over them, remove them or arrange for them to be removed or for the situation to be made safe.   

If you are cleaning the floor make sure that your cleaning method is correct for the type of floor you have and use the correct concentration of cleaning product.  

If you are given safety footwear, wear it and look after it.   

Tell the responsible person about any work situation that you think is dangerous, or is becoming dangerous.  

If you have an accident or a near miss, make sure you report it through the Ulysses system promptly. This may prevent future accidents.   

When working in the community- be alert to weather and environmental conditions– such as ice, snow, flooding etc. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:39:52',
			'modified' => '2024-08-05 11:39:52'
		),
		(int) 36 => array(
			'id' => '3094',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'image-bullets',
			'field_label' => 'Using electrical equipment incorrectly or inappropriately or using defective electrical equipment can lead to accidents causing serious injury or death.  ',
			'description' => 'You must always carry out a visual check before using electrical equipment to identify damage which may cause an electric shock, fire or burn.   

Remember not all appliances are in hospital premises, they may be in patients’ homes.  ',
			'field_order' => '0',
			'attachment_id' => '1372',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["CRACKED PLUG/DAMAGE TO CASING – Think is this attached to an electric blanket or piece of equipment that you are about to use. Do not use it. ","BARE/EXPOSED WIRE - Some examples where this might be encountered - are you about to charge your mobile phone or are you going to use a vacuum cleaner? Do not use it. ","OVERLOADED EXTENSION LEAD AND SOCKET – an extension lead has a fuse within its plug, and each plug that is inserted into the extension lead also has a fuse. If an extension lead has a 13 amp fuse and 4 plugs inserted into it each have 13 amp fuses then the extension lead has been overloaded, however if each plug has a 3 amp fuse then the extension lead is not overloaded.   ","BURN MARKS ON PLUG.  Are you about to use a kettle and make a cup of tea for a patient in their own home? Do not use it. ","WATER COMING THROUGH AN ELECTRICAL LIGHT.  Has the tap been left running in a room above? Report it immediately and ensure the safety of occupants. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 37 => array(
			'id' => '3095',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'bullet-points',
			'field_label' => 'Before using a piece of electrical equipment you should then carry out a pre-user check. ',
			'description' => 'Pre-user checks ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Check to make sure that the equipment is suitable for the task e.g. can it be used in a wet/flammable environment?  ","Check to make sure that there are no bare wires or the plug is cracked  ","Check if it has a Portable Appliance Test (PAT) sticker  ","If equipment is defective it should be labelled, and removed from use until it is fixed.  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 38 => array(
			'id' => '3096',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Small electrical appliances should have a label on similar to the one below.  This shows that the equipment was fit for purpose on the test date under Portable Appliance Testing (PAT).  You should check to see if your appliances have this label, if not contact the Estates Department for in-hospital equipment or community equipment loan stores for community – based equipment.  If you purchase a new piece of equipment please contact the estates department to see if PAT is required. 

Medical Equipment or equipment used on patients should be maintained by the Medical Engineering Department for in-hospital equipment or community equipment loan stores for equipment in patient’s homes.  

Patients’ own equipment will not have been tested. Do not use this. ',
			'field_order' => '2',
			'attachment_id' => '1373',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 39 => array(
			'id' => '3097',
			'course_id' => '113',
			'course_lesson_id' => '504',
			'field_type' => 'image-bullets',
			'field_label' => 'If I don’t carry out checks or use appropriate equipment what can happen?  ',
			'description' => 'Do not touch someone who is experiencing an electric shock until the electricity supply has been turned off, otherwise you will receive a shock as well. 

TYPE OF INJURY OR HARM THAT CAN OCCUR: ',
			'field_order' => '3',
			'attachment_id' => '1374',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Death  ","Cardiac arrest  ","Burns – internal and external  ","Loss of muscle control (can’t let go) ","Broken bones – when working at height you may fall off due to the shock  ","Fire or explosion  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 11:47:41',
			'modified' => '2024-08-05 11:47:41'
		),
		(int) 40 => array(
			'id' => '3098',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'image-bullets',
			'field_label' => 'The number of incidents and accidents which involved either staff, visitors or contractors normally sits around 400 per year.    Of these incidents, around 20 are normally reported under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013.  This means they were reported to the Health and Safety Executive.  ',
			'description' => 'What you need to know ',
			'field_order' => '0',
			'attachment_id' => '1375',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Why should you report an accident?  ","Why do we investigate accidents?  ","What does RIDDOR mean? "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 41 => array(
			'id' => '3099',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'paragraph',
			'field_label' => 'Why report? ',
			'description' => 'The Trust has a duty to all patients, staff, contractors, volunteers and visitors to identify health and safety concerns and to address them before they cause an injury or harm. Any incidents or injuries must be fully investigated to understand the causes and to prevent them happening again wherever possible.  

Reporting near misses and concerns is very important as it allows wards, departments and teams to review work practices, procedures and policies to ensure that they are fit for purpose and are being followed correctly.    

Additional or revised control measures can be put in place to ensure that the near miss does not result in an accident which causes harm.  

Training is available on TMS for reporting through the Ulysses system.  

If a piece of medical equipment is in use and may have been a factor in the incident, ALWAYS QUARANTINE it, label it and store it securely until it is checked.​ ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 42 => array(
			'id' => '3100',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'image-bullets',
			'field_label' => 'Accident Investigation ',
			'description' => 'Accidents and incidents should be investigated to identify the cause so that it can be prevented from happening again.  

When investigating any accident/incident or near miss it is important that the following questions are asked.  ',
			'field_order' => '2',
			'attachment_id' => '1376',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Who ","Why ","What ","Where ","When ","How ","By asking these key questions it will provide all the information required to provide a detailed investigation. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 43 => array(
			'id' => '3101',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'bullet-points',
			'field_label' => 'Key benefits of investigation ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Making a safer work environment. ","Improving worker morale. ","Preventing further business losses from disruption, down-time and lost business. ","Developing useful skills and knowledge that can be applied throughout the organisation. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 44 => array(
			'id' => '3255',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'media-field',
			'field_label' => 'RIDDOR on a page',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1498',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 45 => array(
			'id' => '3103',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'text-links',
			'field_label' => ' Learning to improve ',
			'description' => 'When Root Cause Analyses, Rapid Reviews and other investigations are completed, any lessons learned are shared across the Trust via the Learning to Improve Bulletin.  <br><br>This is an extremely useful way of sharing lessons and ensuring that any changes required are made right across the Trust and not just in the area where the incident has taken place.  <br><br>Find these on the <a href="https://www.uhmb.nhs.uk/our-services/services/library-and-knowledge-services">Library Internet page.</a>  ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 46 => array(
			'id' => '3104',
			'course_id' => '113',
			'course_lesson_id' => '505',
			'field_type' => 'image-bullets',
			'field_label' => 'Driving at work',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1378',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["CAR PARKING - only park in designed car parking areas. Do not park in the loading bay areas, on double yellow lines, hatched areas or on the helipad. Across our sites there are areas where access is required for either deliveries or the emptying of skips.  These areas are clearly marked and therefore no other vehicles should park in that area.  If staff park on the helipad or access route to the helipad it means that the helicopter cannot land or the ambulance cannot take/collect the patient to/from the helicopter. ","CYCLE LANES - Cycle lanes are provided to segregate cyclists from moving vehicles. Please respect these and look for cyclists.  ","INSURANCE – you must have business insurance if you are using your car for work.  If you travel off site even for 1 day per year e.g. for a course, then you must be insured. Check with your insurance provider as you may not be covered. Make sure that your car is road worthy for travel. ","SPEED LIMIT – stick to the speed limit on site  This is 10mph.  There are deliveries taking place, pedestrians walking from one department to another and emergency vehicles on site. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:33:26',
			'modified' => '2024-08-06 09:33:26'
		),
		(int) 47 => array(
			'id' => '3105',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'There are risks in everything we do but we can't be sure we are providing safe and effective care unless we know what the risks are and that we are dealing with them.   ',
			'description' => 'To manage risks, we must assess and understand them. 

RECORDING OUR RISKS AND ASSESSMENTS ',
			'field_order' => '0',
			'attachment_id' => '1379',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["We record risks and assessments so that:  ","We can communicate them clearly to ensure the right people know about them  ","We can review whether we are managing the risk by making things safer or that they are not getting worse  ","We can demonstrate we know about them and are doing something about them","We comply with the legal requirements to do so"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 48 => array(
			'id' => '3106',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'Risk Assessments ',
			'description' => 'A risk assessment is a careful evaluation of the likelihood and seriousness of harm occurring in relation to a particular hazard.  

A risk assessment document identifies:  ',
			'field_order' => '1',
			'attachment_id' => '1380',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["the hazard (something with the potential to cause harm) and   ","the likelihood that it will occur  ","how serious the harm will be if it happens    ","It also identifies who might be harmed and how, what controls are currently in place and what further controls are required to reduce the risk.  ","Risk assessments are done to keep you, our patients and visitors are safe in our hospitals. Ask your Manager for any risk assessments relating to your work and ensure you follow them.  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 49 => array(
			'id' => '3107',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'text-links',
			'field_label' => 'Risk Assessments',
			'description' => 'Health and Safety Risk assessments relating to the carrying out of specific activities e.g. Using a hazardous substance, moving and handling loads of different kinds, are required under health and safety law.​ <br><br>Find these on the risk assessment inventories on the <a href="https://nhscanl.sharepoint.com/sites/HealthSafety">H&amp;S Intranet site​.</a> ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 50 => array(
			'id' => '3108',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'text-image',
			'field_label' => 'Risk Assessments',
			'description' => 'PATIENT RISK ASSESSMENTS RELATE TO THEIR CARE AND IDENTIFY THE SPECIFIC NEEDS OF THE PATIENT e.g. mobility assessment, appropriate use of bedrails.   

Find these in the PATIENT RECORD  

INDIVIDUAL STAFF RISK ASSESSMENTS ASSESS RISKS TO THE HEALTH AND SAFETY OF THAT MEMBER OF STAFF e.g. pregnancy, stress, display screen equipment.  

For these risk assessments there are templates to use. You find these templates on the Procedural Documents Library as "attachments" to the relevant policy.  

Store completed assessments in the STAFF PERSONAL FILE.  ',
			'field_order' => '3',
			'attachment_id' => '1381',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 51 => array(
			'id' => '3109',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'text-links',
			'field_label' => 'Risk Management and Risk Assessment',
			'description' => 'SOME RISKS AFFECT THE ACHIEVEMENT OF A DEPARTMENTAL, SPECIALITY, CARE GROUP OR TRUST OBJECTIVE e.g. risks to the delivery of a safe and effective service, achievement of expected standards. These need to be dynamically managed and reviewed.  <br><br>Find these on the <a href="https://nhscanl.sharepoint.com/:w:/r/sites/TrustProceduralDocumentLibrary/_layouts/15/Doc.aspx?sourcedoc=%7B638F0B71-951A-4304-B956-8527EC66B19A%7D&amp;file=Using%20the%20Risk%20Register%20for%20Communication%20and%20Reporting.docx&amp;action=default&amp;mobileredirect=true&amp;DefaultItemOpen=1">TRUST RISK REGISTER.</a>  ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 52 => array(
			'id' => '3110',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'Risk Management',
			'description' => 'Risk management is about:',
			'field_order' => '5',
			'attachment_id' => '1382',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Everyone in the trust working together to prevent risks happening and taking the right action to reduce their impact.  ","Ensuring that risks to our aims and objectives are managed so they do not prevent us achieving those objectives. ","So, in healthcare this means minimising the potential for harm to patients and visitors during their care and to staff in the delivery of our services.  ","Ensuring risks are assessed, recorded and shared. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 53 => array(
			'id' => '3111',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'image-bullets',
			'field_label' => 'Risk Management',
			'description' => 'There is a trust process for the identification, creation, escalation and monitoring of risks and there are key people in the Care Groups who link to the Health, Safety and Risk Team, providing consistent support across the organisation.  

Training is available:',
			'field_order' => '6',
			'attachment_id' => '1383',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["An E-learning package on TMS, describing how to create a risk on the Risk Register. Look for ULYSSES – RISK REGISTER - CREATING A RISK E-LEARNING ","A practical half day workshop which helps identify risks and create them on the Risk Register  ","A 4x half day training course giving a higher level of understanding of risk  management principles and process. This is linked within the Leadership Development Programme. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 54 => array(
			'id' => '3112',
			'course_id' => '113',
			'course_lesson_id' => '506',
			'field_type' => 'paragraph',
			'field_label' => 'Your role in Risk Management ',
			'description' => 'If you identify or feel that there is a risk that harm might be caused you must:  

Raise it with your Manager or other responsible person. Risk cannot be managed if it is not known about.  

If you think that risk persists – monitor it to see if it is becoming more likely to happen or more serious if it does. Then report it again.  

Some risks are easily resolved and can be dealt with almost immediately once highlighted. Others take much longer but can be better controlled until fully (if ever) resolved.  

If you are a Manager, Service/Clinical Lead, Supervisor etc, create a risk on the Risk Register. This will be held in a Pending folder so that other people can see it, contribute to it and agree whether it is appropriately described and scored etc.  

Once fully discussed liaise with your Governance Business Partner for presentation to the Care Group Quality Meeting for acceptance on to the Risk Register.  ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:13:46',
			'modified' => '2024-08-05 12:13:46'
		),
		(int) 55 => array(
			'id' => '3113',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'image-bullets',
			'field_label' => 'We use Display Screen Equipment (computers) widely in all aspects of our work across the Trust and prolonged or regular use can cause or worsen health problems if not properly managed. These may include; musculoskeletal disorders, visual fatigue and mental stress.  ',
			'description' => 'Mainly problems arise because of:   ',
			'field_order' => '0',
			'attachment_id' => '1385',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["incorrect posture whilst using DSE or","un-corrected eyesight weaknesses highlighted by long periods of use or incorrect lighting levels.   ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 56 => array(
			'id' => '3114',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'paragraph',
			'field_label' => 'DSE Definitions ',
			'description' => 'DSE WORKSTATION:   

Comprises of alphanumeric display screen, keyboard, mouse, other accessories, desk or work surface, chair, immediate environment, laptop or iPad.  

DSE USER:   

This is an employee who habitually uses DSE as a significant part of his/her normal work, wherever they work even if for short periods at a time. Identified by completing the Self-assessment form found on the H&S intranet page.

Completion of display screen equipment self assessment forms is now recorded on TMS.   

If you "hot-desk" and do not have a permanent workstation you need to complete the E-learning package to ensure you know how to set up a workstation correctly and safely.   If you have a regular workstation or work from home regularly you need to complete DSE Self assessments.  

MAKE SURE DSE SELF ASSESSMENT AND /OR THE E-LEARNING PACKAGE HAS BEEN ADDED TO YOUR TMS TO DO LIST.   ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 57 => array(
			'id' => '3116',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'image-hotspot',
			'field_label' => 'Click on each marker for more information. ',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1387',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":48.7969,"left":468,"annotation":"Lighting \n\nThe lighting should be suitable and not cause glare on your screen. If there is an issue with the lighting, a lighting assessment can be carried out"},{"top":187.797,"left":470,"annotation":"Document Holder \n\nA document holder may be required if you transfer information from sheets of paper to the computer regularly.  This will minimise the risk of pain in the shoulders and back."},{"top":162.797,"left":394,"annotation":"Screen \n\nThe characters on the screen should be easy to read.  \n\nThe image on the screen should be free from flicker.  \n\nThe brightness and contrast should be adjustable.  \n\nThe screen must swivel and tilt easily to suit the user.  \n\nThe screen should be free of reflective glare and reflections liable to cause discomfort to you. Your screen must be positioned at the correct height, if the screen is not height adjustable then a screen riser may be required.  Your eyes should be in line with the top of the computer screen  \n\nWhere dual screens are used they should be similarly positioned minimising twisting movement of the neck from side to side."},{"top":199.797,"left":415,"annotation":"Desk / Worksurface \n\nThe desk or work surface should be large enough to accommodate the screen, keyboard, mouse, documents and any other required equipment.  \n\nThe desk or work surface should be large enough for you to find a comfortable position.  \n\nThe desk or work surface should be low reflective to reduce glare."},{"top":189.797,"left":356,"annotation":"Keyboard \n\nThe keyboard should be tiltable  and separate from the screen so as to allow you to find a comfortable working position avoiding fatigue in the arms or hands.  \n\nThe space in front of the keyboard should be sufficient to provide support for your hands and arms.  \n\nThe keyboard should have a matt surface to avoid reflective glare.  \n\nThe symbols on the keys should be legible."},{"top":179.797,"left":311,"annotation":"Mouse \n\nThe mouse should be positioned so that you do not have to stretch.  Your arm should be relaxed and your wrist should not be placed firmly on the work surface in an upright position.  If you rest on your wrist this can lead to pain after excessive use.  \n\nA gel mouse mat may be required if you do not have a straight wrist."},{"top":282.797,"left":323,"annotation":"Footrest \n\nYour feet should be flat on the floor. If they’re not, ask if you can have a footrest, which lets you rest your feet at a level that’s comfortable. Don't cross your legs, as this can cut off circulation and cause hip problems."},{"top":277.797,"left":144,"annotation":"Floor space \n\nThere should be enough space for you to change position and vary movement. Remember to keep the floor clear of any trip hazards."},{"top":48.7969,"left":380,"annotation":"Window \n\nBlinds/window coverings etc may be required to avoid glare from sunlight."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 58 => array(
			'id' => '3117',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'image-bullets',
			'field_label' => 'Equipment',
			'description' => 'New or replacement equipment comes in to our workplaces continually and any piece of this has the potential to cause harm to patients, staff or visitors if not managed properly.   

To manage it properly we need to be sure that:  ',
			'field_order' => '3',
			'attachment_id' => '1388',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["it is fit for purpose   ","it has been installed or commissioned properly   ","people know how to use it safely and understand the risks if they don’t   ","it is maintained to prevent breakdowns and accidents   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 59 => array(
			'id' => '3118',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'bullet-points',
			'field_label' => 'Definitions ',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["PATIENT EQUIPMENT in this context generally means equipment on which patients are laid, transported around the hospital, raised and lowered, seated etc. ","PPM: Planned Preventative maintenance is proactive checking, servicing and maintenance to prevent things breaking down and causing injury.   ","REPAIR is a reactive response once an incident or failure has occurred which may have caused an injury or harm.   ","PUWER: Provision and Use of Work Equipment Regulations 1998  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 60 => array(
			'id' => '3119',
			'course_id' => '113',
			'course_lesson_id' => '507',
			'field_type' => 'paragraph',
			'field_label' => 'Equipment',
			'description' => 'Did you know that Medical Engineering now hold the central equipment inventory for ALL types of patient equipment not just electronic devices. This now includes hoists, scales, trolleys, couches etc. You may have equipment which should be on it. Check with your Medical Engineering Team or Health and Safety.

New equipment should be recorded when it arrives.  

Go to the Medical Devices Intranet page and click on NEW EQUIPMENT RECORDER.  

Medical Engineering staff will review any equipment added and ensure it is allocated to the correct inventory.  

Always check whether there is a maintenance arrangement in place on your equipment or whether you need to make one.   

When a piece of medical/ ward or clinic –based equipment is faulty or broken you must complete a fault/decontamination form and contact the phone number on the asset label to report the fault. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:30:25',
			'modified' => '2024-08-05 12:30:25'
		),
		(int) 61 => array(
			'id' => '3120',
			'course_id' => '113',
			'course_lesson_id' => '508',
			'field_type' => 'text-image',
			'field_label' => 'Tyoes of Contractors',
			'description' => 'Contractors come into our Trust to undertake a wide range of jobs whether it be to replenish the vending machines, deliver papers, work on specialist equipment or undertake construction work.    

By law we have responsibilities for anyone working on our premises whether they are our employee or not. We also need to ensure our vulnerable patients are safeguarded.  

We categorise our contractors into different “types”.  

Type 1 – These contractors will be managed by the Estates Capital Services Team as they will be making changes to existing buildings or undertaking large schemes which require tight control.  

Type 2 – These contractors will be managed by the Estates Operational Services Team.  These contractors may require permits to work, may be breaching fire compartmentation or working directly for Estates.   

Type 3 – These contractors would be working within a specific department on a piece of specific equipment e.g. within x-ray and would be supervised by a member of that department whilst undertaking work.  If this contractor is going to break into the infrastructure of the building the Estates Operational Services Team should be consulted.  

Type 4 – These contractors would require no supervision as they are undertaking a very low risk activity e.g. delivering books or stocking vending machine. Normal observation would be required in a clinical area. ',
			'field_order' => '0',
			'attachment_id' => '1389',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:35:27',
			'modified' => '2024-08-05 12:35:27'
		),
		(int) 62 => array(
			'id' => '3121',
			'course_id' => '113',
			'course_lesson_id' => '508',
			'field_type' => 'image-bullets',
			'field_label' => 'Clinical areas',
			'description' => 'In clinical areas, contractors’ staff must be DBS cleared or a risk assessment detailing supervisory and other requirements must be carried out by the Appointing Officer and the clinical manager.   

DBS clearance must be proven for contractors working in areas assessed as high risk.  

REQUIRED DOCUMENTATION

Sufficient information must be provided by the contractor so we can determine what’s involved in the work.   

Contractors should provide the following:  ',
			'field_order' => '1',
			'attachment_id' => '1390',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Risk Assessments","Method Statements","Health and Safety Policy; and","Relevant Training Records  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:35:27',
			'modified' => '2024-08-05 12:35:27'
		),
		(int) 63 => array(
			'id' => '3122',
			'course_id' => '113',
			'course_lesson_id' => '508',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'To ensure all contractors are fully controlled:  

All departments must ensure that contractors are ‘Signed in’.   

All contractors must be inducted and informed of local rules for the department/area they are working.  

A supervision plan must be in place for all relevant hours of the day and night and that the contractors must have a point of contact e.g. Manager of the department.  

BADGES TO BE ISSUED 

TYPE 1 & 2 contractors will be issued with a contractors badge.  

TYPE 3 & 4 contractors will be issued with a visitor badge or prominently wear their own company identification. ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:35:27',
			'modified' => '2024-08-05 12:35:27'
		),
		(int) 64 => array(
			'id' => '3123',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'text-image',
			'field_label' => 'BBV’s (Blood Borne Viruses)',
			'description' => 'BBV’s (Blood Borne Viruses) are viruses that some people carry in their blood and which may cause severe disease in certain people and few or no symptoms in others.   

The virus can spread to another person whether the carrier of the virus is ill or not. The main BBV’s of concern are:  

- HBV and HCV which cause hepatitis, a disease of the liver.  

- HIV which causes Acquired Immune Deficiency Syndrome (AIDS), affecting the immune system of the body.  

Elevated levels of anxiety and occasionally enduring psychiatric illness have also been associated with sharps injuries.  

THE RISKS ASSOCIATED WITH BLOOD AND BODY FLUID EXPOSURES  

The most serious consequence of occupational percutaneous exposure to blood or body fluids is the possibility of transmission of (BBV’s), in particular Hepatitis B virus HBV), Hepatitis C virus (HCV) and human immunodeficiency virus (HIV). lor sit amet.',
			'field_order' => '0',
			'attachment_id' => '1391',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 65 => array(
			'id' => '3124',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'bullet-points',
			'field_label' => 'In 2017/18 our staff sustained 20 needle-stick injuries for every 1000 staff.  ',
			'description' => 'Sharps injuries continue to occur: ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["After use but before disposal  ","After disposal  ","During use  ","DO IT RIGHT"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 66 => array(
			'id' => '3125',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'image-bullets',
			'field_label' => 'After use but before disposal ',
			'description' => 'Insulin pen needles are a known cause of incidents:',
			'field_order' => '2',
			'attachment_id' => '1393',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Left by bedside   ","Discarded on food trays and find their way to the kitchens  ","Left on the bed and find their way back to the laundry  ","Passed to staff to re-sheath or remove the needle    Don’t do this – if a person can self administer using their insulin pen they should be able to dispose of the needle themselves. FOLLOW THE SELF-DMINISTRATION OF INSULIN POLICY. Ensure there is a sharp-safe or sharps bin to hand for them","NEVER re-sheath a needle. This is bad practice"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 67 => array(
			'id' => '3126',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'text-image',
			'field_label' => 'During disposal',
			'description' => 'If your device is a safer device ALWAYS deploy the safety shield before you dispose of it. There are short E-Learning packages on TMS to show you how to do this – they take only a few seconds to complete.  

Ensure the sharps bin is to hand. Used sharps must not be handed to another person for disposal. They should be disposed of directly into the sharps bin by the user or placed into a receiver for later disposal.  

Sharps bins must not BE MORE THAN ¾ FULL. If you find one fuller than this, close it and replace with a new one. Always be aware that sharps may protrude from an overfull sharps bin and cause you an injury. ',
			'field_order' => '3',
			'attachment_id' => '1397',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 68 => array(
			'id' => '3127',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'paragraph',
			'field_label' => 'Sharps safety',
			'description' => 'The partial closer of a partly filled sharps bin should be pulled across to prevent spillages and accidental contact with contents.  

We performed poorly on this aspect in our last external audit. It is a simple safety precaution. 

If you use an unsafe device then there should be a risk assessment in place to justify the use and to show what controls are in place to reduce the risk of injury.    

These can be found on the Risk Assessment Inventory on the Intranet.  

If you use a non-safe sharp for which there is no risk assessment please contact the H&S Dept.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 69 => array(
			'id' => '3128',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'image-bullets',
			'field_label' => 'Correct disposal ',
			'description' => 'Has the sharp been contaminated with any medical product or their residues? ',
			'field_order' => '5',
			'attachment_id' => '1395',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["No – Dispose into orange lid sharps container E.W.C. Code 18.01.03 Hazardous ","Yes – Dispose into yellow lid sharps container E.W.C. Code 18.01.03 Hazardous "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 70 => array(
			'id' => '3129',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'image-bullets',
			'field_label' => 'Is the sharp cytotoxic or cytostatic? ',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1396',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Yes - Dispose into purple lid sharps container E.W.C. Code 18.01.09 Non Hazardous ","Item 2","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 71 => array(
			'id' => '3130',
			'course_id' => '113',
			'course_lesson_id' => '509',
			'field_type' => 'bullet-points',
			'field_label' => 'Actions to take in event of an injury',
			'description' => 'In event of a needlestick injury;  ',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Complete first aid  ","Complete a risk assessment (found In the Blood Borne Virus Policy)  ","Refer to ED or Occupational Health  ","Complete a Clinical Incident on Ulysses   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 12:47:07',
			'modified' => '2024-08-05 12:47:07'
		),
		(int) 72 => array(
			'id' => '3131',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'text-image',
			'field_label' => 'Some Facts About Stress ',
			'description' => '828,000 workers suffering from work-related stress, depression or anxiety (new or long-standing) in 2020/21. This is compared to 526,000 in 2016/17 (HSE)  

17.9 million working days lost in 2019/2020. This is a huge increase compared to 12.5 million days lost in 2016/17 (HSE)  

Work-related stress, depression or anxiety continues to represent a significant ill health condition in the workforce of Great Britain. Work-related stress, depression or anxiety accounts for 51% of work-related ill health and 55% of working days lost, in 2019/20 (HSE)  

The occupations and industries reporting the highest rates of work-related stress, depression or anxiety remain consistently in the health and public sectors of the economy.  ',
			'field_order' => '0',
			'attachment_id' => '1398',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 73 => array(
			'id' => '3132',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-hotspot',
			'field_label' => ' Signs and symptoms of stress',
			'description' => 'Click on each marker for more info.',
			'field_order' => '1',
			'attachment_id' => '1399',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":69.3906,"left":111,"annotation":"Headaches"},{"top":329.391,"left":103,"annotation":"Indigestion"},{"top":87.3906,"left":244,"annotation":"Colds/Flu"},{"top":208.391,"left":295,"annotation":"Skin irritations"},{"top":64.3906,"left":246,"annotation":"Acne"},{"top":220.391,"left":401,"annotation":"High BP"},{"top":80.3906,"left":77,"annotation":"Sleepiness"},{"top":115.391,"left":395,"annotation":"Breathlessness"},{"top":341.391,"left":257,"annotation":"Fatigue"},{"top":398.391,"left":117,"annotation":"Frequent infections"},{"top":293.391,"left":231,"annotation":"Taught muscles"}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 74 => array(
			'id' => '3133',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-bullets',
			'field_label' => 'Behaviour',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1400',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Smoking ","Alcohol ","Increased caffeine ","Apathetic ","Irritability and aggression ","Withdrawal ","Increased forgetfulness ","Crying ","Moodiness and sulking ","Obsessive behaviour ","Increased mistakes ","Decreased personal standards "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 75 => array(
			'id' => '3134',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-bullets',
			'field_label' => 'Mind',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1401',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Confused ","Nightmares ","Negative ","Indecisiveness ","Poor concentration ","Blinkered ","Constant criticism and cynicism ","Worrying ","Hasty decisions ","Things out of proportion "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 76 => array(
			'id' => '3135',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'image-bullets',
			'field_label' => 'Emotion ',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => '1402',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Anxiety ","Apathy ","Anger ","Feeling hopeless ","Loss of confidence ","Depression ","Alienation ","Negativity ","De-motivated ","Low self-esteem "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 77 => array(
			'id' => '3136',
			'course_id' => '113',
			'course_lesson_id' => '510',
			'field_type' => 'bullet-points',
			'field_label' => 'How to get support ',
			'description' => 'There is lots of support:  ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Early discussion with your Manager or Workforce Advisor can help to manage the pressures you may be feeling.  ","A stress risk assessment at this point will help to identify what actions can be taken immediately to support you in your workplace.  ","A management referral or self-referral to Occupational Health will help to identify what further support you may need and direct you to appropriate available therapies and other support.  ","Occupational Health deliver a number of courses and opportunities to understand and deal with stress (mindfulness, stress management). Look on the Occupational Health intranet for details. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 13:38:43',
			'modified' => '2024-08-05 13:38:43'
		),
		(int) 78 => array(
			'id' => '3137',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'text-image',
			'field_label' => 'The approved NHS definition of violence and aggression is:  ',
			'description' => '“The application of force, severe threat or serious abuse by members of the public towards people arising out of the course of their work whether or not they are on duty. This includes severe verbal abuse or threat where this is judged likely to turn into actual violence, serious or persistent harassment (including racial or sexual harassment with a weapon; major or minor injuries and fatalities.)”  ',
			'field_order' => '0',
			'attachment_id' => '1403',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 79 => array(
			'id' => '3138',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'text-image',
			'field_label' => 'Early recognition & prevention',
			'description' => 'There are sometimes warning signs that a person’s normal behaviour is changing, such as a raised voice or clenching fists etc; if a member of staff is observant and reports these changes, actions can be taken which may avert a violent episode.  

If a person shows any indication of these changes, the member of staff must report the changes to the head of department or ward.  Even if proved unfounded, it is advisable that a senior member of staff is alerted to the potential problem.  ',
			'field_order' => '1',
			'attachment_id' => '1404',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 80 => array(
			'id' => '3139',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'bullet-points',
			'field_label' => 'De-escalation',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Remain calm  ","Maintain adequate distance  ","Move towards a safe place","Keep your body relaxed, Control your breathing to ensure you do not become tense  ","Keep the aggressor talking, Acknowledge concerns and feelings  ","Explain what is happening and why ","Use designated pathways "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 81 => array(
			'id' => '3140',
			'course_id' => '113',
			'course_lesson_id' => '511',
			'field_type' => 'text-image',
			'field_label' => 'Dealing with aggression',
			'description' => 'Stay calm, speak gently, slowly and clearly. 

Do not be enticed into an argument. 

Do not hide behind your authority, status or jargon. 

Tell the person who you are, ask their name and tell them what you want them to do. 

Try to defuse the situation by talking things through as reasonable adults, while remembering your first duty of care is to yourself. 

Avoid an aggressive stance.  Crossed arms, hands on hips, a wagging finger or a raised arm will challenge and confront.  

Keep your distance. 

Do not look down on the aggressor. 

Plan and keep an escape route accessible, AND IF YOU FEEL THE SITUATION HAS GONE BEYOND YOUR CONTROL DO NOT HESITATE TO USE IT. ',
			'field_order' => '3',
			'attachment_id' => '1405',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-06 09:35:12',
			'modified' => '2024-08-06 09:35:12'
		),
		(int) 82 => array(
			'id' => '3141',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What roles do the H&S Reps and Champions play? ',
			'description' => 'select an answer',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Inspections within their department ","Consultation on health & safety policies and issues","Audits ","All of the above and more "]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 83 => array(
			'id' => '3142',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => ' Where do you find Health and safety policies?',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => '1406',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["In the manager\u2019s office  ","On the Procedural Document Library on the intranet ","In a file in the restroom "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 84 => array(
			'id' => '3143',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are your responsibilities in relation to hazardous substances? ',
			'description' => 'select one or more answers ',
			'field_order' => '2',
			'attachment_id' => '1407',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Use whatever you think does the job best ","Ensure you know what hazardous substances there are in your area ","Read the COSHH assessment, SOP or guidance poster before you use a hazardous substance ","Ask someone else to do the job so you don\u2019t have to use them "]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 85 => array(
			'id' => '3144',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'A COSHH assessment: ',
			'description' => 'select an answer',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Should be read and understood by everyone using the substance ","Helps you protect patients ","Tells you how to store, make up, use, transport and dispose of a hazardous substance correctly ","All of the above "]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 86 => array(
			'id' => '3145',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Where ligature risks cannot be removed from the environment we must use: ',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Careful assessment and attention to the individual ","Timely repair of damage and disrepair  ","Excellent housekeeping ","Keeping locked, all areas which can be accessed unseen or undisturbed ","All of the above "]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 87 => array(
			'id' => '3146',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'The ligature knife is found:',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["In the central airway section of a Grab Bag ","At the nurses station on a ward ","In the clean utility ","In the first drawer of the Resus Trolley "]',
			'field_correct' => '0,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 88 => array(
			'id' => '3147',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What is the main reason why eye splashes occur to our staff? ',
			'description' => 'select an answer',
			'field_order' => '6',
			'attachment_id' => '1408',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Safety glasses fall off during a procedure ","Staff accidentally rub substances into their eyes  ","Staff do not wear eye protection when it is specified "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 89 => array(
			'id' => '3148',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following statements is wrong?',
			'description' => 'select an answer ',
			'field_order' => '7',
			'attachment_id' => '1409',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["If it is specified on a risk assessment or in training but you think there is no real risk you can choose not to wear it ","There are several regulations which require the use of PPE to protect staff from hazards in their work ","When your training has included the use of PPE you must use it ","When the risk assessment states PPE is required, you must use it "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 90 => array(
			'id' => '3149',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Why is PPE the least robust way of protecting staff? ',
			'description' => 'select an answer',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It only protects the individual using it ","It can be breached if not fitted and worn correctly ","It relies on the individual to make sure they wear it and human beings are \u201cthe weakest link\u201d! ","All of the above "]',
			'field_correct' => '3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 91 => array(
			'id' => '3150',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Which one of these is NOT one of our most common causes of slips, trips and falls for staff?',
			'description' => 'select an answer',
			'field_order' => '9',
			'attachment_id' => '1410',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Staff wearing high heels ","Slippery floors caused by spillages ","Floors still damp after cleaning ","Trailing cables "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 92 => array(
			'id' => '3151',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Which of these actions are good controls for reducing slips, trips and falls? ',
			'description' => 'select an answer',
			'field_order' => '10',
			'attachment_id' => '1411',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Prevent spills by reporting leaks and disposing of waste carefully to avoid puncturing waste bags ","Never run cables across walkways and be mindful of cables in the clinical areas ","Remove wet floor signs as soon as the floor dries ","Do not ignore a wet floor warning sign ","React immediately when a spillage occurs or is found ","All of the above "]',
			'field_correct' => '5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 93 => array(
			'id' => '3152',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What does RIDDOR stand for? ',
			'description' => 'select an answer',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Reporting of Incidents, Disasters and Dangerous Occurrences Regulations ","Reporting of Incidents, Deaths and Dangerous Occurrences Regulations ","Reporting of Injuries, Diseases and Dangerous Occurrences Regulations  "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 94 => array(
			'id' => '3153',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What is one of the benefits of investigating incidents? ',
			'description' => 'select an answer',
			'field_order' => '12',
			'attachment_id' => '1412',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To improve staff morale ","To blame somebody ","To undertake a tick box exercise "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 95 => array(
			'id' => '3154',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What is the speed limit on site? ',
			'description' => 'select an answer',
			'field_order' => '13',
			'attachment_id' => '1413',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["5 mph ","10 mph ","15 mph ","20 mph "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 96 => array(
			'id' => '3155',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'What does a risk assessment document identify? ',
			'description' => 'select one or more answers ',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The hazard ","The likelihood it will occur ","Controls in place  ","Who may be harmed "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 97 => array(
			'id' => '3156',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Where are Health and Safety Risk assessments located?',
			'description' => 'select an answer',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Health and Safety Intranet site ","Ward or Department ","Manager\u2019s Office ","Health and Safety Office "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 98 => array(
			'id' => '3157',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'When a risk affects the achievement of an objective (e.g safe patient care) where would we record and find this? ',
			'description' => 'select an answer',
			'field_order' => '16',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Health and Safety Intranet site ","In a file in the Managers Office ","On the Trust Risk register ","Nowhere; we wouldn't record it "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 99 => array(
			'id' => '3158',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Where should you record that your DSE assessment has been completed? ',
			'description' => 'select an answer',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["TMS (as DSE Self-assessment) ","On the noticeboard ","In your diary "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 100 => array(
			'id' => '3159',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'What does PPM stand for?',
			'description' => 'select an answer',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Push, Pull Movement ","Prepared Property Maintenance  ","Planned Preventative Maintenance ","Proven Preventative Maintenance"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 101 => array(
			'id' => '3160',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'Who holds the central equipment inventory?',
			'description' => 'select an answer',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Estates ","Medical Engineering ","Health and Safety ","Supplies "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 102 => array(
			'id' => '3161',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'During disposal you should always: ',
			'description' => 'select an answer',
			'field_order' => '20',
			'attachment_id' => '1414',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Completely fill the sharps bin before closing it ","Pass your sharp to a colleague to make sure it is disposed of correctly  ","Deploy any safety device "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 103 => array(
			'id' => '3162',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'The partial closer should always be used:',
			'description' => 'select an answer',
			'field_order' => '21',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To prevent accidental spillages ","To keep the area tidy ","To prevent smells "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 104 => array(
			'id' => '3163',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'How many reported working days were lost in 2019/20 due to work-related stress, depression or anxiety?',
			'description' => 'select an answer',
			'field_order' => '22',
			'attachment_id' => '1415',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["7.6 thousand ","17.9 million ","15.1 million  "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 105 => array(
			'id' => '3164',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'single-choice',
			'field_label' => 'How does the HSE define stress?',
			'description' => 'select an answer',
			'field_order' => '23',
			'attachment_id' => '1416',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["\u201cThe adverse reaction people have to excessive pressures or other types of demands placed upon them.\u201d  ","\u201cThe non-specific response of the body to any demand for change.\u201d ","\u201cState of mental or emotional strain or tension resulting from adverse or demanding circumstances.\u201d "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		),
		(int) 106 => array(
			'id' => '3165',
			'course_id' => '113',
			'course_lesson_id' => '512',
			'field_type' => 'multiple-choice',
			'field_label' => 'What should a member of staff do if they have been a victim of violence or aggression at work?',
			'description' => 'select one or more answers',
			'field_order' => '24',
			'attachment_id' => '1417',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Complete a clinical incident ","Report it to their manager ","Report it to the police ","Request support if their case ends up in court "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 14:29:00',
			'modified' => '2024-08-05 14:29:00'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3058',
		(int) 1 => '3059',
		(int) 2 => '3060',
		(int) 3 => '3061',
		(int) 4 => '3062',
		(int) 5 => '3063',
		(int) 6 => '3064',
		(int) 7 => '3065',
		(int) 8 => '3066',
		(int) 9 => '3067',
		(int) 10 => '3068',
		(int) 11 => '3069',
		(int) 12 => '3070',
		(int) 13 => '3071',
		(int) 14 => '3072',
		(int) 15 => '3252',
		(int) 16 => '3253',
		(int) 17 => '3075',
		(int) 18 => '3077',
		(int) 19 => '3076',
		(int) 20 => '3078',
		(int) 21 => '3254',
		(int) 22 => '3080',
		(int) 23 => '3081',
		(int) 24 => '3082',
		(int) 25 => '3083',
		(int) 26 => '3084',
		(int) 27 => '3085',
		(int) 28 => '3086',
		(int) 29 => '3087',
		(int) 30 => '3088',
		(int) 31 => '3089',
		(int) 32 => '3090',
		(int) 33 => '3091',
		(int) 34 => '3092',
		(int) 35 => '3093',
		(int) 36 => '3094',
		(int) 37 => '3095',
		(int) 38 => '3096',
		(int) 39 => '3097',
		(int) 40 => '3098',
		(int) 41 => '3099',
		(int) 42 => '3100',
		(int) 43 => '3101',
		(int) 44 => '3255',
		(int) 45 => '3103',
		(int) 46 => '3104',
		(int) 47 => '3105',
		(int) 48 => '3106',
		(int) 49 => '3107',
		(int) 50 => '3108',
		(int) 51 => '3109',
		(int) 52 => '3110',
		(int) 53 => '3111',
		(int) 54 => '3112',
		(int) 55 => '3113',
		(int) 56 => '3114',
		(int) 57 => '3116',
		(int) 58 => '3117',
		(int) 59 => '3118',
		(int) 60 => '3119',
		(int) 61 => '3120',
		(int) 62 => '3121',
		(int) 63 => '3122',
		(int) 64 => '3123',
		(int) 65 => '3124',
		(int) 66 => '3125',
		(int) 67 => '3126',
		(int) 68 => '3127',
		(int) 69 => '3128',
		(int) 70 => '3129',
		(int) 71 => '3130',
		(int) 72 => '3131',
		(int) 73 => '3132',
		(int) 74 => '3133',
		(int) 75 => '3134',
		(int) 76 => '3135',
		(int) 77 => '3136',
		(int) 78 => '3137',
		(int) 79 => '3138',
		(int) 80 => '3139',
		(int) 81 => '3140',
		(int) 82 => '3141',
		(int) 83 => '3142',
		(int) 84 => '3143',
		(int) 85 => '3144',
		(int) 86 => '3145',
		(int) 87 => '3146',
		(int) 88 => '3147',
		(int) 89 => '3148',
		(int) 90 => '3149',
		(int) 91 => '3150',
		(int) 92 => '3151',
		(int) 93 => '3152',
		(int) 94 => '3153',
		(int) 95 => '3154',
		(int) 96 => '3155',
		(int) 97 => '3156',
		(int) 98 => '3157',
		(int) 99 => '3158',
		(int) 100 => '3159',
		(int) 101 => '3160',
		(int) 102 => '3161',
		(int) 103 => '3162',
		(int) 104 => '3163',
		(int) 105 => '3164',
		(int) 106 => '3165'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '113'
$k = (int) 11
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
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		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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		(int) 8 => '12',
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		(int) 10 => '6'
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		(int) 5 => '62',
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		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 123 => array(
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		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
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)
$mainTermData = array(
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		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
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		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
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			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
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		'CourseLesson' => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
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			),
			(int) 7 => array(
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			),
			(int) 8 => array(
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			(int) 9 => array(
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		),
		'CourseLessonField' => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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			(int) 6 => array(
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			(int) 7 => array(
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			(int) 8 => array(
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			(int) 9 => array(
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			(int) 10 => array(
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			(int) 11 => array(
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			(int) 15 => array(
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			(int) 16 => array(
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			(int) 24 => array(
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			(int) 25 => array(
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			(int) 26 => array(
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			(int) 27 => array(
				[maximum depth reached]
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			(int) 28 => array(
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			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
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			),
			(int) 31 => array(
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			),
			(int) 32 => array(
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			(int) 38 => array(
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			(int) 42 => array(
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			(int) 43 => array(
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			(int) 44 => array(
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			(int) 46 => array(
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			(int) 49 => array(
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			(int) 50 => array(
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			(int) 51 => array(
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			(int) 52 => array(
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			(int) 53 => array(
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			(int) 54 => array(
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			(int) 55 => array(
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			(int) 56 => array(
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			(int) 57 => array(
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			(int) 58 => array(
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			),
			(int) 59 => array(
				[maximum depth reached]
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			(int) 60 => array(
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			(int) 577 => array(
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			(int) 583 => array(
				[maximum depth reached]
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			(int) 584 => array(
				[maximum depth reached]
			)
		),
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			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
				[maximum depth reached]
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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			(int) 6 => array(
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			(int) 7 => array(
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			(int) 8 => array(
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			(int) 9 => array(
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			(int) 10 => array(
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			(int) 11 => array(
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			(int) 12 => array(
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			(int) 13 => array(
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			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
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			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
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		),
		'LessonFieldIds' => array(
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			(int) 2 => '3660',
			(int) 3 => '3661',
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			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
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			(int) 58 => '3716',
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			(int) 60 => '3718'
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	),
	(int) 1 => array(
		'Course' => array(
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			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
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			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
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		'CourseLesson' => array(
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		'CourseLessonField' => array(
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			),
			(int) 16 => array(
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			'modified' => '2024-08-07 14:23:26',
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			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
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				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
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			(int) 68 => array(
				[maximum depth reached]
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			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
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		'LessonFieldList' => array(
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				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
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		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
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		),
		'LessonFieldIds' => array(
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			(int) 2 => '3563',
			(int) 3 => '3564',
			(int) 4 => '3565',
			(int) 5 => '3566',
			(int) 6 => '3567',
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			(int) 8 => '3569',
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			(int) 12 => '3573',
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			(int) 24 => '3584',
			(int) 25 => '3587',
			(int) 26 => '3588',
			(int) 27 => '3589',
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			(int) 29 => '3591',
			(int) 30 => '3592',
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			(int) 32 => '3594',
			(int) 33 => '3595',
			(int) 34 => '3596',
			(int) 35 => '3597',
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			(int) 47 => '3609',
			(int) 48 => '3610',
			(int) 49 => '3611',
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			(int) 52 => '3614',
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			(int) 54 => '3619',
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			(int) 56 => '3617',
			(int) 57 => '3616',
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			(int) 60 => '3620',
			(int) 61 => '3623',
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			(int) 66 => '3628',
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			(int) 71 => '3633',
			(int) 72 => '3634',
			(int) 73 => '3635',
			(int) 74 => '3636',
			(int) 75 => '3637',
			(int) 76 => '3638',
			(int) 77 => '3639'
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	),
	(int) 3 => array(
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			'id' => '121',
			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
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		'CourseLesson' => array(
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			(int) 4 => array(
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		'CourseLessonField' => array(
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				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 556 => array(
				[maximum depth reached]
			),
			(int) 557 => array(
				[maximum depth reached]
			),
			(int) 558 => array(
				[maximum depth reached]
			),
			(int) 559 => array(
				[maximum depth reached]
			),
			(int) 560 => array(
				[maximum depth reached]
			)
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		'LessonFieldAll' => array(
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				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
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			(int) 1 => '3532',
			(int) 2 => '3533',
			(int) 3 => '3534',
			(int) 4 => '3535',
			(int) 5 => '3536',
			(int) 6 => '3537',
			(int) 7 => '3538',
			(int) 8 => '3539',
			(int) 9 => '3540',
			(int) 10 => '3541',
			(int) 11 => '3542',
			(int) 12 => '3543',
			(int) 13 => '3544',
			(int) 14 => '3545',
			(int) 15 => '3546',
			(int) 16 => '3547',
			(int) 17 => '3548',
			(int) 18 => '3549',
			(int) 19 => '3550',
			(int) 20 => '3551',
			(int) 21 => '3552',
			(int) 22 => '3553',
			(int) 23 => '3554',
			(int) 24 => '3555',
			(int) 25 => '3556',
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			),
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			),
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			),
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			),
			(int) 18 => array(
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			),
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			),
			(int) 20 => array(
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			),
			(int) 21 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			)
		),
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			),
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				[maximum depth reached]
			),
			(int) 535 => array(
				[maximum depth reached]
			),
			(int) 536 => array(
				[maximum depth reached]
			)
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				[maximum depth reached]
			),
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			),
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			),
			(int) 5 => array(
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			),
			(int) 6 => array(
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			),
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			(int) 9 => array(
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
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			),
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				[maximum depth reached]
			),
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			),
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				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
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			),
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			(int) 5 => '3357',
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	),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 20 => array(
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			),
			(int) 21 => array(
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			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
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			),
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			),
			(int) 33 => array(
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			),
			(int) 34 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
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			),
			(int) 39 => array(
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			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
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			),
			(int) 43 => array(
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			(int) 30 => '3338',
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			(int) 32 => '3340',
			(int) 33 => '3341',
			(int) 34 => '3342',
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			(int) 40 => '3348',
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			'course_title' => 'Patient Safety Syllabus Training, Level 1',
			'description' => 'The information is for everyone in the service. &nbsp;<br />It's about:&nbsp;&nbsp;<br />listening to patients and raising concerns&nbsp;<br />the systems approach to safety, where instead of focusing on the performance of individual members of staff, we try to improve the way we work&nbsp;<br />avoiding inappropriate blame when things don't go well&nbsp;<br />creating a just culture that prioritises safety and is open to learning about risk and safety&nbsp;<br />Further sessions in this syllabus build on these essentials so that staff may become Patient Safety Practitioners or Advanced Practitioners or simply strengthen their approach to patient safety.',
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			'expired' => '0',
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			'course_title' => 'Manual Handling Module A&B',
			'description' => 'Welcome to this e-Learning package, Manual Handling.&nbsp;&nbsp;<br />This is for all staff including contractors, unpaid and voluntary.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
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			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />This session has been updated with infection, prevention and control guidance in light of the Coronavirus (COVID-19) pandemic. We recommend that you visit the Personal Protective Equipment (PPE) chapter for new guidance.<br /><br />For up-to-date guidance search:<br /><br />COVID-19: infection prevention and control<br />COVID-19: guidance for Ambulance Trusts<br /><br />Your health and safety and that of others is very important. During this pandemic you must take care of yourself and stay at home if you exhibit any symptoms of the Coronavirus or if those you live with are unwell. you must stay at home if you are an individual who is &lsquo;shielded&rsquo;.<br /><br />If you are working in a health and care environment and if you are well, you can attend your work but must follow the guidance given to you by your organisation.',
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			'course_length' => '60 minutes',
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			'created' => '2024-08-05 14:33:41',
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				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3166',
			(int) 1 => '3243',
			(int) 2 => '3244',
			(int) 3 => '3169',
			(int) 4 => '3170',
			(int) 5 => '3171',
			(int) 6 => '3245',
			(int) 7 => '3173',
			(int) 8 => '3174',
			(int) 9 => '3175',
			(int) 10 => '3246',
			(int) 11 => '3247',
			(int) 12 => '3178',
			(int) 13 => '3179',
			(int) 14 => '3248',
			(int) 15 => '3181',
			(int) 16 => '3182',
			(int) 17 => '3183',
			(int) 18 => '3249',
			(int) 19 => '3185',
			(int) 20 => '3186',
			(int) 21 => '3187',
			(int) 22 => '3188',
			(int) 23 => '3189',
			(int) 24 => '3190',
			(int) 25 => '3191',
			(int) 26 => '3192',
			(int) 27 => '3193',
			(int) 28 => '3195',
			(int) 29 => '3196',
			(int) 30 => '3197',
			(int) 31 => '3198',
			(int) 32 => '3250',
			(int) 33 => '3200',
			(int) 34 => '3251',
			(int) 35 => '3203',
			(int) 36 => '3204',
			(int) 37 => '3205',
			(int) 38 => '3208',
			(int) 39 => '3206',
			(int) 40 => '3207',
			(int) 41 => '3209',
			(int) 42 => '3210',
			(int) 43 => '3211',
			(int) 44 => '3212',
			(int) 45 => '3213',
			(int) 46 => '3214',
			(int) 47 => '3215',
			(int) 48 => '3216',
			(int) 49 => '3217',
			(int) 50 => '3219',
			(int) 51 => '3218',
			(int) 52 => '3220',
			(int) 53 => '3221',
			(int) 54 => '3222',
			(int) 55 => '3223',
			(int) 56 => '3224',
			(int) 57 => '3225',
			(int) 58 => '3226',
			(int) 59 => '3227',
			(int) 60 => '3228',
			(int) 61 => '3229',
			(int) 62 => '3230',
			(int) 63 => '3231',
			(int) 64 => '3232',
			(int) 65 => '3233',
			(int) 66 => '3234',
			(int) 67 => '3235',
			(int) 68 => '3237',
			(int) 69 => '3238',
			(int) 70 => '3239',
			(int) 71 => '3240',
			(int) 72 => '3241',
			(int) 73 => '3242'
		)
	),
	(int) 11 => array(
		'Course' => array(
			'id' => '113',
			'course_title' => 'Health & Safety (NHS Core Skills)',
			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
			'banner_media_id' => '1418',
			'thumbnail_media_id' => '1419',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'field_count' => (int) 107,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 498 => array(
				[maximum depth reached]
			),
			(int) 499 => array(
				[maximum depth reached]
			),
			(int) 500 => array(
				[maximum depth reached]
			),
			(int) 501 => array(
				[maximum depth reached]
			),
			(int) 502 => array(
				[maximum depth reached]
			),
			(int) 503 => array(
				[maximum depth reached]
			),
			(int) 504 => array(
				[maximum depth reached]
			),
			(int) 505 => array(
				[maximum depth reached]
			),
			(int) 506 => array(
				[maximum depth reached]
			),
			(int) 507 => array(
				[maximum depth reached]
			),
			(int) 508 => array(
				[maximum depth reached]
			),
			(int) 509 => array(
				[maximum depth reached]
			),
			(int) 510 => array(
				[maximum depth reached]
			),
			(int) 511 => array(
				[maximum depth reached]
			),
			(int) 512 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3058',
			(int) 1 => '3059',
			(int) 2 => '3060',
			(int) 3 => '3061',
			(int) 4 => '3062',
			(int) 5 => '3063',
			(int) 6 => '3064',
			(int) 7 => '3065',
			(int) 8 => '3066',
			(int) 9 => '3067',
			(int) 10 => '3068',
			(int) 11 => '3069',
			(int) 12 => '3070',
			(int) 13 => '3071',
			(int) 14 => '3072',
			(int) 15 => '3252',
			(int) 16 => '3253',
			(int) 17 => '3075',
			(int) 18 => '3077',
			(int) 19 => '3076',
			(int) 20 => '3078',
			(int) 21 => '3254',
			(int) 22 => '3080',
			(int) 23 => '3081',
			(int) 24 => '3082',
			(int) 25 => '3083',
			(int) 26 => '3084',
			(int) 27 => '3085',
			(int) 28 => '3086',
			(int) 29 => '3087',
			(int) 30 => '3088',
			(int) 31 => '3089',
			(int) 32 => '3090',
			(int) 33 => '3091',
			(int) 34 => '3092',
			(int) 35 => '3093',
			(int) 36 => '3094',
			(int) 37 => '3095',
			(int) 38 => '3096',
			(int) 39 => '3097',
			(int) 40 => '3098',
			(int) 41 => '3099',
			(int) 42 => '3100',
			(int) 43 => '3101',
			(int) 44 => '3255',
			(int) 45 => '3103',
			(int) 46 => '3104',
			(int) 47 => '3105',
			(int) 48 => '3106',
			(int) 49 => '3107',
			(int) 50 => '3108',
			(int) 51 => '3109',
			(int) 52 => '3110',
			(int) 53 => '3111',
			(int) 54 => '3112',
			(int) 55 => '3113',
			(int) 56 => '3114',
			(int) 57 => '3116',
			(int) 58 => '3117',
			(int) 59 => '3118',
			(int) 60 => '3119',
			(int) 61 => '3120',
			(int) 62 => '3121',
			(int) 63 => '3122',
			(int) 64 => '3123',
			(int) 65 => '3124',
			(int) 66 => '3125',
			(int) 67 => '3126',
			(int) 68 => '3127',
			(int) 69 => '3128',
			(int) 70 => '3129',
			(int) 71 => '3130',
			(int) 72 => '3131',
			(int) 73 => '3132',
			(int) 74 => '3133',
			(int) 75 => '3134',
			(int) 76 => '3135',
			(int) 77 => '3136',
			(int) 78 => '3137',
			(int) 79 => '3138',
			(int) 80 => '3139',
			(int) 81 => '3140',
			(int) 82 => '3141',
			(int) 83 => '3142',
			(int) 84 => '3143',
			(int) 85 => '3144',
			(int) 86 => '3145',
			(int) 87 => '3146',
			(int) 88 => '3147',
			(int) 89 => '3148',
			(int) 90 => '3149',
			(int) 91 => '3150',
			(int) 92 => '3151',
			(int) 93 => '3152',
			(int) 94 => '3153',
			(int) 95 => '3154',
			(int) 96 => '3155',
			(int) 97 => '3156',
			(int) 98 => '3157',
			(int) 99 => '3158',
			(int) 100 => '3159',
			(int) 101 => '3160',
			(int) 102 => '3161',
			(int) 103 => '3162',
			(int) 104 => '3163',
			(int) 105 => '3164',
			(int) 106 => '3165'
		)
	),
	(int) 12 => array(
		'Course' => array(
			'id' => '112',
			'course_title' => 'Equality Diversity And Inclusion E-Learning',
			'description' => 'Welcome to this e-Learning package on Equality, Diversity and Human Rights. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1323',
			'thumbnail_media_id' => '1320',
			'logo_media_id' => null,
			'banner_align_id' => '4',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 09:12:40',
			'modified' => '2024-08-07 14:24:36',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'field_count' => (int) 42
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 490 => array(
				[maximum depth reached]
			),
			(int) 491 => array(
				[maximum depth reached]
			),
			(int) 492 => array(
				[maximum depth reached]
			),
			(int) 493 => array(
				[maximum depth reached]
			),
			(int) 494 => array(
				[maximum depth reached]
			),
			(int) 495 => array(
				[maximum depth reached]
			),
			(int) 496 => array(
				[maximum depth reached]
			),
			(int) 497 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3016',
			(int) 1 => '3017',
			(int) 2 => '3018',
			(int) 3 => '3019',
			(int) 4 => '3020',
			(int) 5 => '3021',
			(int) 6 => '3022',
			(int) 7 => '3023',
			(int) 8 => '3024',
			(int) 9 => '3025',
			(int) 10 => '3026',
			(int) 11 => '3027',
			(int) 12 => '3028',
			(int) 13 => '3029',
			(int) 14 => '3030',
			(int) 15 => '3031',
			(int) 16 => '3032',
			(int) 17 => '3033',
			(int) 18 => '3034',
			(int) 19 => '3035',
			(int) 20 => '3036',
			(int) 21 => '3037',
			(int) 22 => '3038',
			(int) 23 => '3039',
			(int) 24 => '3040',
			(int) 25 => '3041',
			(int) 26 => '3042',
			(int) 27 => '3043',
			(int) 28 => '3044',
			(int) 29 => '3045',
			(int) 30 => '3046',
			(int) 31 => '3047',
			(int) 32 => '3048',
			(int) 33 => '3049',
			(int) 34 => '3050',
			(int) 35 => '3051',
			(int) 36 => '3052',
			(int) 37 => '3053',
			(int) 38 => '3054',
			(int) 39 => '3055',
			(int) 40 => '3056',
			(int) 41 => '3057'
		)
	),
	(int) 13 => array(
		'Course' => array(
			'id' => '111',
			'course_title' => 'Fire General Safety Awareness Transcript ',
			'description' => 'Welcome to this e-Learning package on Fire Safety &ndash; Level 1. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1647',
			'thumbnail_media_id' => '1648',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 13:04:44',
			'modified' => '2024-08-07 14:24:24'
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
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Relevant legislation, organisational policies and processes   

Promote a proactive inclusive approach to equality, diversity and human rights   

Benefits of an effective approach to equality, diversity and human rights   

The importance of valuing people as individuals and treating everyone with dignity, courtesy and respect  

How our “Behavioural Standards Framework” underpins the principles of equality and diversity.    

What to do if there are concerns about equality and diversity practice ',
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Equality, diversity and inclusion is at the heart of the NHS strategy.  

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Making sure people are treated fairly. 

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			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 5 => array(
			'id' => '3021',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Harmonises and simplifies Equality and Diversity law. 
Encourages to do what’s right, as well as what’s legal. ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 6 => array(
			'id' => '3022',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'image-bullets',
			'field_label' => 'General Duties of the Equality Act',
			'description' => 'Under the Equality Act the following duties are expected of all public organisations:  ',
			'field_order' => '4',
			'attachment_id' => '1328',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["To eliminate discrimination, harassment and victimisation.  ","To advance equality of opportunity for all.  ","To foster good relations between people who share a protected characteristic and those who do not. To foster good relations between people who share a protected characteristic and those who do not. ","It gives the NHS the opportunity to work towards reducing inequalities in care. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 7 => array(
			'id' => '3023',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'image-bullets',
			'field_label' => 'Protected Characteristics ',
			'description' => 'Under the Equality Act the following characteristics are now classed as protected: ',
			'field_order' => '5',
			'attachment_id' => '1329',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Religion or belief ","Sexual orientation ","Gender reassignment ","Marriage and civil partnership ","Race ","Disability ","Age ","Sex ","Pregnancy and maternity "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 8 => array(
			'id' => '3024',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'bullet-points',
			'field_label' => 'The Workforce Race Equality Standard (W.R.E.S)',
			'description' => 'The W.R.E.S was introduced in April 2015 and applies to all NHS organisations. 

The purpose of the W.R.E.S is to ensure that NHS organisations take the necessary positive action to promote and support staff from black and minority ethnic (BME) backgrounds. ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Essentially, it provides a framework for ensuring that BME staff are treated equitably in every aspect of their working lives, for example:  ","Access to training  ","Promotion to senior positions  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 9 => array(
			'id' => '3025',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => 'For further information about what UHMB are doing in relation to the WRES, please click on the following link:  <br><a href="https://www.uhmb.nhs.uk/our-trust/inclusion-and-diversity">https://www.uhmb.nhs.uk/our-trust/inclusion-and-diversity</a> <br>',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 10 => array(
			'id' => '3026',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'text-image',
			'field_label' => 'Fairness and Equality',
			'description' => 'Respect for all. 

Equality of opportunity. 

Treat people according to needs. 

The duty to make reasonable adjustments i.e. The duty to take steps  to remove or reduce or prevent the barriers for disabled people to ensure they are afforded access to services to a standard that is as close as it is reasonably possible to  the one offered to people who do not have a disability. In employment it also means  that an employer is  under a positive and proactive duty to take steps to remove or reduce or prevent the obstacles a disabled worker or job applicant face. 

Positive Action: The steps that an employer can take to encourage people from groups with different needs or with a past track record of disadvantage or low participation to apply for jobs. This should not be confused with ‘positive discrimination’ which equality law does not allow. (Equality and Human Rights Commission). ',
			'field_order' => '8',
			'attachment_id' => '1330',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 11 => array(
			'id' => '3027',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'bullet-points',
			'field_label' => 'How is ‘Reasonable’ Judged? ',
			'description' => 'Whether adjustment will prevent the problem.  

How practicable it is.  

Financial and other costs:  ',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Employer’s financial cost and other resources. ","Availability of financial support or other assistance. ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 12 => array(
			'id' => '3028',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'image-bullets',
			'field_label' => 'How can Organisations Promote an Inclusive Approach? ',
			'description' => '',
			'field_order' => '10',
			'attachment_id' => '1331',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Patient and Public Involvement to engage with their community and understand their needs in order to tackle local health inequalities.  ","Develop an equality policy and action plan. ","Review complaints Equality Data Collection and monitoring. ","Improve services through consultation and involvement. ","Equality Impact Assessments. ","Promote equality and good employment practice. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 13 => array(
			'id' => '3029',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'paragraph',
			'field_label' => '‘All human beings are born free and equal in dignity and rights. They are endowed with reason and conscience and should act towards one  another in a spirit of brotherhood’   ',
			'description' => '(U.N. Declaration of Human Rights, 1948) ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 14 => array(
			'id' => '3030',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'text-image',
			'field_label' => 'Human Rights Act (1998)',
			'description' => '“The Human Rights Act offers a practical tool to help support NHS organisations to put the individual at the heart of the decision making process and make decisions that better protect the interests of service users, staff and carers” (DH, 2008). 

“It came into force in the United Kingdom in October 2000 and it gives effect to the rights set out in the European Convention on Human Rights. All public and other bodies carrying out public functions have to comply with the Convention rights”. ',
			'field_order' => '1',
			'attachment_id' => '1332',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 15 => array(
			'id' => '3031',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'image-bullets',
			'field_label' => 'Our Human Rights under the Human Rights Act (1998) ',
			'description' => 'The Act sets out the fundamental rights and freedoms that individuals in the UK have access to. They include:   ',
			'field_order' => '2',
			'attachment_id' => '1334',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Right to life  ","Freedom from torture and inhuman or degrading treatment  ","Right to liberty and security","Freedom from slavery and forced labour  ","Right to a fair trial  ","No punishment without law  ","Respect for your private and family life, home and correspondence  ","Freedom of thought, belief and religion  ","Freedom of expression  ","Freedom of assembly and association  ","Right to marry and start a family  ","Protection from discrimination in respect of these rights and freedoms  ","Right to peaceful enjoyment of your property  ","Right to education  ","Right to participate in free elections "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 16 => array(
			'id' => '3032',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'paragraph',
			'field_label' => 'Absolute and Non-Absolute Rights ',
			'description' => 'A variance in some rights:   

ABSOLUTE RIGHTS

They must never be limited or restricted in any way e.g. the right to life.   

NON-ABSOLUTE RIGHTS

LIMITED: They can be limited in specific and finite circumstances i.e. the right to liberty. 

QUALIFIED: They can be balanced against the rights of others or the interests of the wider community i.e. the right to freedom of expression. ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 17 => array(
			'id' => '3033',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'text-image',
			'field_label' => 'Human Rights-Based Approach ',
			'description' => 'Goes beyond the 9 protected characteristics to outlaw discrimination on all grounds.  

Improves patient, service user and staff experiences through person-centred decision making. 

Improves compliance with the Human Rights Act and reduces complaints/litigation. 

‘Human rights are not an “add on”, they are an inherent part of care… Healthcare that isn’t sensitive to human rights probably doesn’t deliver its goals’ (British Medical Association). ',
			'field_order' => '4',
			'attachment_id' => '1335',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 18 => array(
			'id' => '3034',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'paragraph',
			'field_label' => 'F.R.E.D.A. ',
			'description' => 'A human rights-based approach to clinical practice. 

F = Fairness   

R = Respect   

E = Equality   

D = Dignity   

A = Autonomy   

NHS Constitution makes clear that healthcare and human rights go hand in hand. 

The Darzi Report (2008) states that healthcare organisations must ensure patients receive personalised care and are treated with ‘compassion, dignity and respect. 

This is in line with FREDA principles. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 19 => array(
			'id' => '3035',
			'course_id' => '112',
			'course_lesson_id' => '493',
			'field_type' => 'paragraph',
			'field_label' => 'Our Behavioural Standards Framework ',
			'description' => 'Why do we need a ‘Behavioural Standards Framework’?  

We want UHMB to be a ‘Great Place to be Cared for; a Great Place to Work’. 

The way we behave towards other people (colleagues, patients and visitors) are the true indicator of our underlying attitudes and values. 

The UHMB Behavioural Standards Framework has been developed, by our staff, to ensure we have a core set of behaviours and attitudes that supports and promotes our vision of being a ‘Great Place to be Cared for; a Great Place to Work. 

The following outlines the framework ‘at a glance’ ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:54:30',
			'modified' => '2024-08-05 09:54:30'
		),
		(int) 20 => array(
			'id' => '3036',
			'course_id' => '112',
			'course_lesson_id' => '493',
			'field_type' => 'image-bullets',
			'field_label' => 'Our Behavioural Standards Framework ‘at a glance’ ',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1336',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Introduce yourself with “Hello, my name is:” ","Value the contribution of everyone ","Share learning with others ","Be friendly and welcoming ","Team working across all areas ","Recognise diversity and celebrate this ","Respect shown to everyone ","Seek out and act on feedback ","Ensure all our actions contribute to safe care and a safe working environment","For those who supervise / manage teams: ensure consistency and fairness in your approach ","Show support for both staff and patients ","Communicate effectively: listen to others and seek clarity when needed ","Be proud of the role you do and how this contributes to patient care"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:54:30',
			'modified' => '2024-08-05 09:54:30'
		),
		(int) 21 => array(
			'id' => '3037',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'text-image',
			'field_label' => 'Forms of Discrimination',
			'description' => 'DIRECT 

Someone is treated less favourably than another person because of a protected characteristic. 

ASSOCIATIVE 

Treating someone less favourably as a result of their association with a person who holds a protected characteristic. 

INDIRECT 

 A rule or policy that applies to everyone but disadvantages a particular individual or group. 

PERCEIVED DISCRIMINATION 

Unlawfully discriminating against someone on the mistaken assumption  they hold a protected characteristic. ',
			'field_order' => '0',
			'attachment_id' => '1337',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 22 => array(
			'id' => '3038',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'paragraph',
			'field_label' => ' Is it ever Lawful to Discriminate? ',
			'description' => 'It is possible for employers to discriminate during recruitment or promotion in limited circumstances where there is a Genuine Occupational Requirement. 

If an employer can show that a job requires a person of a specific gender, race, religion or sexual orientation in order to effectively perform the role, and it is proportionate for the employer to apply the requirement they can discriminate against candidates who do not fulfil the criteria. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 23 => array(
			'id' => '3039',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'image-bullets',
			'field_label' => 'Bullying and Harassment',
			'description' => 'The effect on an individual is more important than the intention of the bully / bullies 

Can involve:  ',
			'field_order' => '2',
			'attachment_id' => '1338',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Verbal abuse, taunting, nasty comments or jokes  ","Physical force  ","Deliberately isolating/ignoring someone  ","Unfair allocation of work  ","Display or circulation of offensive materials  ","Inappropriate sexual comments "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 24 => array(
			'id' => '3040',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'text-image',
			'field_label' => 'The Basis of Discrimination',
			'description' => 'STEREOTYPE: To make assumptions about a person on the basis of their age, sex, race, nationality, sexuality etc.   

PREJUDICE: Favouring or disfavouring an individual because of preconceived ideas relating to their age, sex, race, nationality, sexuality and so on. ',
			'field_order' => '3',
			'attachment_id' => '1339',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 25 => array(
			'id' => '3041',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'bullet-points',
			'field_label' => 'The Ladder of Prejudice',
			'description' => 'Starting at the bottom with words before progressing up the ladder.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Killing   ","Physical Attack   ","Discrimination   ","Avoidance   ","Speech "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 26 => array(
			'id' => '3042',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'image-bullets',
			'field_label' => 'How to Challenge Prejudice & Discrimination? ',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1340',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Avoid blame - say what would be better. ","Think about the impact of your role and relationship with the individual. ","If you don't feel confident challenging a discriminatory behaviour seek confidential advice from your line manager, HR, staff side representative or staff support service. Consider when and where is best to challenge.  ","Think about the effect on others. ","Remember - NOT challenging is not a neutral act, it can be seen as collusion. "]',
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		(int) 27 => array(
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			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'bullet-points',
			'field_label' => 'Reporting Discrimination and Harassment ',
			'description' => 'Take action as quickly as possible to try and stop it and prevent it from escalating any further.  

Refer to specific policies and procedures in your organisation. 

But the following steps are a good guideline: ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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		(int) 28 => array(
			'id' => '3044',
			'course_id' => '112',
			'course_lesson_id' => '495',
			'field_type' => 'image-bullets',
			'field_label' => 'Benefits of an Effective Approach',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1341',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Fair, moral and inclusive society. ","Aids recruitment and retention of staff. ","Less complaints. ","High staff morale directly links to better patient care and service delivery, patient satisfaction is higher and mortality rates are lower. ","Reduced bullying and harassment cases and associated sickness rates which result in improved productivity. ","Enhances an organisation’s reputation. ","Ensures organisations are meeting their legal obligations. ","More possible for patients / service users to use their local healthcare services which is directly linked to the long-term sustainability of these organisations. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
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			'created' => '2024-08-05 10:13:17',
			'modified' => '2024-08-05 10:13:17'
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		(int) 29 => array(
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			'course_id' => '112',
			'course_lesson_id' => '495',
			'field_type' => 'bullet-points',
			'field_label' => 'Your Responsibilities ',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Co-operate with measures introduced to support equality. ","Not to discriminate against others. ","Not to encourage others to discriminate. ","Not to harass, bully or abuse others. ","To report evidence or suspicion of discrimination. ","Not to victimise someone who has complained or provided information relating to discrimination. ","Don't make assumptions (e.g. by asking what is your Christian name?) "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
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			'field_type' => 'image-bullets',
			'field_label' => 'In your Organisation ',
			'description' => 'Ensure you are aware of the following within your organisation:   ',
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			'attachment_id' => '1342',
			'external_media_src' => '',
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			'field_choices' => '["The relevant Policies and Procedures  ","The Behavioural Standards Framework  ","The contact details for the lead for Equality, Diversity and Human Rights  ","The relevant training and development required for your role  ","The process for reporting incidents "]',
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			'field_type' => 'paragraph',
			'field_label' => 'Thanks to:',
			'description' => 'Laura Jukes: Mid Cheshire Hospitals NHS Foundation Trust  

Annette Graghill: St Helens and Knowsley Hospitals NHS Trust  

George Sullivan: Mersey Care NHS Trust  

Debi Wearing: University Hospitals of Morecambe NHS Foundation Trust  

Menna Harland: Liverpool John Moores University  

Nick Moseley: Moseley Multimedia Ltd. 

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			'field_type' => 'single-choice',
			'field_label' => 'Would you be justified in reporting harassment, even if the harassment was not directed at you? ',
			'description' => 'select an answer',
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			'attachment_id' => null,
			'external_media_src' => '',
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			'attachment_pos' => null,
			'field_choices' => '["No","Yes"]',
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			'field_html_content' => null,
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			'field_type' => 'single-choice',
			'field_label' => ' If you overhear someone telling a joke about someone with a disability, what  should you do? ',
			'description' => 'select an answer',
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			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Take it for what it is, just a joke ","Understand it may be offensive but do nothing ","Appropriately challenge the person or report it "]',
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			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
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			'course_id' => '112',
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			'field_type' => 'single-choice',
			'field_label' => 'A job description asks for ',
			'description' => 'select an answer ',
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			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Directly discriminating ","Indirectly discriminating ","Victimising "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
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			'modified' => '2024-08-05 10:29:32'
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			'field_label' => 'An effective approach to equality, diversity and human rights might benefit  society in which of the following ways? ',
			'description' => 'select an answer ',
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			'external_media_src' => '',
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			'attachment_pos' => null,
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			'show_correct' => '1',
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			'field_type' => 'single-choice',
			'field_label' => 'Which of the following is the correct definition of Direct Discrimination? ',
			'description' => 'select an answer',
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			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When one person is treated less favourably than another because of their protected characteristics ","Shouting or screaming at someone ","Unwanted conduct which affects another person\u2019s dignity "]',
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			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
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			'modified' => '2024-08-05 10:29:32'
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			'field_label' => 'Where are your human rights set out? ',
			'description' => 'select an answer ',
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			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Age Discrimination Legislation 2006 ","Equality Act 2010 ","Human Rights Act 1998 ","Disability Discrimination Act 1995 "]',
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			'field_html_content' => null,
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			'field_label' => ' In the Health Service, unlawful discrimination applies to: ',
			'description' => 'select an answer ',
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			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Employees only ","Patients only ","Patients and employees ","Neither patients nor employees "]',
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			'field_type' => 'multiple-choice',
			'field_label' => ' What are the potential consequences of NOT challenging bullying and harassment in the workplace? ',
			'description' => 'select one or more answers',
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			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It could contribute to high levels of sickness absence ","It could affect an individual\u2019s mental well-being and self esteem ","It could affect the reputation of the organisation ","It could lead to you being prosecuted "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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			'modified' => '2024-08-05 10:29:32'
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			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is equality?',
			'description' => 'select one or more answers',
			'field_order' => '8',
			'attachment_id' => '1343',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Treating everyone in exactly the same way ","Treating people according to their individual needs ","Removing barriers faced by individuals so they can have equality of opportunity ","Understanding different cultures "]',
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			'show_correct' => '1',
			'allow_retry' => '1',
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			'modified' => '2024-08-05 10:29:32'
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			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following could be deemed to be offensive or inappropriate? ',
			'description' => 'select one or more answers ',
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			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Calling a colleague ","Putting your arm around someone when offering advice ","Hugging an upset colleague ","Speaking loudly to older people "]',
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			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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			'modified' => '2024-08-05 10:29:32'
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			'description' => 'Principles of Equality, Diversity and Human Rights    

Relevant legislation, organisational policies and processes   

Promote a proactive inclusive approach to equality, diversity and human rights   

Benefits of an effective approach to equality, diversity and human rights   

The importance of valuing people as individuals and treating everyone with dignity, courtesy and respect  

How our “Behavioural Standards Framework” underpins the principles of equality and diversity.    

What to do if there are concerns about equality and diversity practice ',
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			'description' => 'Equality is about creating a fairer society where everyone has the opportunity to fulfil their potential. Diversity is about recognising and valuing difference in its broadest sense.  

Equality, diversity and inclusion is at the heart of the NHS strategy.  

As the largest employer in Europe the NHS has a responsibility to remain at the forefront of the equality agenda - for patients and for its workforce.   

Investing in a diverse NHS workforce enables us to deliver a more inclusive service and improve patient care. ',
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Recognising and valuing individual and group differences.  

Ensuring many different types of people contribute to society 


Equality is: 

not treating everyone the same, but:  

Making sure people are treated fairly. 

Meeting individuals’ needs appropriately.  

Challenging the factors that limit individuals’ opportunity ',
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			'attachment_pos' => '1',
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			'show_correct' => '0',
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			'field_label' => 'Equality and Diversity in the Health Sector',
			'description' => '',
			'field_order' => '1',
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			'attachment_pos' => null,
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			'field_type' => 'bullet-points',
			'field_label' => 'Equality Act (2010)',
			'description' => 'The Equality Act (2010) replaces: ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["9 pieces of legislation (e.g. Equal Pay Act of 1970, The Sex Discrimination Act of 1975, The Race Relations Act of 1976)  ","100 statutory instruments  ","Over 2,500 pages of guidance and statutory codes of practice.   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 5 => array(
			'id' => '3021',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Harmonises and simplifies Equality and Diversity law. 
Encourages to do what’s right, as well as what’s legal. ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 6 => array(
			'id' => '3022',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'image-bullets',
			'field_label' => 'General Duties of the Equality Act',
			'description' => 'Under the Equality Act the following duties are expected of all public organisations:  ',
			'field_order' => '4',
			'attachment_id' => '1328',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["To eliminate discrimination, harassment and victimisation.  ","To advance equality of opportunity for all.  ","To foster good relations between people who share a protected characteristic and those who do not. To foster good relations between people who share a protected characteristic and those who do not. ","It gives the NHS the opportunity to work towards reducing inequalities in care. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 7 => array(
			'id' => '3023',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'image-bullets',
			'field_label' => 'Protected Characteristics ',
			'description' => 'Under the Equality Act the following characteristics are now classed as protected: ',
			'field_order' => '5',
			'attachment_id' => '1329',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Religion or belief ","Sexual orientation ","Gender reassignment ","Marriage and civil partnership ","Race ","Disability ","Age ","Sex ","Pregnancy and maternity "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 8 => array(
			'id' => '3024',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'bullet-points',
			'field_label' => 'The Workforce Race Equality Standard (W.R.E.S)',
			'description' => 'The W.R.E.S was introduced in April 2015 and applies to all NHS organisations. 

The purpose of the W.R.E.S is to ensure that NHS organisations take the necessary positive action to promote and support staff from black and minority ethnic (BME) backgrounds. ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Essentially, it provides a framework for ensuring that BME staff are treated equitably in every aspect of their working lives, for example:  ","Access to training  ","Promotion to senior positions  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 9 => array(
			'id' => '3025',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => 'For further information about what UHMB are doing in relation to the WRES, please click on the following link:  <br><a href="https://www.uhmb.nhs.uk/our-trust/inclusion-and-diversity">https://www.uhmb.nhs.uk/our-trust/inclusion-and-diversity</a> <br>',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 10 => array(
			'id' => '3026',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'text-image',
			'field_label' => 'Fairness and Equality',
			'description' => 'Respect for all. 

Equality of opportunity. 

Treat people according to needs. 

The duty to make reasonable adjustments i.e. The duty to take steps  to remove or reduce or prevent the barriers for disabled people to ensure they are afforded access to services to a standard that is as close as it is reasonably possible to  the one offered to people who do not have a disability. In employment it also means  that an employer is  under a positive and proactive duty to take steps to remove or reduce or prevent the obstacles a disabled worker or job applicant face. 

Positive Action: The steps that an employer can take to encourage people from groups with different needs or with a past track record of disadvantage or low participation to apply for jobs. This should not be confused with ‘positive discrimination’ which equality law does not allow. (Equality and Human Rights Commission). ',
			'field_order' => '8',
			'attachment_id' => '1330',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 11 => array(
			'id' => '3027',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'bullet-points',
			'field_label' => 'How is ‘Reasonable’ Judged? ',
			'description' => 'Whether adjustment will prevent the problem.  

How practicable it is.  

Financial and other costs:  ',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Employer’s financial cost and other resources. ","Availability of financial support or other assistance. ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 12 => array(
			'id' => '3028',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'image-bullets',
			'field_label' => 'How can Organisations Promote an Inclusive Approach? ',
			'description' => '',
			'field_order' => '10',
			'attachment_id' => '1331',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Patient and Public Involvement to engage with their community and understand their needs in order to tackle local health inequalities.  ","Develop an equality policy and action plan. ","Review complaints Equality Data Collection and monitoring. ","Improve services through consultation and involvement. ","Equality Impact Assessments. ","Promote equality and good employment practice. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 13 => array(
			'id' => '3029',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'paragraph',
			'field_label' => '‘All human beings are born free and equal in dignity and rights. They are endowed with reason and conscience and should act towards one  another in a spirit of brotherhood’   ',
			'description' => '(U.N. Declaration of Human Rights, 1948) ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 14 => array(
			'id' => '3030',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'text-image',
			'field_label' => 'Human Rights Act (1998)',
			'description' => '“The Human Rights Act offers a practical tool to help support NHS organisations to put the individual at the heart of the decision making process and make decisions that better protect the interests of service users, staff and carers” (DH, 2008). 

“It came into force in the United Kingdom in October 2000 and it gives effect to the rights set out in the European Convention on Human Rights. All public and other bodies carrying out public functions have to comply with the Convention rights”. ',
			'field_order' => '1',
			'attachment_id' => '1332',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 15 => array(
			'id' => '3031',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'image-bullets',
			'field_label' => 'Our Human Rights under the Human Rights Act (1998) ',
			'description' => 'The Act sets out the fundamental rights and freedoms that individuals in the UK have access to. They include:   ',
			'field_order' => '2',
			'attachment_id' => '1334',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Right to life  ","Freedom from torture and inhuman or degrading treatment  ","Right to liberty and security","Freedom from slavery and forced labour  ","Right to a fair trial  ","No punishment without law  ","Respect for your private and family life, home and correspondence  ","Freedom of thought, belief and religion  ","Freedom of expression  ","Freedom of assembly and association  ","Right to marry and start a family  ","Protection from discrimination in respect of these rights and freedoms  ","Right to peaceful enjoyment of your property  ","Right to education  ","Right to participate in free elections "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 16 => array(
			'id' => '3032',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'paragraph',
			'field_label' => 'Absolute and Non-Absolute Rights ',
			'description' => 'A variance in some rights:   

ABSOLUTE RIGHTS

They must never be limited or restricted in any way e.g. the right to life.   

NON-ABSOLUTE RIGHTS

LIMITED: They can be limited in specific and finite circumstances i.e. the right to liberty. 

QUALIFIED: They can be balanced against the rights of others or the interests of the wider community i.e. the right to freedom of expression. ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 17 => array(
			'id' => '3033',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'text-image',
			'field_label' => 'Human Rights-Based Approach ',
			'description' => 'Goes beyond the 9 protected characteristics to outlaw discrimination on all grounds.  

Improves patient, service user and staff experiences through person-centred decision making. 

Improves compliance with the Human Rights Act and reduces complaints/litigation. 

‘Human rights are not an “add on”, they are an inherent part of care… Healthcare that isn’t sensitive to human rights probably doesn’t deliver its goals’ (British Medical Association). ',
			'field_order' => '4',
			'attachment_id' => '1335',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 18 => array(
			'id' => '3034',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'paragraph',
			'field_label' => 'F.R.E.D.A. ',
			'description' => 'A human rights-based approach to clinical practice. 

F = Fairness   

R = Respect   

E = Equality   

D = Dignity   

A = Autonomy   

NHS Constitution makes clear that healthcare and human rights go hand in hand. 

The Darzi Report (2008) states that healthcare organisations must ensure patients receive personalised care and are treated with ‘compassion, dignity and respect. 

This is in line with FREDA principles. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 19 => array(
			'id' => '3035',
			'course_id' => '112',
			'course_lesson_id' => '493',
			'field_type' => 'paragraph',
			'field_label' => 'Our Behavioural Standards Framework ',
			'description' => 'Why do we need a ‘Behavioural Standards Framework’?  

We want UHMB to be a ‘Great Place to be Cared for; a Great Place to Work’. 

The way we behave towards other people (colleagues, patients and visitors) are the true indicator of our underlying attitudes and values. 

The UHMB Behavioural Standards Framework has been developed, by our staff, to ensure we have a core set of behaviours and attitudes that supports and promotes our vision of being a ‘Great Place to be Cared for; a Great Place to Work. 

The following outlines the framework ‘at a glance’ ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:54:30',
			'modified' => '2024-08-05 09:54:30'
		),
		(int) 20 => array(
			'id' => '3036',
			'course_id' => '112',
			'course_lesson_id' => '493',
			'field_type' => 'image-bullets',
			'field_label' => 'Our Behavioural Standards Framework ‘at a glance’ ',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1336',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Introduce yourself with “Hello, my name is:” ","Value the contribution of everyone ","Share learning with others ","Be friendly and welcoming ","Team working across all areas ","Recognise diversity and celebrate this ","Respect shown to everyone ","Seek out and act on feedback ","Ensure all our actions contribute to safe care and a safe working environment","For those who supervise / manage teams: ensure consistency and fairness in your approach ","Show support for both staff and patients ","Communicate effectively: listen to others and seek clarity when needed ","Be proud of the role you do and how this contributes to patient care"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:54:30',
			'modified' => '2024-08-05 09:54:30'
		),
		(int) 21 => array(
			'id' => '3037',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'text-image',
			'field_label' => 'Forms of Discrimination',
			'description' => 'DIRECT 

Someone is treated less favourably than another person because of a protected characteristic. 

ASSOCIATIVE 

Treating someone less favourably as a result of their association with a person who holds a protected characteristic. 

INDIRECT 

 A rule or policy that applies to everyone but disadvantages a particular individual or group. 

PERCEIVED DISCRIMINATION 

Unlawfully discriminating against someone on the mistaken assumption  they hold a protected characteristic. ',
			'field_order' => '0',
			'attachment_id' => '1337',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 22 => array(
			'id' => '3038',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'paragraph',
			'field_label' => ' Is it ever Lawful to Discriminate? ',
			'description' => 'It is possible for employers to discriminate during recruitment or promotion in limited circumstances where there is a Genuine Occupational Requirement. 

If an employer can show that a job requires a person of a specific gender, race, religion or sexual orientation in order to effectively perform the role, and it is proportionate for the employer to apply the requirement they can discriminate against candidates who do not fulfil the criteria. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 23 => array(
			'id' => '3039',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'image-bullets',
			'field_label' => 'Bullying and Harassment',
			'description' => 'The effect on an individual is more important than the intention of the bully / bullies 

Can involve:  ',
			'field_order' => '2',
			'attachment_id' => '1338',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Verbal abuse, taunting, nasty comments or jokes  ","Physical force  ","Deliberately isolating/ignoring someone  ","Unfair allocation of work  ","Display or circulation of offensive materials  ","Inappropriate sexual comments "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 24 => array(
			'id' => '3040',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'text-image',
			'field_label' => 'The Basis of Discrimination',
			'description' => 'STEREOTYPE: To make assumptions about a person on the basis of their age, sex, race, nationality, sexuality etc.   

PREJUDICE: Favouring or disfavouring an individual because of preconceived ideas relating to their age, sex, race, nationality, sexuality and so on. ',
			'field_order' => '3',
			'attachment_id' => '1339',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 25 => array(
			'id' => '3041',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'bullet-points',
			'field_label' => 'The Ladder of Prejudice',
			'description' => 'Starting at the bottom with words before progressing up the ladder.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Killing   ","Physical Attack   ","Discrimination   ","Avoidance   ","Speech "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 26 => array(
			'id' => '3042',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'image-bullets',
			'field_label' => 'How to Challenge Prejudice & Discrimination? ',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1340',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Avoid blame - say what would be better. ","Think about the impact of your role and relationship with the individual. ","If you don't feel confident challenging a discriminatory behaviour seek confidential advice from your line manager, HR, staff side representative or staff support service. Consider when and where is best to challenge.  ","Think about the effect on others. ","Remember - NOT challenging is not a neutral act, it can be seen as collusion. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 27 => array(
			'id' => '3043',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'bullet-points',
			'field_label' => 'Reporting Discrimination and Harassment ',
			'description' => 'Take action as quickly as possible to try and stop it and prevent it from escalating any further.  

Refer to specific policies and procedures in your organisation. 

But the following steps are a good guideline: ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Tell your manager what is happening.","Talk to your Personnel / HR Department or Trade Union. ","Get independent advice. ","Collect evidence. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 28 => array(
			'id' => '3044',
			'course_id' => '112',
			'course_lesson_id' => '495',
			'field_type' => 'image-bullets',
			'field_label' => 'Benefits of an Effective Approach',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1341',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Fair, moral and inclusive society. ","Aids recruitment and retention of staff. ","Less complaints. ","High staff morale directly links to better patient care and service delivery, patient satisfaction is higher and mortality rates are lower. ","Reduced bullying and harassment cases and associated sickness rates which result in improved productivity. ","Enhances an organisation’s reputation. ","Ensures organisations are meeting their legal obligations. ","More possible for patients / service users to use their local healthcare services which is directly linked to the long-term sustainability of these organisations. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:13:17',
			'modified' => '2024-08-05 10:13:17'
		),
		(int) 29 => array(
			'id' => '3045',
			'course_id' => '112',
			'course_lesson_id' => '495',
			'field_type' => 'bullet-points',
			'field_label' => 'Your Responsibilities ',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Co-operate with measures introduced to support equality. ","Not to discriminate against others. ","Not to encourage others to discriminate. ","Not to harass, bully or abuse others. ","To report evidence or suspicion of discrimination. ","Not to victimise someone who has complained or provided information relating to discrimination. ","Don't make assumptions (e.g. by asking what is your Christian name?) "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:13:17',
			'modified' => '2024-08-05 10:13:17'
		),
		(int) 30 => array(
			'id' => '3046',
			'course_id' => '112',
			'course_lesson_id' => '495',
			'field_type' => 'image-bullets',
			'field_label' => 'In your Organisation ',
			'description' => 'Ensure you are aware of the following within your organisation:   ',
			'field_order' => '2',
			'attachment_id' => '1342',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["The relevant Policies and Procedures  ","The Behavioural Standards Framework  ","The contact details for the lead for Equality, Diversity and Human Rights  ","The relevant training and development required for your role  ","The process for reporting incidents "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:13:17',
			'modified' => '2024-08-05 10:13:17'
		),
		(int) 31 => array(
			'id' => '3047',
			'course_id' => '112',
			'course_lesson_id' => '496',
			'field_type' => 'paragraph',
			'field_label' => 'Thanks to:',
			'description' => 'Laura Jukes: Mid Cheshire Hospitals NHS Foundation Trust  

Annette Graghill: St Helens and Knowsley Hospitals NHS Trust  

George Sullivan: Mersey Care NHS Trust  

Debi Wearing: University Hospitals of Morecambe NHS Foundation Trust  

Menna Harland: Liverpool John Moores University  

Nick Moseley: Moseley Multimedia Ltd. 

',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:15:04',
			'modified' => '2024-08-05 10:15:04'
		),
		(int) 32 => array(
			'id' => '3048',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => 'Would you be justified in reporting harassment, even if the harassment was not directed at you? ',
			'description' => 'select an answer',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No","Yes"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 33 => array(
			'id' => '3049',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => ' If you overhear someone telling a joke about someone with a disability, what  should you do? ',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => '1346',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Take it for what it is, just a joke ","Understand it may be offensive but do nothing ","Appropriately challenge the person or report it "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 34 => array(
			'id' => '3050',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => 'A job description asks for ',
			'description' => 'select an answer ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Directly discriminating ","Indirectly discriminating ","Victimising "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 35 => array(
			'id' => '3051',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => 'An effective approach to equality, diversity and human rights might benefit  society in which of the following ways? ',
			'description' => 'select an answer ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Healthcare is offered equitably to all members of society ","Increase awareness of differences between people ","Decrease racism, homophobia and other stereotyping ","Provide equality of opportunity to members of society ","All of the above "]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 36 => array(
			'id' => '3052',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following is the correct definition of Direct Discrimination? ',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => '1345',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When one person is treated less favourably than another because of their protected characteristics ","Shouting or screaming at someone ","Unwanted conduct which affects another person\u2019s dignity "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 37 => array(
			'id' => '3053',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => 'Where are your human rights set out? ',
			'description' => 'select an answer ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Age Discrimination Legislation 2006 ","Equality Act 2010 ","Human Rights Act 1998 ","Disability Discrimination Act 1995 "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 38 => array(
			'id' => '3054',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => ' In the Health Service, unlawful discrimination applies to: ',
			'description' => 'select an answer ',
			'field_order' => '6',
			'attachment_id' => '1344',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Employees only ","Patients only ","Patients and employees ","Neither patients nor employees "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 39 => array(
			'id' => '3055',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'multiple-choice',
			'field_label' => ' What are the potential consequences of NOT challenging bullying and harassment in the workplace? ',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It could contribute to high levels of sickness absence ","It could affect an individual\u2019s mental well-being and self esteem ","It could affect the reputation of the organisation ","It could lead to you being prosecuted "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 40 => array(
			'id' => '3056',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is equality?',
			'description' => 'select one or more answers',
			'field_order' => '8',
			'attachment_id' => '1343',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Treating everyone in exactly the same way ","Treating people according to their individual needs ","Removing barriers faced by individuals so they can have equality of opportunity ","Understanding different cultures "]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 41 => array(
			'id' => '3057',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following could be deemed to be offensive or inappropriate? ',
			'description' => 'select one or more answers ',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Calling a colleague ","Putting your arm around someone when offering advice ","Hugging an upset colleague ","Speaking loudly to older people "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3016',
		(int) 1 => '3017',
		(int) 2 => '3018',
		(int) 3 => '3019',
		(int) 4 => '3020',
		(int) 5 => '3021',
		(int) 6 => '3022',
		(int) 7 => '3023',
		(int) 8 => '3024',
		(int) 9 => '3025',
		(int) 10 => '3026',
		(int) 11 => '3027',
		(int) 12 => '3028',
		(int) 13 => '3029',
		(int) 14 => '3030',
		(int) 15 => '3031',
		(int) 16 => '3032',
		(int) 17 => '3033',
		(int) 18 => '3034',
		(int) 19 => '3035',
		(int) 20 => '3036',
		(int) 21 => '3037',
		(int) 22 => '3038',
		(int) 23 => '3039',
		(int) 24 => '3040',
		(int) 25 => '3041',
		(int) 26 => '3042',
		(int) 27 => '3043',
		(int) 28 => '3044',
		(int) 29 => '3045',
		(int) 30 => '3046',
		(int) 31 => '3047',
		(int) 32 => '3048',
		(int) 33 => '3049',
		(int) 34 => '3050',
		(int) 35 => '3051',
		(int) 36 => '3052',
		(int) 37 => '3053',
		(int) 38 => '3054',
		(int) 39 => '3055',
		(int) 40 => '3056',
		(int) 41 => '3057'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '112'
$k = (int) 12
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
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		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
	),
	(int) 115 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 118 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 116 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
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			(int) 1 => '3641',
			(int) 2 => '3642',
			(int) 3 => '3643',
			(int) 4 => '3644',
			(int) 5 => '3645',
			(int) 6 => '3646',
			(int) 7 => '3647',
			(int) 8 => '3648',
			(int) 9 => '3649',
			(int) 10 => '3650',
			(int) 11 => '3651',
			(int) 12 => '3652',
			(int) 13 => '3653',
			(int) 14 => '3654',
			(int) 15 => '3655',
			(int) 16 => '3656',
			(int) 17 => '3657'
		)
	),
	(int) 2 => array(
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			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
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			(int) 49 => '3461',
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			(int) 51 => '3463'
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	),
	(int) 6 => array(
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			'id' => '118',
			'course_title' => 'Patient Safety Syllabus Training, Level 2 - Part 2',
			'description' => 'Access to practice 2<br />This session&nbsp;provides a basic introduction to the key elements of safety science. The elements of safety science that we focus on and which have underpinned all domains of the syllabus are: systems thinking, risk expertise, human factors and safety culture.',
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			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3166',
			(int) 1 => '3243',
			(int) 2 => '3244',
			(int) 3 => '3169',
			(int) 4 => '3170',
			(int) 5 => '3171',
			(int) 6 => '3245',
			(int) 7 => '3173',
			(int) 8 => '3174',
			(int) 9 => '3175',
			(int) 10 => '3246',
			(int) 11 => '3247',
			(int) 12 => '3178',
			(int) 13 => '3179',
			(int) 14 => '3248',
			(int) 15 => '3181',
			(int) 16 => '3182',
			(int) 17 => '3183',
			(int) 18 => '3249',
			(int) 19 => '3185',
			(int) 20 => '3186',
			(int) 21 => '3187',
			(int) 22 => '3188',
			(int) 23 => '3189',
			(int) 24 => '3190',
			(int) 25 => '3191',
			(int) 26 => '3192',
			(int) 27 => '3193',
			(int) 28 => '3195',
			(int) 29 => '3196',
			(int) 30 => '3197',
			(int) 31 => '3198',
			(int) 32 => '3250',
			(int) 33 => '3200',
			(int) 34 => '3251',
			(int) 35 => '3203',
			(int) 36 => '3204',
			(int) 37 => '3205',
			(int) 38 => '3208',
			(int) 39 => '3206',
			(int) 40 => '3207',
			(int) 41 => '3209',
			(int) 42 => '3210',
			(int) 43 => '3211',
			(int) 44 => '3212',
			(int) 45 => '3213',
			(int) 46 => '3214',
			(int) 47 => '3215',
			(int) 48 => '3216',
			(int) 49 => '3217',
			(int) 50 => '3219',
			(int) 51 => '3218',
			(int) 52 => '3220',
			(int) 53 => '3221',
			(int) 54 => '3222',
			(int) 55 => '3223',
			(int) 56 => '3224',
			(int) 57 => '3225',
			(int) 58 => '3226',
			(int) 59 => '3227',
			(int) 60 => '3228',
			(int) 61 => '3229',
			(int) 62 => '3230',
			(int) 63 => '3231',
			(int) 64 => '3232',
			(int) 65 => '3233',
			(int) 66 => '3234',
			(int) 67 => '3235',
			(int) 68 => '3237',
			(int) 69 => '3238',
			(int) 70 => '3239',
			(int) 71 => '3240',
			(int) 72 => '3241',
			(int) 73 => '3242'
		)
	),
	(int) 11 => array(
		'Course' => array(
			'id' => '113',
			'course_title' => 'Health & Safety (NHS Core Skills)',
			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
			'banner_media_id' => '1418',
			'thumbnail_media_id' => '1419',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'field_count' => (int) 107,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 498 => array(
				[maximum depth reached]
			),
			(int) 499 => array(
				[maximum depth reached]
			),
			(int) 500 => array(
				[maximum depth reached]
			),
			(int) 501 => array(
				[maximum depth reached]
			),
			(int) 502 => array(
				[maximum depth reached]
			),
			(int) 503 => array(
				[maximum depth reached]
			),
			(int) 504 => array(
				[maximum depth reached]
			),
			(int) 505 => array(
				[maximum depth reached]
			),
			(int) 506 => array(
				[maximum depth reached]
			),
			(int) 507 => array(
				[maximum depth reached]
			),
			(int) 508 => array(
				[maximum depth reached]
			),
			(int) 509 => array(
				[maximum depth reached]
			),
			(int) 510 => array(
				[maximum depth reached]
			),
			(int) 511 => array(
				[maximum depth reached]
			),
			(int) 512 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3058',
			(int) 1 => '3059',
			(int) 2 => '3060',
			(int) 3 => '3061',
			(int) 4 => '3062',
			(int) 5 => '3063',
			(int) 6 => '3064',
			(int) 7 => '3065',
			(int) 8 => '3066',
			(int) 9 => '3067',
			(int) 10 => '3068',
			(int) 11 => '3069',
			(int) 12 => '3070',
			(int) 13 => '3071',
			(int) 14 => '3072',
			(int) 15 => '3252',
			(int) 16 => '3253',
			(int) 17 => '3075',
			(int) 18 => '3077',
			(int) 19 => '3076',
			(int) 20 => '3078',
			(int) 21 => '3254',
			(int) 22 => '3080',
			(int) 23 => '3081',
			(int) 24 => '3082',
			(int) 25 => '3083',
			(int) 26 => '3084',
			(int) 27 => '3085',
			(int) 28 => '3086',
			(int) 29 => '3087',
			(int) 30 => '3088',
			(int) 31 => '3089',
			(int) 32 => '3090',
			(int) 33 => '3091',
			(int) 34 => '3092',
			(int) 35 => '3093',
			(int) 36 => '3094',
			(int) 37 => '3095',
			(int) 38 => '3096',
			(int) 39 => '3097',
			(int) 40 => '3098',
			(int) 41 => '3099',
			(int) 42 => '3100',
			(int) 43 => '3101',
			(int) 44 => '3255',
			(int) 45 => '3103',
			(int) 46 => '3104',
			(int) 47 => '3105',
			(int) 48 => '3106',
			(int) 49 => '3107',
			(int) 50 => '3108',
			(int) 51 => '3109',
			(int) 52 => '3110',
			(int) 53 => '3111',
			(int) 54 => '3112',
			(int) 55 => '3113',
			(int) 56 => '3114',
			(int) 57 => '3116',
			(int) 58 => '3117',
			(int) 59 => '3118',
			(int) 60 => '3119',
			(int) 61 => '3120',
			(int) 62 => '3121',
			(int) 63 => '3122',
			(int) 64 => '3123',
			(int) 65 => '3124',
			(int) 66 => '3125',
			(int) 67 => '3126',
			(int) 68 => '3127',
			(int) 69 => '3128',
			(int) 70 => '3129',
			(int) 71 => '3130',
			(int) 72 => '3131',
			(int) 73 => '3132',
			(int) 74 => '3133',
			(int) 75 => '3134',
			(int) 76 => '3135',
			(int) 77 => '3136',
			(int) 78 => '3137',
			(int) 79 => '3138',
			(int) 80 => '3139',
			(int) 81 => '3140',
			(int) 82 => '3141',
			(int) 83 => '3142',
			(int) 84 => '3143',
			(int) 85 => '3144',
			(int) 86 => '3145',
			(int) 87 => '3146',
			(int) 88 => '3147',
			(int) 89 => '3148',
			(int) 90 => '3149',
			(int) 91 => '3150',
			(int) 92 => '3151',
			(int) 93 => '3152',
			(int) 94 => '3153',
			(int) 95 => '3154',
			(int) 96 => '3155',
			(int) 97 => '3156',
			(int) 98 => '3157',
			(int) 99 => '3158',
			(int) 100 => '3159',
			(int) 101 => '3160',
			(int) 102 => '3161',
			(int) 103 => '3162',
			(int) 104 => '3163',
			(int) 105 => '3164',
			(int) 106 => '3165'
		)
	),
	(int) 12 => array(
		'Course' => array(
			'id' => '112',
			'course_title' => 'Equality Diversity And Inclusion E-Learning',
			'description' => 'Welcome to this e-Learning package on Equality, Diversity and Human Rights. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1323',
			'thumbnail_media_id' => '1320',
			'logo_media_id' => null,
			'banner_align_id' => '4',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 09:12:40',
			'modified' => '2024-08-07 14:24:36',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'field_count' => (int) 42
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 490 => array(
				[maximum depth reached]
			),
			(int) 491 => array(
				[maximum depth reached]
			),
			(int) 492 => array(
				[maximum depth reached]
			),
			(int) 493 => array(
				[maximum depth reached]
			),
			(int) 494 => array(
				[maximum depth reached]
			),
			(int) 495 => array(
				[maximum depth reached]
			),
			(int) 496 => array(
				[maximum depth reached]
			),
			(int) 497 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3016',
			(int) 1 => '3017',
			(int) 2 => '3018',
			(int) 3 => '3019',
			(int) 4 => '3020',
			(int) 5 => '3021',
			(int) 6 => '3022',
			(int) 7 => '3023',
			(int) 8 => '3024',
			(int) 9 => '3025',
			(int) 10 => '3026',
			(int) 11 => '3027',
			(int) 12 => '3028',
			(int) 13 => '3029',
			(int) 14 => '3030',
			(int) 15 => '3031',
			(int) 16 => '3032',
			(int) 17 => '3033',
			(int) 18 => '3034',
			(int) 19 => '3035',
			(int) 20 => '3036',
			(int) 21 => '3037',
			(int) 22 => '3038',
			(int) 23 => '3039',
			(int) 24 => '3040',
			(int) 25 => '3041',
			(int) 26 => '3042',
			(int) 27 => '3043',
			(int) 28 => '3044',
			(int) 29 => '3045',
			(int) 30 => '3046',
			(int) 31 => '3047',
			(int) 32 => '3048',
			(int) 33 => '3049',
			(int) 34 => '3050',
			(int) 35 => '3051',
			(int) 36 => '3052',
			(int) 37 => '3053',
			(int) 38 => '3054',
			(int) 39 => '3055',
			(int) 40 => '3056',
			(int) 41 => '3057'
		)
	),
	(int) 13 => array(
		'Course' => array(
			'id' => '111',
			'course_title' => 'Fire General Safety Awareness Transcript ',
			'description' => 'Welcome to this e-Learning package on Fire Safety &ndash; Level 1. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1647',
			'thumbnail_media_id' => '1648',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 13:04:44',
			'modified' => '2024-08-07 14:24:24'
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
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			'description' => 'Principles of Equality, Diversity and Human Rights    

Relevant legislation, organisational policies and processes   

Promote a proactive inclusive approach to equality, diversity and human rights   

Benefits of an effective approach to equality, diversity and human rights   

The importance of valuing people as individuals and treating everyone with dignity, courtesy and respect  

How our “Behavioural Standards Framework” underpins the principles of equality and diversity.    

What to do if there are concerns about equality and diversity practice ',
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Equality, diversity and inclusion is at the heart of the NHS strategy.  

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Recognising and valuing individual and group differences.  

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Equality is: 

not treating everyone the same, but:  

Making sure people are treated fairly. 

Meeting individuals’ needs appropriately.  

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			'field_choices' => '["Personalised patient care  ","Equal access to health care services for all  ","Provide \"reasonable adjustments\" for people with disabilities  e.g. removing physical barriers to accessing services  ","Interpreting services and accessible communication  ","Equal access to jobs  ","Equal access to promotion and training opportunities for existing staff "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 4 => array(
			'id' => '3020',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'bullet-points',
			'field_label' => 'Equality Act (2010)',
			'description' => 'The Equality Act (2010) replaces: ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["9 pieces of legislation (e.g. Equal Pay Act of 1970, The Sex Discrimination Act of 1975, The Race Relations Act of 1976)  ","100 statutory instruments  ","Over 2,500 pages of guidance and statutory codes of practice.   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 5 => array(
			'id' => '3021',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Harmonises and simplifies Equality and Diversity law. 
Encourages to do what’s right, as well as what’s legal. ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 6 => array(
			'id' => '3022',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'image-bullets',
			'field_label' => 'General Duties of the Equality Act',
			'description' => 'Under the Equality Act the following duties are expected of all public organisations:  ',
			'field_order' => '4',
			'attachment_id' => '1328',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["To eliminate discrimination, harassment and victimisation.  ","To advance equality of opportunity for all.  ","To foster good relations between people who share a protected characteristic and those who do not. To foster good relations between people who share a protected characteristic and those who do not. ","It gives the NHS the opportunity to work towards reducing inequalities in care. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 7 => array(
			'id' => '3023',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'image-bullets',
			'field_label' => 'Protected Characteristics ',
			'description' => 'Under the Equality Act the following characteristics are now classed as protected: ',
			'field_order' => '5',
			'attachment_id' => '1329',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Religion or belief ","Sexual orientation ","Gender reassignment ","Marriage and civil partnership ","Race ","Disability ","Age ","Sex ","Pregnancy and maternity "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 8 => array(
			'id' => '3024',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'bullet-points',
			'field_label' => 'The Workforce Race Equality Standard (W.R.E.S)',
			'description' => 'The W.R.E.S was introduced in April 2015 and applies to all NHS organisations. 

The purpose of the W.R.E.S is to ensure that NHS organisations take the necessary positive action to promote and support staff from black and minority ethnic (BME) backgrounds. ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Essentially, it provides a framework for ensuring that BME staff are treated equitably in every aspect of their working lives, for example:  ","Access to training  ","Promotion to senior positions  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 9 => array(
			'id' => '3025',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => 'For further information about what UHMB are doing in relation to the WRES, please click on the following link:  <br><a href="https://www.uhmb.nhs.uk/our-trust/inclusion-and-diversity">https://www.uhmb.nhs.uk/our-trust/inclusion-and-diversity</a> <br>',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 10 => array(
			'id' => '3026',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'text-image',
			'field_label' => 'Fairness and Equality',
			'description' => 'Respect for all. 

Equality of opportunity. 

Treat people according to needs. 

The duty to make reasonable adjustments i.e. The duty to take steps  to remove or reduce or prevent the barriers for disabled people to ensure they are afforded access to services to a standard that is as close as it is reasonably possible to  the one offered to people who do not have a disability. In employment it also means  that an employer is  under a positive and proactive duty to take steps to remove or reduce or prevent the obstacles a disabled worker or job applicant face. 

Positive Action: The steps that an employer can take to encourage people from groups with different needs or with a past track record of disadvantage or low participation to apply for jobs. This should not be confused with ‘positive discrimination’ which equality law does not allow. (Equality and Human Rights Commission). ',
			'field_order' => '8',
			'attachment_id' => '1330',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 11 => array(
			'id' => '3027',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'bullet-points',
			'field_label' => 'How is ‘Reasonable’ Judged? ',
			'description' => 'Whether adjustment will prevent the problem.  

How practicable it is.  

Financial and other costs:  ',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Employer’s financial cost and other resources. ","Availability of financial support or other assistance. ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 12 => array(
			'id' => '3028',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'image-bullets',
			'field_label' => 'How can Organisations Promote an Inclusive Approach? ',
			'description' => '',
			'field_order' => '10',
			'attachment_id' => '1331',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Patient and Public Involvement to engage with their community and understand their needs in order to tackle local health inequalities.  ","Develop an equality policy and action plan. ","Review complaints Equality Data Collection and monitoring. ","Improve services through consultation and involvement. ","Equality Impact Assessments. ","Promote equality and good employment practice. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 13 => array(
			'id' => '3029',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'paragraph',
			'field_label' => '‘All human beings are born free and equal in dignity and rights. They are endowed with reason and conscience and should act towards one  another in a spirit of brotherhood’   ',
			'description' => '(U.N. Declaration of Human Rights, 1948) ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 14 => array(
			'id' => '3030',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'text-image',
			'field_label' => 'Human Rights Act (1998)',
			'description' => '“The Human Rights Act offers a practical tool to help support NHS organisations to put the individual at the heart of the decision making process and make decisions that better protect the interests of service users, staff and carers” (DH, 2008). 

“It came into force in the United Kingdom in October 2000 and it gives effect to the rights set out in the European Convention on Human Rights. All public and other bodies carrying out public functions have to comply with the Convention rights”. ',
			'field_order' => '1',
			'attachment_id' => '1332',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 15 => array(
			'id' => '3031',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'image-bullets',
			'field_label' => 'Our Human Rights under the Human Rights Act (1998) ',
			'description' => 'The Act sets out the fundamental rights and freedoms that individuals in the UK have access to. They include:   ',
			'field_order' => '2',
			'attachment_id' => '1334',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Right to life  ","Freedom from torture and inhuman or degrading treatment  ","Right to liberty and security","Freedom from slavery and forced labour  ","Right to a fair trial  ","No punishment without law  ","Respect for your private and family life, home and correspondence  ","Freedom of thought, belief and religion  ","Freedom of expression  ","Freedom of assembly and association  ","Right to marry and start a family  ","Protection from discrimination in respect of these rights and freedoms  ","Right to peaceful enjoyment of your property  ","Right to education  ","Right to participate in free elections "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 16 => array(
			'id' => '3032',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'paragraph',
			'field_label' => 'Absolute and Non-Absolute Rights ',
			'description' => 'A variance in some rights:   

ABSOLUTE RIGHTS

They must never be limited or restricted in any way e.g. the right to life.   

NON-ABSOLUTE RIGHTS

LIMITED: They can be limited in specific and finite circumstances i.e. the right to liberty. 

QUALIFIED: They can be balanced against the rights of others or the interests of the wider community i.e. the right to freedom of expression. ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 17 => array(
			'id' => '3033',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'text-image',
			'field_label' => 'Human Rights-Based Approach ',
			'description' => 'Goes beyond the 9 protected characteristics to outlaw discrimination on all grounds.  

Improves patient, service user and staff experiences through person-centred decision making. 

Improves compliance with the Human Rights Act and reduces complaints/litigation. 

‘Human rights are not an “add on”, they are an inherent part of care… Healthcare that isn’t sensitive to human rights probably doesn’t deliver its goals’ (British Medical Association). ',
			'field_order' => '4',
			'attachment_id' => '1335',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 18 => array(
			'id' => '3034',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'paragraph',
			'field_label' => 'F.R.E.D.A. ',
			'description' => 'A human rights-based approach to clinical practice. 

F = Fairness   

R = Respect   

E = Equality   

D = Dignity   

A = Autonomy   

NHS Constitution makes clear that healthcare and human rights go hand in hand. 

The Darzi Report (2008) states that healthcare organisations must ensure patients receive personalised care and are treated with ‘compassion, dignity and respect. 

This is in line with FREDA principles. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 19 => array(
			'id' => '3035',
			'course_id' => '112',
			'course_lesson_id' => '493',
			'field_type' => 'paragraph',
			'field_label' => 'Our Behavioural Standards Framework ',
			'description' => 'Why do we need a ‘Behavioural Standards Framework’?  

We want UHMB to be a ‘Great Place to be Cared for; a Great Place to Work’. 

The way we behave towards other people (colleagues, patients and visitors) are the true indicator of our underlying attitudes and values. 

The UHMB Behavioural Standards Framework has been developed, by our staff, to ensure we have a core set of behaviours and attitudes that supports and promotes our vision of being a ‘Great Place to be Cared for; a Great Place to Work. 

The following outlines the framework ‘at a glance’ ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:54:30',
			'modified' => '2024-08-05 09:54:30'
		),
		(int) 20 => array(
			'id' => '3036',
			'course_id' => '112',
			'course_lesson_id' => '493',
			'field_type' => 'image-bullets',
			'field_label' => 'Our Behavioural Standards Framework ‘at a glance’ ',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1336',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Introduce yourself with “Hello, my name is:” ","Value the contribution of everyone ","Share learning with others ","Be friendly and welcoming ","Team working across all areas ","Recognise diversity and celebrate this ","Respect shown to everyone ","Seek out and act on feedback ","Ensure all our actions contribute to safe care and a safe working environment","For those who supervise / manage teams: ensure consistency and fairness in your approach ","Show support for both staff and patients ","Communicate effectively: listen to others and seek clarity when needed ","Be proud of the role you do and how this contributes to patient care"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:54:30',
			'modified' => '2024-08-05 09:54:30'
		),
		(int) 21 => array(
			'id' => '3037',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'text-image',
			'field_label' => 'Forms of Discrimination',
			'description' => 'DIRECT 

Someone is treated less favourably than another person because of a protected characteristic. 

ASSOCIATIVE 

Treating someone less favourably as a result of their association with a person who holds a protected characteristic. 

INDIRECT 

 A rule or policy that applies to everyone but disadvantages a particular individual or group. 

PERCEIVED DISCRIMINATION 

Unlawfully discriminating against someone on the mistaken assumption  they hold a protected characteristic. ',
			'field_order' => '0',
			'attachment_id' => '1337',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 22 => array(
			'id' => '3038',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'paragraph',
			'field_label' => ' Is it ever Lawful to Discriminate? ',
			'description' => 'It is possible for employers to discriminate during recruitment or promotion in limited circumstances where there is a Genuine Occupational Requirement. 

If an employer can show that a job requires a person of a specific gender, race, religion or sexual orientation in order to effectively perform the role, and it is proportionate for the employer to apply the requirement they can discriminate against candidates who do not fulfil the criteria. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 23 => array(
			'id' => '3039',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'image-bullets',
			'field_label' => 'Bullying and Harassment',
			'description' => 'The effect on an individual is more important than the intention of the bully / bullies 

Can involve:  ',
			'field_order' => '2',
			'attachment_id' => '1338',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Verbal abuse, taunting, nasty comments or jokes  ","Physical force  ","Deliberately isolating/ignoring someone  ","Unfair allocation of work  ","Display or circulation of offensive materials  ","Inappropriate sexual comments "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 24 => array(
			'id' => '3040',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'text-image',
			'field_label' => 'The Basis of Discrimination',
			'description' => 'STEREOTYPE: To make assumptions about a person on the basis of their age, sex, race, nationality, sexuality etc.   

PREJUDICE: Favouring or disfavouring an individual because of preconceived ideas relating to their age, sex, race, nationality, sexuality and so on. ',
			'field_order' => '3',
			'attachment_id' => '1339',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 25 => array(
			'id' => '3041',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'bullet-points',
			'field_label' => 'The Ladder of Prejudice',
			'description' => 'Starting at the bottom with words before progressing up the ladder.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
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			'field_choices' => '["Killing   ","Physical Attack   ","Discrimination   ","Avoidance   ","Speech "]',
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		(int) 26 => array(
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			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'image-bullets',
			'field_label' => 'How to Challenge Prejudice & Discrimination? ',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1340',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Avoid blame - say what would be better. ","Think about the impact of your role and relationship with the individual. ","If you don't feel confident challenging a discriminatory behaviour seek confidential advice from your line manager, HR, staff side representative or staff support service. Consider when and where is best to challenge.  ","Think about the effect on others. ","Remember - NOT challenging is not a neutral act, it can be seen as collusion. "]',
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		(int) 27 => array(
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			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'bullet-points',
			'field_label' => 'Reporting Discrimination and Harassment ',
			'description' => 'Take action as quickly as possible to try and stop it and prevent it from escalating any further.  

Refer to specific policies and procedures in your organisation. 

But the following steps are a good guideline: ',
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			'attachment_id' => null,
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			'field_choices' => '["Tell your manager what is happening.","Talk to your Personnel / HR Department or Trade Union. ","Get independent advice. ","Collect evidence. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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		(int) 28 => array(
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			'course_id' => '112',
			'course_lesson_id' => '495',
			'field_type' => 'image-bullets',
			'field_label' => 'Benefits of an Effective Approach',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1341',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Fair, moral and inclusive society. ","Aids recruitment and retention of staff. ","Less complaints. ","High staff morale directly links to better patient care and service delivery, patient satisfaction is higher and mortality rates are lower. ","Reduced bullying and harassment cases and associated sickness rates which result in improved productivity. ","Enhances an organisation’s reputation. ","Ensures organisations are meeting their legal obligations. ","More possible for patients / service users to use their local healthcare services which is directly linked to the long-term sustainability of these organisations. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
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			'created' => '2024-08-05 10:13:17',
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		(int) 29 => array(
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			'course_id' => '112',
			'course_lesson_id' => '495',
			'field_type' => 'bullet-points',
			'field_label' => 'Your Responsibilities ',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Co-operate with measures introduced to support equality. ","Not to discriminate against others. ","Not to encourage others to discriminate. ","Not to harass, bully or abuse others. ","To report evidence or suspicion of discrimination. ","Not to victimise someone who has complained or provided information relating to discrimination. ","Don't make assumptions (e.g. by asking what is your Christian name?) "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
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			'field_label' => 'In your Organisation ',
			'description' => 'Ensure you are aware of the following within your organisation:   ',
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			'field_correct' => null,
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			'field_label' => 'Thanks to:',
			'description' => 'Laura Jukes: Mid Cheshire Hospitals NHS Foundation Trust  

Annette Graghill: St Helens and Knowsley Hospitals NHS Trust  

George Sullivan: Mersey Care NHS Trust  

Debi Wearing: University Hospitals of Morecambe NHS Foundation Trust  

Menna Harland: Liverpool John Moores University  

Nick Moseley: Moseley Multimedia Ltd. 

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			'field_label' => 'Would you be justified in reporting harassment, even if the harassment was not directed at you? ',
			'description' => 'select an answer',
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			'attachment_pos' => null,
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			'field_type' => 'single-choice',
			'field_label' => ' If you overhear someone telling a joke about someone with a disability, what  should you do? ',
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			'attachment_pos' => null,
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			'show_correct' => '1',
			'allow_retry' => '1',
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			'field_type' => 'single-choice',
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			'description' => 'select an answer ',
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			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Directly discriminating ","Indirectly discriminating ","Victimising "]',
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			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
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			'field_label' => 'An effective approach to equality, diversity and human rights might benefit  society in which of the following ways? ',
			'description' => 'select an answer ',
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			'field_label' => 'Which of the following is the correct definition of Direct Discrimination? ',
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			'external_thumb_src' => '',
			'attachment_pos' => null,
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			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
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			'field_label' => 'Where are your human rights set out? ',
			'description' => 'select an answer ',
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			'attachment_pos' => null,
			'field_choices' => '["Age Discrimination Legislation 2006 ","Equality Act 2010 ","Human Rights Act 1998 ","Disability Discrimination Act 1995 "]',
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			'field_html_content' => null,
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			'description' => 'select an answer ',
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			'attachment_pos' => null,
			'field_choices' => '["Employees only ","Patients only ","Patients and employees ","Neither patients nor employees "]',
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			'field_type' => 'multiple-choice',
			'field_label' => ' What are the potential consequences of NOT challenging bullying and harassment in the workplace? ',
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			'attachment_pos' => null,
			'field_choices' => '["It could contribute to high levels of sickness absence ","It could affect an individual\u2019s mental well-being and self esteem ","It could affect the reputation of the organisation ","It could lead to you being prosecuted "]',
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			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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			'modified' => '2024-08-05 10:29:32'
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			'field_type' => 'multiple-choice',
			'field_label' => 'What is equality?',
			'description' => 'select one or more answers',
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			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Treating everyone in exactly the same way ","Treating people according to their individual needs ","Removing barriers faced by individuals so they can have equality of opportunity ","Understanding different cultures "]',
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			'allow_retry' => '1',
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			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following could be deemed to be offensive or inappropriate? ',
			'description' => 'select one or more answers ',
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			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Calling a colleague ","Putting your arm around someone when offering advice ","Hugging an upset colleague ","Speaking loudly to older people "]',
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			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
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			'description' => 'Principles of Equality, Diversity and Human Rights    

Relevant legislation, organisational policies and processes   

Promote a proactive inclusive approach to equality, diversity and human rights   

Benefits of an effective approach to equality, diversity and human rights   

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			'description' => 'Equality is about creating a fairer society where everyone has the opportunity to fulfil their potential. Diversity is about recognising and valuing difference in its broadest sense.  

Equality, diversity and inclusion is at the heart of the NHS strategy.  

As the largest employer in Europe the NHS has a responsibility to remain at the forefront of the equality agenda - for patients and for its workforce.   

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Recognising and valuing individual and group differences.  

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Making sure people are treated fairly. 

Meeting individuals’ needs appropriately.  

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		(int) 3 => array(
			'id' => '3019',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'bullet-points',
			'field_label' => 'Equality and Diversity in the Health Sector',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Personalised patient care  ","Equal access to health care services for all  ","Provide \"reasonable adjustments\" for people with disabilities  e.g. removing physical barriers to accessing services  ","Interpreting services and accessible communication  ","Equal access to jobs  ","Equal access to promotion and training opportunities for existing staff "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 4 => array(
			'id' => '3020',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'bullet-points',
			'field_label' => 'Equality Act (2010)',
			'description' => 'The Equality Act (2010) replaces: ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["9 pieces of legislation (e.g. Equal Pay Act of 1970, The Sex Discrimination Act of 1975, The Race Relations Act of 1976)  ","100 statutory instruments  ","Over 2,500 pages of guidance and statutory codes of practice.   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 5 => array(
			'id' => '3021',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Harmonises and simplifies Equality and Diversity law. 
Encourages to do what’s right, as well as what’s legal. ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 6 => array(
			'id' => '3022',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'image-bullets',
			'field_label' => 'General Duties of the Equality Act',
			'description' => 'Under the Equality Act the following duties are expected of all public organisations:  ',
			'field_order' => '4',
			'attachment_id' => '1328',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["To eliminate discrimination, harassment and victimisation.  ","To advance equality of opportunity for all.  ","To foster good relations between people who share a protected characteristic and those who do not. To foster good relations between people who share a protected characteristic and those who do not. ","It gives the NHS the opportunity to work towards reducing inequalities in care. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 7 => array(
			'id' => '3023',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'image-bullets',
			'field_label' => 'Protected Characteristics ',
			'description' => 'Under the Equality Act the following characteristics are now classed as protected: ',
			'field_order' => '5',
			'attachment_id' => '1329',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Religion or belief ","Sexual orientation ","Gender reassignment ","Marriage and civil partnership ","Race ","Disability ","Age ","Sex ","Pregnancy and maternity "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 8 => array(
			'id' => '3024',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'bullet-points',
			'field_label' => 'The Workforce Race Equality Standard (W.R.E.S)',
			'description' => 'The W.R.E.S was introduced in April 2015 and applies to all NHS organisations. 

The purpose of the W.R.E.S is to ensure that NHS organisations take the necessary positive action to promote and support staff from black and minority ethnic (BME) backgrounds. ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Essentially, it provides a framework for ensuring that BME staff are treated equitably in every aspect of their working lives, for example:  ","Access to training  ","Promotion to senior positions  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 9 => array(
			'id' => '3025',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => 'For further information about what UHMB are doing in relation to the WRES, please click on the following link:  <br><a href="https://www.uhmb.nhs.uk/our-trust/inclusion-and-diversity">https://www.uhmb.nhs.uk/our-trust/inclusion-and-diversity</a> <br>',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 10 => array(
			'id' => '3026',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'text-image',
			'field_label' => 'Fairness and Equality',
			'description' => 'Respect for all. 

Equality of opportunity. 

Treat people according to needs. 

The duty to make reasonable adjustments i.e. The duty to take steps  to remove or reduce or prevent the barriers for disabled people to ensure they are afforded access to services to a standard that is as close as it is reasonably possible to  the one offered to people who do not have a disability. In employment it also means  that an employer is  under a positive and proactive duty to take steps to remove or reduce or prevent the obstacles a disabled worker or job applicant face. 

Positive Action: The steps that an employer can take to encourage people from groups with different needs or with a past track record of disadvantage or low participation to apply for jobs. This should not be confused with ‘positive discrimination’ which equality law does not allow. (Equality and Human Rights Commission). ',
			'field_order' => '8',
			'attachment_id' => '1330',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 11 => array(
			'id' => '3027',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'bullet-points',
			'field_label' => 'How is ‘Reasonable’ Judged? ',
			'description' => 'Whether adjustment will prevent the problem.  

How practicable it is.  

Financial and other costs:  ',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Employer’s financial cost and other resources. ","Availability of financial support or other assistance. ","Item 3"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 12 => array(
			'id' => '3028',
			'course_id' => '112',
			'course_lesson_id' => '491',
			'field_type' => 'image-bullets',
			'field_label' => 'How can Organisations Promote an Inclusive Approach? ',
			'description' => '',
			'field_order' => '10',
			'attachment_id' => '1331',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Patient and Public Involvement to engage with their community and understand their needs in order to tackle local health inequalities.  ","Develop an equality policy and action plan. ","Review complaints Equality Data Collection and monitoring. ","Improve services through consultation and involvement. ","Equality Impact Assessments. ","Promote equality and good employment practice. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:39:57',
			'modified' => '2024-08-05 09:39:57'
		),
		(int) 13 => array(
			'id' => '3029',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'paragraph',
			'field_label' => '‘All human beings are born free and equal in dignity and rights. They are endowed with reason and conscience and should act towards one  another in a spirit of brotherhood’   ',
			'description' => '(U.N. Declaration of Human Rights, 1948) ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 14 => array(
			'id' => '3030',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'text-image',
			'field_label' => 'Human Rights Act (1998)',
			'description' => '“The Human Rights Act offers a practical tool to help support NHS organisations to put the individual at the heart of the decision making process and make decisions that better protect the interests of service users, staff and carers” (DH, 2008). 

“It came into force in the United Kingdom in October 2000 and it gives effect to the rights set out in the European Convention on Human Rights. All public and other bodies carrying out public functions have to comply with the Convention rights”. ',
			'field_order' => '1',
			'attachment_id' => '1332',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 15 => array(
			'id' => '3031',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'image-bullets',
			'field_label' => 'Our Human Rights under the Human Rights Act (1998) ',
			'description' => 'The Act sets out the fundamental rights and freedoms that individuals in the UK have access to. They include:   ',
			'field_order' => '2',
			'attachment_id' => '1334',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Right to life  ","Freedom from torture and inhuman or degrading treatment  ","Right to liberty and security","Freedom from slavery and forced labour  ","Right to a fair trial  ","No punishment without law  ","Respect for your private and family life, home and correspondence  ","Freedom of thought, belief and religion  ","Freedom of expression  ","Freedom of assembly and association  ","Right to marry and start a family  ","Protection from discrimination in respect of these rights and freedoms  ","Right to peaceful enjoyment of your property  ","Right to education  ","Right to participate in free elections "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 16 => array(
			'id' => '3032',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'paragraph',
			'field_label' => 'Absolute and Non-Absolute Rights ',
			'description' => 'A variance in some rights:   

ABSOLUTE RIGHTS

They must never be limited or restricted in any way e.g. the right to life.   

NON-ABSOLUTE RIGHTS

LIMITED: They can be limited in specific and finite circumstances i.e. the right to liberty. 

QUALIFIED: They can be balanced against the rights of others or the interests of the wider community i.e. the right to freedom of expression. ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 17 => array(
			'id' => '3033',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'text-image',
			'field_label' => 'Human Rights-Based Approach ',
			'description' => 'Goes beyond the 9 protected characteristics to outlaw discrimination on all grounds.  

Improves patient, service user and staff experiences through person-centred decision making. 

Improves compliance with the Human Rights Act and reduces complaints/litigation. 

‘Human rights are not an “add on”, they are an inherent part of care… Healthcare that isn’t sensitive to human rights probably doesn’t deliver its goals’ (British Medical Association). ',
			'field_order' => '4',
			'attachment_id' => '1335',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 18 => array(
			'id' => '3034',
			'course_id' => '112',
			'course_lesson_id' => '492',
			'field_type' => 'paragraph',
			'field_label' => 'F.R.E.D.A. ',
			'description' => 'A human rights-based approach to clinical practice. 

F = Fairness   

R = Respect   

E = Equality   

D = Dignity   

A = Autonomy   

NHS Constitution makes clear that healthcare and human rights go hand in hand. 

The Darzi Report (2008) states that healthcare organisations must ensure patients receive personalised care and are treated with ‘compassion, dignity and respect. 

This is in line with FREDA principles. ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:51:02',
			'modified' => '2024-08-05 09:51:02'
		),
		(int) 19 => array(
			'id' => '3035',
			'course_id' => '112',
			'course_lesson_id' => '493',
			'field_type' => 'paragraph',
			'field_label' => 'Our Behavioural Standards Framework ',
			'description' => 'Why do we need a ‘Behavioural Standards Framework’?  

We want UHMB to be a ‘Great Place to be Cared for; a Great Place to Work’. 

The way we behave towards other people (colleagues, patients and visitors) are the true indicator of our underlying attitudes and values. 

The UHMB Behavioural Standards Framework has been developed, by our staff, to ensure we have a core set of behaviours and attitudes that supports and promotes our vision of being a ‘Great Place to be Cared for; a Great Place to Work. 

The following outlines the framework ‘at a glance’ ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:54:30',
			'modified' => '2024-08-05 09:54:30'
		),
		(int) 20 => array(
			'id' => '3036',
			'course_id' => '112',
			'course_lesson_id' => '493',
			'field_type' => 'image-bullets',
			'field_label' => 'Our Behavioural Standards Framework ‘at a glance’ ',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1336',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Introduce yourself with “Hello, my name is:” ","Value the contribution of everyone ","Share learning with others ","Be friendly and welcoming ","Team working across all areas ","Recognise diversity and celebrate this ","Respect shown to everyone ","Seek out and act on feedback ","Ensure all our actions contribute to safe care and a safe working environment","For those who supervise / manage teams: ensure consistency and fairness in your approach ","Show support for both staff and patients ","Communicate effectively: listen to others and seek clarity when needed ","Be proud of the role you do and how this contributes to patient care"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:54:30',
			'modified' => '2024-08-05 09:54:30'
		),
		(int) 21 => array(
			'id' => '3037',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'text-image',
			'field_label' => 'Forms of Discrimination',
			'description' => 'DIRECT 

Someone is treated less favourably than another person because of a protected characteristic. 

ASSOCIATIVE 

Treating someone less favourably as a result of their association with a person who holds a protected characteristic. 

INDIRECT 

 A rule or policy that applies to everyone but disadvantages a particular individual or group. 

PERCEIVED DISCRIMINATION 

Unlawfully discriminating against someone on the mistaken assumption  they hold a protected characteristic. ',
			'field_order' => '0',
			'attachment_id' => '1337',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 22 => array(
			'id' => '3038',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'paragraph',
			'field_label' => ' Is it ever Lawful to Discriminate? ',
			'description' => 'It is possible for employers to discriminate during recruitment or promotion in limited circumstances where there is a Genuine Occupational Requirement. 

If an employer can show that a job requires a person of a specific gender, race, religion or sexual orientation in order to effectively perform the role, and it is proportionate for the employer to apply the requirement they can discriminate against candidates who do not fulfil the criteria. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 23 => array(
			'id' => '3039',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'image-bullets',
			'field_label' => 'Bullying and Harassment',
			'description' => 'The effect on an individual is more important than the intention of the bully / bullies 

Can involve:  ',
			'field_order' => '2',
			'attachment_id' => '1338',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Verbal abuse, taunting, nasty comments or jokes  ","Physical force  ","Deliberately isolating/ignoring someone  ","Unfair allocation of work  ","Display or circulation of offensive materials  ","Inappropriate sexual comments "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 24 => array(
			'id' => '3040',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'text-image',
			'field_label' => 'The Basis of Discrimination',
			'description' => 'STEREOTYPE: To make assumptions about a person on the basis of their age, sex, race, nationality, sexuality etc.   

PREJUDICE: Favouring or disfavouring an individual because of preconceived ideas relating to their age, sex, race, nationality, sexuality and so on. ',
			'field_order' => '3',
			'attachment_id' => '1339',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 25 => array(
			'id' => '3041',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'bullet-points',
			'field_label' => 'The Ladder of Prejudice',
			'description' => 'Starting at the bottom with words before progressing up the ladder.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Killing   ","Physical Attack   ","Discrimination   ","Avoidance   ","Speech "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 26 => array(
			'id' => '3042',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'image-bullets',
			'field_label' => 'How to Challenge Prejudice & Discrimination? ',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1340',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => '["Avoid blame - say what would be better. ","Think about the impact of your role and relationship with the individual. ","If you don't feel confident challenging a discriminatory behaviour seek confidential advice from your line manager, HR, staff side representative or staff support service. Consider when and where is best to challenge.  ","Think about the effect on others. ","Remember - NOT challenging is not a neutral act, it can be seen as collusion. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 27 => array(
			'id' => '3043',
			'course_id' => '112',
			'course_lesson_id' => '494',
			'field_type' => 'bullet-points',
			'field_label' => 'Reporting Discrimination and Harassment ',
			'description' => 'Take action as quickly as possible to try and stop it and prevent it from escalating any further.  

Refer to specific policies and procedures in your organisation. 

But the following steps are a good guideline: ',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Tell your manager what is happening.","Talk to your Personnel / HR Department or Trade Union. ","Get independent advice. ","Collect evidence. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:07:23',
			'modified' => '2024-08-05 10:07:23'
		),
		(int) 28 => array(
			'id' => '3044',
			'course_id' => '112',
			'course_lesson_id' => '495',
			'field_type' => 'image-bullets',
			'field_label' => 'Benefits of an Effective Approach',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1341',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Fair, moral and inclusive society. ","Aids recruitment and retention of staff. ","Less complaints. ","High staff morale directly links to better patient care and service delivery, patient satisfaction is higher and mortality rates are lower. ","Reduced bullying and harassment cases and associated sickness rates which result in improved productivity. ","Enhances an organisation’s reputation. ","Ensures organisations are meeting their legal obligations. ","More possible for patients / service users to use their local healthcare services which is directly linked to the long-term sustainability of these organisations. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:13:17',
			'modified' => '2024-08-05 10:13:17'
		),
		(int) 29 => array(
			'id' => '3045',
			'course_id' => '112',
			'course_lesson_id' => '495',
			'field_type' => 'bullet-points',
			'field_label' => 'Your Responsibilities ',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Co-operate with measures introduced to support equality. ","Not to discriminate against others. ","Not to encourage others to discriminate. ","Not to harass, bully or abuse others. ","To report evidence or suspicion of discrimination. ","Not to victimise someone who has complained or provided information relating to discrimination. ","Don't make assumptions (e.g. by asking what is your Christian name?) "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:13:17',
			'modified' => '2024-08-05 10:13:17'
		),
		(int) 30 => array(
			'id' => '3046',
			'course_id' => '112',
			'course_lesson_id' => '495',
			'field_type' => 'image-bullets',
			'field_label' => 'In your Organisation ',
			'description' => 'Ensure you are aware of the following within your organisation:   ',
			'field_order' => '2',
			'attachment_id' => '1342',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["The relevant Policies and Procedures  ","The Behavioural Standards Framework  ","The contact details for the lead for Equality, Diversity and Human Rights  ","The relevant training and development required for your role  ","The process for reporting incidents "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:13:17',
			'modified' => '2024-08-05 10:13:17'
		),
		(int) 31 => array(
			'id' => '3047',
			'course_id' => '112',
			'course_lesson_id' => '496',
			'field_type' => 'paragraph',
			'field_label' => 'Thanks to:',
			'description' => 'Laura Jukes: Mid Cheshire Hospitals NHS Foundation Trust  

Annette Graghill: St Helens and Knowsley Hospitals NHS Trust  

George Sullivan: Mersey Care NHS Trust  

Debi Wearing: University Hospitals of Morecambe NHS Foundation Trust  

Menna Harland: Liverpool John Moores University  

Nick Moseley: Moseley Multimedia Ltd. 

',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:15:04',
			'modified' => '2024-08-05 10:15:04'
		),
		(int) 32 => array(
			'id' => '3048',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => 'Would you be justified in reporting harassment, even if the harassment was not directed at you? ',
			'description' => 'select an answer',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["No","Yes"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 33 => array(
			'id' => '3049',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => ' If you overhear someone telling a joke about someone with a disability, what  should you do? ',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => '1346',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Take it for what it is, just a joke ","Understand it may be offensive but do nothing ","Appropriately challenge the person or report it "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 34 => array(
			'id' => '3050',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => 'A job description asks for ',
			'description' => 'select an answer ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Directly discriminating ","Indirectly discriminating ","Victimising "]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 35 => array(
			'id' => '3051',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => 'An effective approach to equality, diversity and human rights might benefit  society in which of the following ways? ',
			'description' => 'select an answer ',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Healthcare is offered equitably to all members of society ","Increase awareness of differences between people ","Decrease racism, homophobia and other stereotyping ","Provide equality of opportunity to members of society ","All of the above "]',
			'field_correct' => '4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 36 => array(
			'id' => '3052',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following is the correct definition of Direct Discrimination? ',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => '1345',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["When one person is treated less favourably than another because of their protected characteristics ","Shouting or screaming at someone ","Unwanted conduct which affects another person\u2019s dignity "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 37 => array(
			'id' => '3053',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => 'Where are your human rights set out? ',
			'description' => 'select an answer ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Age Discrimination Legislation 2006 ","Equality Act 2010 ","Human Rights Act 1998 ","Disability Discrimination Act 1995 "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 38 => array(
			'id' => '3054',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'single-choice',
			'field_label' => ' In the Health Service, unlawful discrimination applies to: ',
			'description' => 'select an answer ',
			'field_order' => '6',
			'attachment_id' => '1344',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Employees only ","Patients only ","Patients and employees ","Neither patients nor employees "]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 39 => array(
			'id' => '3055',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'multiple-choice',
			'field_label' => ' What are the potential consequences of NOT challenging bullying and harassment in the workplace? ',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["It could contribute to high levels of sickness absence ","It could affect an individual\u2019s mental well-being and self esteem ","It could affect the reputation of the organisation ","It could lead to you being prosecuted "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 40 => array(
			'id' => '3056',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is equality?',
			'description' => 'select one or more answers',
			'field_order' => '8',
			'attachment_id' => '1343',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Treating everyone in exactly the same way ","Treating people according to their individual needs ","Removing barriers faced by individuals so they can have equality of opportunity ","Understanding different cultures "]',
			'field_correct' => '1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		),
		(int) 41 => array(
			'id' => '3057',
			'course_id' => '112',
			'course_lesson_id' => '497',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following could be deemed to be offensive or inappropriate? ',
			'description' => 'select one or more answers ',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Calling a colleague ","Putting your arm around someone when offering advice ","Hugging an upset colleague ","Speaking loudly to older people "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 10:29:32',
			'modified' => '2024-08-05 10:29:32'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '3016',
		(int) 1 => '3017',
		(int) 2 => '3018',
		(int) 3 => '3019',
		(int) 4 => '3020',
		(int) 5 => '3021',
		(int) 6 => '3022',
		(int) 7 => '3023',
		(int) 8 => '3024',
		(int) 9 => '3025',
		(int) 10 => '3026',
		(int) 11 => '3027',
		(int) 12 => '3028',
		(int) 13 => '3029',
		(int) 14 => '3030',
		(int) 15 => '3031',
		(int) 16 => '3032',
		(int) 17 => '3033',
		(int) 18 => '3034',
		(int) 19 => '3035',
		(int) 20 => '3036',
		(int) 21 => '3037',
		(int) 22 => '3038',
		(int) 23 => '3039',
		(int) 24 => '3040',
		(int) 25 => '3041',
		(int) 26 => '3042',
		(int) 27 => '3043',
		(int) 28 => '3044',
		(int) 29 => '3045',
		(int) 30 => '3046',
		(int) 31 => '3047',
		(int) 32 => '3048',
		(int) 33 => '3049',
		(int) 34 => '3050',
		(int) 35 => '3051',
		(int) 36 => '3052',
		(int) 37 => '3053',
		(int) 38 => '3054',
		(int) 39 => '3055',
		(int) 40 => '3056',
		(int) 41 => '3057'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '112'
$k = (int) 12
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
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		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 113 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 112 => array(
		(int) 0 => '13',
		(int) 1 => '64',
		(int) 2 => '62',
		(int) 3 => '63',
		(int) 4 => '61',
		(int) 5 => '60',
		(int) 6 => '7',
		(int) 7 => '6'
	),
	(int) 114 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
	),
	(int) 115 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 118 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 116 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
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			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
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			),
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			),
			(int) 18 => array(
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			),
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			(int) 21 => array(
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			(int) 25 => array(
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			),
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			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
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			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
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			(int) 36 => '3528',
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
			'banner_media_id' => '1616',
			'thumbnail_media_id' => '1617',
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			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 14:59:06',
			'modified' => '2024-08-07 14:26:42',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'field_count' => (int) 52,
			'answer_count' => (int) 0,
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			(int) 9 => array(
				[maximum depth reached]
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			(int) 10 => array(
				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			(int) 14 => array(
				[maximum depth reached]
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			(int) 15 => array(
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			(int) 16 => array(
				[maximum depth reached]
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			(int) 24 => array(
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			(int) 25 => array(
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			(int) 26 => array(
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			(int) 27 => array(
				[maximum depth reached]
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			(int) 28 => array(
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			),
			(int) 29 => array(
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			(int) 30 => array(
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			(int) 31 => array(
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			(int) 35 => array(
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			(int) 36 => array(
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				[maximum depth reached]
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			),
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			(int) 16 => array(
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			(int) 17 => array(
				[maximum depth reached]
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			(int) 18 => array(
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			(int) 19 => array(
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			(int) 20 => array(
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			(int) 22 => array(
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			(int) 23 => array(
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			(int) 24 => array(
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			),
			(int) 25 => array(
				[maximum depth reached]
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			(int) 26 => array(
				[maximum depth reached]
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			(int) 27 => array(
				[maximum depth reached]
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			(int) 28 => array(
				[maximum depth reached]
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			(int) 29 => array(
				[maximum depth reached]
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			(int) 30 => array(
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			(int) 31 => array(
				[maximum depth reached]
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			(int) 32 => array(
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			(int) 33 => array(
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			(int) 34 => array(
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				[maximum depth reached]
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			(int) 39 => array(
				[maximum depth reached]
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			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
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			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
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			(int) 20 => '3430',
			(int) 21 => '3431',
			(int) 22 => '3432',
			(int) 23 => '3433',
			(int) 24 => '3434',
			(int) 25 => '3435',
			(int) 26 => '3436',
			(int) 27 => '3437',
			(int) 28 => '3438',
			(int) 29 => '3439',
			(int) 30 => '3440',
			(int) 31 => '3441',
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			(int) 33 => '3443',
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			),
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			),
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			),
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			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3166',
			(int) 1 => '3243',
			(int) 2 => '3244',
			(int) 3 => '3169',
			(int) 4 => '3170',
			(int) 5 => '3171',
			(int) 6 => '3245',
			(int) 7 => '3173',
			(int) 8 => '3174',
			(int) 9 => '3175',
			(int) 10 => '3246',
			(int) 11 => '3247',
			(int) 12 => '3178',
			(int) 13 => '3179',
			(int) 14 => '3248',
			(int) 15 => '3181',
			(int) 16 => '3182',
			(int) 17 => '3183',
			(int) 18 => '3249',
			(int) 19 => '3185',
			(int) 20 => '3186',
			(int) 21 => '3187',
			(int) 22 => '3188',
			(int) 23 => '3189',
			(int) 24 => '3190',
			(int) 25 => '3191',
			(int) 26 => '3192',
			(int) 27 => '3193',
			(int) 28 => '3195',
			(int) 29 => '3196',
			(int) 30 => '3197',
			(int) 31 => '3198',
			(int) 32 => '3250',
			(int) 33 => '3200',
			(int) 34 => '3251',
			(int) 35 => '3203',
			(int) 36 => '3204',
			(int) 37 => '3205',
			(int) 38 => '3208',
			(int) 39 => '3206',
			(int) 40 => '3207',
			(int) 41 => '3209',
			(int) 42 => '3210',
			(int) 43 => '3211',
			(int) 44 => '3212',
			(int) 45 => '3213',
			(int) 46 => '3214',
			(int) 47 => '3215',
			(int) 48 => '3216',
			(int) 49 => '3217',
			(int) 50 => '3219',
			(int) 51 => '3218',
			(int) 52 => '3220',
			(int) 53 => '3221',
			(int) 54 => '3222',
			(int) 55 => '3223',
			(int) 56 => '3224',
			(int) 57 => '3225',
			(int) 58 => '3226',
			(int) 59 => '3227',
			(int) 60 => '3228',
			(int) 61 => '3229',
			(int) 62 => '3230',
			(int) 63 => '3231',
			(int) 64 => '3232',
			(int) 65 => '3233',
			(int) 66 => '3234',
			(int) 67 => '3235',
			(int) 68 => '3237',
			(int) 69 => '3238',
			(int) 70 => '3239',
			(int) 71 => '3240',
			(int) 72 => '3241',
			(int) 73 => '3242'
		)
	),
	(int) 11 => array(
		'Course' => array(
			'id' => '113',
			'course_title' => 'Health & Safety (NHS Core Skills)',
			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
			'banner_media_id' => '1418',
			'thumbnail_media_id' => '1419',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'field_count' => (int) 107,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 498 => array(
				[maximum depth reached]
			),
			(int) 499 => array(
				[maximum depth reached]
			),
			(int) 500 => array(
				[maximum depth reached]
			),
			(int) 501 => array(
				[maximum depth reached]
			),
			(int) 502 => array(
				[maximum depth reached]
			),
			(int) 503 => array(
				[maximum depth reached]
			),
			(int) 504 => array(
				[maximum depth reached]
			),
			(int) 505 => array(
				[maximum depth reached]
			),
			(int) 506 => array(
				[maximum depth reached]
			),
			(int) 507 => array(
				[maximum depth reached]
			),
			(int) 508 => array(
				[maximum depth reached]
			),
			(int) 509 => array(
				[maximum depth reached]
			),
			(int) 510 => array(
				[maximum depth reached]
			),
			(int) 511 => array(
				[maximum depth reached]
			),
			(int) 512 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3058',
			(int) 1 => '3059',
			(int) 2 => '3060',
			(int) 3 => '3061',
			(int) 4 => '3062',
			(int) 5 => '3063',
			(int) 6 => '3064',
			(int) 7 => '3065',
			(int) 8 => '3066',
			(int) 9 => '3067',
			(int) 10 => '3068',
			(int) 11 => '3069',
			(int) 12 => '3070',
			(int) 13 => '3071',
			(int) 14 => '3072',
			(int) 15 => '3252',
			(int) 16 => '3253',
			(int) 17 => '3075',
			(int) 18 => '3077',
			(int) 19 => '3076',
			(int) 20 => '3078',
			(int) 21 => '3254',
			(int) 22 => '3080',
			(int) 23 => '3081',
			(int) 24 => '3082',
			(int) 25 => '3083',
			(int) 26 => '3084',
			(int) 27 => '3085',
			(int) 28 => '3086',
			(int) 29 => '3087',
			(int) 30 => '3088',
			(int) 31 => '3089',
			(int) 32 => '3090',
			(int) 33 => '3091',
			(int) 34 => '3092',
			(int) 35 => '3093',
			(int) 36 => '3094',
			(int) 37 => '3095',
			(int) 38 => '3096',
			(int) 39 => '3097',
			(int) 40 => '3098',
			(int) 41 => '3099',
			(int) 42 => '3100',
			(int) 43 => '3101',
			(int) 44 => '3255',
			(int) 45 => '3103',
			(int) 46 => '3104',
			(int) 47 => '3105',
			(int) 48 => '3106',
			(int) 49 => '3107',
			(int) 50 => '3108',
			(int) 51 => '3109',
			(int) 52 => '3110',
			(int) 53 => '3111',
			(int) 54 => '3112',
			(int) 55 => '3113',
			(int) 56 => '3114',
			(int) 57 => '3116',
			(int) 58 => '3117',
			(int) 59 => '3118',
			(int) 60 => '3119',
			(int) 61 => '3120',
			(int) 62 => '3121',
			(int) 63 => '3122',
			(int) 64 => '3123',
			(int) 65 => '3124',
			(int) 66 => '3125',
			(int) 67 => '3126',
			(int) 68 => '3127',
			(int) 69 => '3128',
			(int) 70 => '3129',
			(int) 71 => '3130',
			(int) 72 => '3131',
			(int) 73 => '3132',
			(int) 74 => '3133',
			(int) 75 => '3134',
			(int) 76 => '3135',
			(int) 77 => '3136',
			(int) 78 => '3137',
			(int) 79 => '3138',
			(int) 80 => '3139',
			(int) 81 => '3140',
			(int) 82 => '3141',
			(int) 83 => '3142',
			(int) 84 => '3143',
			(int) 85 => '3144',
			(int) 86 => '3145',
			(int) 87 => '3146',
			(int) 88 => '3147',
			(int) 89 => '3148',
			(int) 90 => '3149',
			(int) 91 => '3150',
			(int) 92 => '3151',
			(int) 93 => '3152',
			(int) 94 => '3153',
			(int) 95 => '3154',
			(int) 96 => '3155',
			(int) 97 => '3156',
			(int) 98 => '3157',
			(int) 99 => '3158',
			(int) 100 => '3159',
			(int) 101 => '3160',
			(int) 102 => '3161',
			(int) 103 => '3162',
			(int) 104 => '3163',
			(int) 105 => '3164',
			(int) 106 => '3165'
		)
	),
	(int) 12 => array(
		'Course' => array(
			'id' => '112',
			'course_title' => 'Equality Diversity And Inclusion E-Learning',
			'description' => 'Welcome to this e-Learning package on Equality, Diversity and Human Rights. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1323',
			'thumbnail_media_id' => '1320',
			'logo_media_id' => null,
			'banner_align_id' => '4',
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			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 09:12:40',
			'modified' => '2024-08-07 14:24:36',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'field_count' => (int) 42,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
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		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 490 => array(
				[maximum depth reached]
			),
			(int) 491 => array(
				[maximum depth reached]
			),
			(int) 492 => array(
				[maximum depth reached]
			),
			(int) 493 => array(
				[maximum depth reached]
			),
			(int) 494 => array(
				[maximum depth reached]
			),
			(int) 495 => array(
				[maximum depth reached]
			),
			(int) 496 => array(
				[maximum depth reached]
			),
			(int) 497 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
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			(int) 1 => '3017',
			(int) 2 => '3018',
			(int) 3 => '3019',
			(int) 4 => '3020',
			(int) 5 => '3021',
			(int) 6 => '3022',
			(int) 7 => '3023',
			(int) 8 => '3024',
			(int) 9 => '3025',
			(int) 10 => '3026',
			(int) 11 => '3027',
			(int) 12 => '3028',
			(int) 13 => '3029',
			(int) 14 => '3030',
			(int) 15 => '3031',
			(int) 16 => '3032',
			(int) 17 => '3033',
			(int) 18 => '3034',
			(int) 19 => '3035',
			(int) 20 => '3036',
			(int) 21 => '3037',
			(int) 22 => '3038',
			(int) 23 => '3039',
			(int) 24 => '3040',
			(int) 25 => '3041',
			(int) 26 => '3042',
			(int) 27 => '3043',
			(int) 28 => '3044',
			(int) 29 => '3045',
			(int) 30 => '3046',
			(int) 31 => '3047',
			(int) 32 => '3048',
			(int) 33 => '3049',
			(int) 34 => '3050',
			(int) 35 => '3051',
			(int) 36 => '3052',
			(int) 37 => '3053',
			(int) 38 => '3054',
			(int) 39 => '3055',
			(int) 40 => '3056',
			(int) 41 => '3057'
		)
	),
	(int) 13 => array(
		'Course' => array(
			'id' => '111',
			'course_title' => 'Fire General Safety Awareness Transcript ',
			'description' => 'Welcome to this e-Learning package on Fire Safety &ndash; Level 1. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1647',
			'thumbnail_media_id' => '1648',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 13:04:44',
			'modified' => '2024-08-07 14:24:24',
			'term_ids' => array(
				[maximum depth reached]
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'field_count' => (int) 42
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
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			(int) 22 => array(
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			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
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			(int) 31 => array(
				[maximum depth reached]
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			(int) 32 => array(
				[maximum depth reached]
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			(int) 33 => array(
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			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
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			(int) 41 => array(
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			(int) 38 => '3008',
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			'course_title' => 'Conflict Resolution (Core Skill) Training',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Conflict Resolution Level 1&nbsp;in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1651',
			'thumbnail_media_id' => '1650',
			'logo_media_id' => null,
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			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 Minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 10:15:23',
			'modified' => '2024-08-07 14:23:51'
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				[maximum depth reached]
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			),
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				[maximum depth reached]
			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			)
		)
	),
	(int) 15 => array(
		'Course' => array(
			'id' => '109',
			'course_title' => 'Autism Awareness E-Learning',
			'description' => 'A training package designed to ensure all Trust staff have a basic awareness of autism.',
			'banner_media_id' => '1272',
			'thumbnail_media_id' => '1254',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 08:34:50',
			'modified' => '2024-08-07 14:24:06'
		),
		'CourseLesson' => array(
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			),
			(int) 2 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
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			),
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			),
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				[maximum depth reached]
			),
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			),
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			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			)
		)
	)
)
$courseIds = array(
	(int) 0 => '124',
	(int) 1 => '123',
	(int) 2 => '122',
	(int) 3 => '121',
	(int) 4 => '120',
	(int) 5 => '119',
	(int) 6 => '118',
	(int) 7 => '117',
	(int) 8 => '116',
	(int) 9 => '115',
	(int) 10 => '114',
	(int) 11 => '113',
	(int) 12 => '112',
	(int) 13 => '111',
	(int) 14 => '110',
	(int) 15 => '109'
)
$course = array(
	'Course' => array(
		'id' => '111',
		'course_title' => 'Fire General Safety Awareness Transcript ',
		'description' => 'Welcome to this e-Learning package on Fire Safety &ndash; Level 1. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
		'banner_media_id' => '1647',
		'thumbnail_media_id' => '1648',
		'logo_media_id' => null,
		'banner_align_id' => '0',
		'type_id' => '0',
		'created_user_id' => '8779',
		'course_length' => '30 minutes',
		'expiry_date' => null,
		'expired' => '0',
		'active' => '1',
		'created' => '2024-07-31 13:04:44',
		'modified' => '2024-08-07 14:24:24'
	),
	'CourseLesson' => array(
		(int) 0 => array(
			'id' => '482',
			'course_id' => '111',
			'lesson_title' => 'What you will learn in this session',
			'description' => 'Summary of session.',
			'lesson_order' => '0',
			'created_user_id' => '8779',
			'session_length' => '2 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 13:06:12',
			'modified' => '2024-07-31 13:06:12'
		),
		(int) 1 => array(
			'id' => '483',
			'course_id' => '111',
			'lesson_title' => ' Why is this so important? ',
			'description' => 'Facts and stats.',
			'lesson_order' => '1',
			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 13:08:24',
			'modified' => '2024-07-31 13:08:24'
		),
		(int) 2 => array(
			'id' => '484',
			'course_id' => '111',
			'lesson_title' => 'What is Fire?',
			'description' => 'Elements of fire.',
			'lesson_order' => '2',
			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 13:12:43',
			'modified' => '2024-07-31 13:12:43'
		),
		(int) 3 => array(
			'id' => '485',
			'course_id' => '111',
			'lesson_title' => ' Fire Hazards on NHS Premises ',
			'description' => 'Fire Hazards on NHS Premises: Smoking, Flammable liquids, gases &amp; chemicals, Medical Oxygen, Electrical Equipment, Cutter and Arson.',
			'lesson_order' => '3',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 13:16:12',
			'modified' => '2024-07-31 13:16:58'
		),
		(int) 4 => array(
			'id' => '486',
			'course_id' => '111',
			'lesson_title' => 'Fire Risk Assessment',
			'description' => 'Regulatory Reform (Fire Safety) Order 2005',
			'lesson_order' => '4',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 08:06:30',
			'modified' => '2024-08-05 08:14:22'
		),
		(int) 5 => array(
			'id' => '487',
			'course_id' => '111',
			'lesson_title' => 'Fire Extinguishers',
			'description' => 'Learn about what each fire extinguishers is used for.',
			'lesson_order' => '5',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 08:15:31',
			'modified' => '2024-08-05 08:15:31'
		),
		(int) 6 => array(
			'id' => '488',
			'course_id' => '111',
			'lesson_title' => 'Actions in the Event of a Fire',
			'description' => 'Learn about the actions you must take in the event of a fire, what to do if you hear the alram, what you must know and what not to forget.',
			'lesson_order' => '6',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 08:23:27',
			'modified' => '2024-08-05 08:23:27'
		),
		(int) 7 => array(
			'id' => '489',
			'course_id' => '111',
			'lesson_title' => 'Quiz',
			'description' => 'This quiz is made up of 10 questions. All questions must be answered correctly to pass.&nbsp;&nbsp;&nbsp;<br />Once you've started, select the correct option or options for each question and then click SUBMIT to confirm your choice and move on to the next question.',
			'lesson_order' => '7',
			'created_user_id' => '8779',
			'session_length' => '15 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 08:33:12',
			'modified' => '2024-08-05 08:33:12'
		)
	),
	'CourseLessonField' => array(
		(int) 0 => array(
			'id' => '2970',
			'course_id' => '111',
			'course_lesson_id' => '482',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The characteristics of fire, smoke and toxic fumes   ","Fire hazards involved in the working environment   ","Significant findings of relevant fire risk assessments   ","Practise and promote fire prevention   ","Basic fire safety and fire safety protocols including staff responsibilities","How to raise the fire alarm and actions to take on hearing the fire alarm","Action to take if fire breaks out or smoke is detected   ","Identify the types of fire extinguishers used in different situations","Evacuation procedures and associated escape routes  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:07:49',
			'modified' => '2024-07-31 13:07:49'
		),
		(int) 1 => array(
			'id' => '2971',
			'course_id' => '111',
			'course_lesson_id' => '482',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'You will require further practical training to include evacuation procedures and use of fire fighting equipment.  

Dependent on role, location and service need, the outcomes here should be supplemented by specific job and site training. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:07:49',
			'modified' => '2024-07-31 13:07:49'
		),
		(int) 2 => array(
			'id' => '2972',
			'course_id' => '111',
			'course_lesson_id' => '483',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1291',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:11:44',
			'modified' => '2024-07-31 13:11:44'
		),
		(int) 3 => array(
			'id' => '2973',
			'course_id' => '111',
			'course_lesson_id' => '483',
			'field_type' => 'bullet-points',
			'field_label' => 'In England in 2012-2013:  ',
			'description' => '(Health and Social Care Information Centre)  ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Fire & Rescue services attended 154,000 fires. ","271 deaths.","3,830 injuries. ","Approximately 1,500 fires on NHS premises in 2011/12. ","Item 5"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:11:44',
			'modified' => '2024-07-31 13:11:44'
		),
		(int) 4 => array(
			'id' => '2974',
			'course_id' => '111',
			'course_lesson_id' => '483',
			'field_type' => 'bullet-points',
			'field_label' => 'University Hospitals of Morecambe Bay NHS F.T. ',
			'description' => 'Eric – Fire Safety April 2014 – March 2015 (Estates Return Information Collection) ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Fires recorded: F.G.H., 1. Q.V.C., 0. R.L.I., 1. W.G.H., 0. Trust, 2. ","False alarms: F.G.H., 23. Q.V.C., 0. R.L.I., 36. W.G.H., 9. Trust, 68. ","Number of deaths resulting from fires: F.G.H., 0. Q.V.C., 0. R.L.I., 0. W.G.H., 0. Trust, 0. ","Number of people injured resulting from fires: F.G.H., 0. Q.V.C., 0. R.L.I., 0. W.G.H., 0. Trust, 0. ","Number of patients sustaining injury during evacuation: F.G.H., 0. Q.V.C., 0. R.L.I., 0. W.G.H., 0. Trust, 0. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:11:44',
			'modified' => '2024-07-31 13:11:44'
		),
		(int) 5 => array(
			'id' => '2975',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["A chemical reaction producing smoke, heat and flames   ","Produces dangerous, toxic gases ","Will cause disorientation   ","Will damage property   ","May cause injury or death   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 6 => array(
			'id' => '2976',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Smoke inhalation is the number 1 cause of death in indoor fires.  

People affected by smoke inhalation can be  left with ongoing effects and medical issues.  ',
			'field_order' => '1',
			'attachment_id' => '1292',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 7 => array(
			'id' => '2977',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'bullet-points',
			'field_label' => 'Triangle of Combustion ',
			'description' => 'A fire needs 3 elements:',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Oxygen","Heat","Fuel"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 8 => array(
			'id' => '2978',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Take 1 of these elements away and the fire will die. ',
			'field_order' => '3',
			'attachment_id' => '1293',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 9 => array(
			'id' => '2979',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Smoking   ","Flammable liquids, gases and chemicals   ","Medical oxygen ","Electrical items   ","Clutter   ","Arson   ","Staff kitchens / cooking equipment   ","Carelessness "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 10 => array(
			'id' => '2980',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'text-image',
			'field_label' => 'Smoking',
			'description' => 'Adhere to the organisation’s Smoking Policy.  

Challenge/report anyone smoking on site. ',
			'field_order' => '1',
			'attachment_id' => '1294',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 11 => array(
			'id' => '2981',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => 'Flammable liquids, gases & chemicals',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Everyday cleaning products   ","Chemicals and gases   ","Take care with gas cylinders  ","Control of Substances Hazardous to Health (C.O.S.H.H.)"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 12 => array(
			'id' => '2982',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => 'Flammables should be:  ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Clearly labelled   ","Stored securely and correctly away from heat "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 13 => array(
			'id' => '2983',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => 'Medical Oxygen',
			'description' => 'Oxygen makes a fire WORSE. ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Always report leaks.  ","Be familiar with how oxygen is supplied and managed.  ","Know how to turn off cylinders or fixed oxygen supply.  ","Store cylinders properly on mounted wall brackets or trolleys.  ","Don’t smoke near oxygen!  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 14 => array(
			'id' => '2984',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'text-image',
			'field_label' => 'Electrical Equipment ',
			'description' => 'Can be a FIRE HAZARD. 

if in poor condition or used wrongly.  

Look for signs of damage, overheating or not working properly.  

Make sure equipment is tested.  

If in any doubt,  

SWITCH OFF, REPORT AND LABEL  

Let others know about the fault.  

Repair or discard the faulty item. ',
			'field_order' => '5',
			'attachment_id' => '1295',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 15 => array(
			'id' => '2985',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => ' Clutter',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Acts as fuel for fire. ","Blocks exits. ","Increases risk of trips and falls. ","Disrupts access for fire fighters. ","Always keep fire escape routes clear "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 16 => array(
			'id' => '2986',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'text-image',
			'field_label' => 'Arson',
			'description' => 'Healthcare premises are an easy target.   

Arson is the most likely cause of fire in the NHS.  

Be on your guard.  

Report any suspicion to a manager.  

Consider contacting the police. ',
			'field_order' => '7',
			'attachment_id' => '1296',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 17 => array(
			'id' => '2987',
			'course_id' => '111',
			'course_lesson_id' => '486',
			'field_type' => 'text-image',
			'field_label' => 'The Regulatory Reform (Fire Safety) Order 2005',
			'description' => 'The Regulatory Reform (Fire Safety) Order 2005 demands that all organisations carry out regular and timely Fire Risk Assessments.  

Become accustomed with the location of fire equipment, fire exits and the evacuation protocol for your working area.  

You must familiarise yourself with your organisation’s Fire Safety Policy and Fire Risk Assessment.  

Take note of any significant findings in the Fire Risk Assessment. ',
			'field_order' => '0',
			'attachment_id' => '1298',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:10:59',
			'modified' => '2024-08-05 08:10:59'
		),
		(int) 18 => array(
			'id' => '2988',
			'course_id' => '111',
			'course_lesson_id' => '486',
			'field_type' => 'bullet-points',
			'field_label' => 'Risk Assessment - Significant Findings',
			'description' => 'You should be aware of any Significant Findings in any Fire Risk Assessments that affect you, your role or location. For example: ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["What fire hazards have been identified (preventive measures   ","The actions taken to remove or reduce the chance of fire occurring   ","Which people are at risk, particularly those at greatest risk   ","The actions required to reduce the risk to people (protective measures)   ","The actions people need to take in case of fire (emergency plan)   ","The information, instruction and training needed and how it will be given ","The Fire Safety Advisor can provide a Risk Assessment for your area of work "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:10:59',
			'modified' => '2024-08-05 08:10:59'
		),
		(int) 19 => array(
			'id' => '2989',
			'course_id' => '111',
			'course_lesson_id' => '486',
			'field_type' => 'bullet-points',
			'field_label' => 'Protective Measures',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Structural fire separation   ","Fire doors (30 minute minimum protection)   ","Fire alarms   ","Fire signage   ","Emergency lighting","Fire fighting equipment   ","Evacuation procedures   ","Refuges  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:10:59',
			'modified' => '2024-08-05 08:10:59'
		),
		(int) 20 => array(
			'id' => '2990',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Fire extinguishers come in different shapes, sizes and colours.  

Each fire extinguisher is specifically designed to tackle a certain type of fire.  

Only use fire extinguishers and any other fire fighting equipment if you're trained to do so.',
			'field_order' => '0',
			'attachment_id' => '1300',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 21 => array(
			'id' => '2991',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Red',
			'description' => 'Water Fire Extinguishers (suitable for solid fires and safe for use on paper, wood and textiles. Ordinary water fire extinguishers should not be used on fires with electrical equipment). ',
			'field_order' => '1',
			'attachment_id' => '1301',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 22 => array(
			'id' => '2992',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Blue',
			'description' => 'Dry Powder Fire Extinguishers (suitable for small fires and fires involving electrical equipment. However it should not be used on sensitive electrical equipment such as computers). ',
			'field_order' => '2',
			'attachment_id' => '1302',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 23 => array(
			'id' => '2993',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Cream',
			'description' => 'Foam Fire Extinguishers (suitable for fires involving flammable liquids such as petrol and effective in preventing re-ignition).',
			'field_order' => '3',
			'attachment_id' => '1303',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 24 => array(
			'id' => '2994',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Black',
			'description' => 'CO2 or Carbon Dioxide Fire Extinguishers (very effective on fires of computer equipment and various other electrical appliances). ',
			'field_order' => '4',
			'attachment_id' => '1304',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 25 => array(
			'id' => '2995',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Yellow',
			'description' => ' Wet Chemical Fire Extinguishers (developed specifically to deal with deep fat cooking fires so suitable for fires in kitchens and in food processing plants). ',
			'field_order' => '5',
			'attachment_id' => '1305',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 26 => array(
			'id' => '2996',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'bullet-points',
			'field_label' => 'Actions in the event of fire',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Raise the alarm   ","Tackle the fire if you are trained  AND ONLY if it’s safe to do so   ","Evacuate patients to a safe area  and ensure their health needs are met   ","Close doors and windows if it’s safe to do so   ","Direct fire brigade on arrival   ","Await further information from attending fire team  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 27 => array(
			'id' => '2997',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'image-bullets',
			'field_label' => ' If you hear the fire alarm',
			'description' => 'Follow your organisation’s evacuation plan and procedure. The general principles are:',
			'field_order' => '1',
			'attachment_id' => '1306',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Exit the building as quickly as possible   ","Do not stop to collect personal belongings   ","Do not use lifts   ","Meet well away from the building at the agreed assembly point   ","Do not return to the building unless told it is safe to do so   ","Follow any instructions from Fire Response Team and the emergency services   ","If you are responsible for patients or other people you will need to follow separate instructions to ensure their safety. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 28 => array(
			'id' => '2998',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'bullet-points',
			'field_label' => 'You must know…',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Where are the fire alarm call points?   ","What the hospitals internal fire emergency number is. ","Where the escape routes are. ","Where is the safe refuge?   ","How will the patients be moved?   ","What are the security arrangements?   ","Each type of alarm signal. ","When are alarm test days?  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 29 => array(
			'id' => '2999',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'image-bullets',
			'field_label' => 'Don't forget about…',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1307',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Disabled colleagues. ","Patients and visitors. ","Alternative ways out. ","Switching equipment off if necessary and safe to do so. ","Closing windows and doors. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 30 => array(
			'id' => '3000',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'bullet-points',
			'field_label' => 'Remember to…',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Report hazards. ","Raise the alarm before any other action is taken. ","Know your means of escape. ","Keep escape routes clear. ","Ensure personal safety. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 31 => array(
			'id' => '3001',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'text-image',
			'field_label' => 'Finally',
			'description' => 'If you have any queries or concerns regarding Fire Safety in the hospital or the area you work please contact our fire safety advisor:   

Russell Stephenson on 01524 516336 (extension 46336) or email  

russell.stephenson@mbht.nhs.uk  ',
			'field_order' => '5',
			'attachment_id' => '1308',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 32 => array(
			'id' => '3002',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which extinguishers would you NOT use to put out a flammable liquids fire? ',
			'description' => 'select one or more answers',
			'field_order' => '0',
			'attachment_id' => '1311',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Water","CO2","Foam","Powder"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 33 => array(
			'id' => '3004',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'What responsibilities do ALL staff have during a fire incident?',
			'description' => 'select one or more answers',
			'field_order' => '2',
			'attachment_id' => '1315',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To raise the alarm ","To inform colleagues of the fire ","To evacuate patients from the building ","To use the appropriate fire extinguisher "]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 34 => array(
			'id' => '3005',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of these actions might result in a fire hazard? ',
			'description' => 'select one or more answers',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Allowing the build up of combustible waste ","Not using the appropriate safe disposal procedures ","Acting responsibly and following correct operating procedures  ","Using the appropriate safe disposal procedures "]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 35 => array(
			'id' => '3008',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following should you do when there is a fire? ',
			'description' => 'select one or more answers',
			'field_order' => '6',
			'attachment_id' => '1317',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Close doors to restrict the spread of fire ","Raise the alarm ","Alert and inform your colleagues in the immediate vicinity ","Use the nearest appropriate fire extinguisher if you have been trained ","Collect all your personal belongings before evacuating the building "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 36 => array(
			'id' => '3009',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => ' What should you do if you find a fire hazard such as a fire door that is not shutting properly?',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Report it to your line manager ","Report it to estates ","Remove the hazard if possible and appropriate ","Leave it to someone else to report "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 37 => array(
			'id' => '3010',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following should be your first response to a fire? ',
			'description' => 'select an answer',
			'field_order' => '8',
			'attachment_id' => '1318',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Raise the alarm  ","Pick up the nearest fire extinguisher, read the instructions and tackle the fire ","Immediately close all doors and windows ","Assist those most in need of help to leave the building ","Move intensive care patients close to the lifts ready to be evacuated "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 38 => array(
			'id' => '3011',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'A ‘triangle of fire’ could consist of waste paper, lit cigarettes and air. ',
			'description' => 'select an answer ',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True ","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 39 => array(
			'id' => '3012',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'What is the minimum time an NHS fire door will contain fire, smoke and toxic fumes?',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => '1314',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["15 minutes ","30 minutes ","1 hour ","2 hours"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 40 => array(
			'id' => '3014',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'Who is responsible for using a fire extinguisher? ',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => '1316',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Only staff who have been trained and are competent to do so ","Any member of staff near the fire ","Only the fire wardens ","Only Fire Incident Co-ordinators ","Only the fire brigade "]',
			'field_correct' => '0',
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 41 => array(
			'id' => '3015',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'Which types of extinguisher could be used on a materials (general furnishings, fabrics and/or clothes) fire? ',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Water or foam","Powder or foam","Water or CO2","CO2 or powder"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		)
	),
	'LessonFieldList' => array(
		(int) 482 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			)
		),
		(int) 483 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			)
		),
		(int) 484 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		(int) 485 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		(int) 486 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			)
		),
		(int) 487 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			)
		),
		(int) 488 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			)
		),
		(int) 489 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		)
	),
	'LessonFieldAll' => array(
		(int) 0 => array(
			'id' => '2970',
			'course_id' => '111',
			'course_lesson_id' => '482',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The characteristics of fire, smoke and toxic fumes   ","Fire hazards involved in the working environment   ","Significant findings of relevant fire risk assessments   ","Practise and promote fire prevention   ","Basic fire safety and fire safety protocols including staff responsibilities","How to raise the fire alarm and actions to take on hearing the fire alarm","Action to take if fire breaks out or smoke is detected   ","Identify the types of fire extinguishers used in different situations","Evacuation procedures and associated escape routes  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:07:49',
			'modified' => '2024-07-31 13:07:49'
		),
		(int) 1 => array(
			'id' => '2971',
			'course_id' => '111',
			'course_lesson_id' => '482',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'You will require further practical training to include evacuation procedures and use of fire fighting equipment.  

Dependent on role, location and service need, the outcomes here should be supplemented by specific job and site training. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:07:49',
			'modified' => '2024-07-31 13:07:49'
		),
		(int) 2 => array(
			'id' => '2972',
			'course_id' => '111',
			'course_lesson_id' => '483',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1291',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:11:44',
			'modified' => '2024-07-31 13:11:44'
		),
		(int) 3 => array(
			'id' => '2973',
			'course_id' => '111',
			'course_lesson_id' => '483',
			'field_type' => 'bullet-points',
			'field_label' => 'In England in 2012-2013:  ',
			'description' => '(Health and Social Care Information Centre)  ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Fire & Rescue services attended 154,000 fires. ","271 deaths.","3,830 injuries. ","Approximately 1,500 fires on NHS premises in 2011/12. ","Item 5"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:11:44',
			'modified' => '2024-07-31 13:11:44'
		),
		(int) 4 => array(
			'id' => '2974',
			'course_id' => '111',
			'course_lesson_id' => '483',
			'field_type' => 'bullet-points',
			'field_label' => 'University Hospitals of Morecambe Bay NHS F.T. ',
			'description' => 'Eric – Fire Safety April 2014 – March 2015 (Estates Return Information Collection) ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Fires recorded: F.G.H., 1. Q.V.C., 0. R.L.I., 1. W.G.H., 0. Trust, 2. ","False alarms: F.G.H., 23. Q.V.C., 0. R.L.I., 36. W.G.H., 9. Trust, 68. ","Number of deaths resulting from fires: F.G.H., 0. Q.V.C., 0. R.L.I., 0. W.G.H., 0. Trust, 0. ","Number of people injured resulting from fires: F.G.H., 0. Q.V.C., 0. R.L.I., 0. W.G.H., 0. Trust, 0. ","Number of patients sustaining injury during evacuation: F.G.H., 0. Q.V.C., 0. R.L.I., 0. W.G.H., 0. Trust, 0. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:11:44',
			'modified' => '2024-07-31 13:11:44'
		),
		(int) 5 => array(
			'id' => '2975',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["A chemical reaction producing smoke, heat and flames   ","Produces dangerous, toxic gases ","Will cause disorientation   ","Will damage property   ","May cause injury or death   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 6 => array(
			'id' => '2976',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Smoke inhalation is the number 1 cause of death in indoor fires.  

People affected by smoke inhalation can be  left with ongoing effects and medical issues.  ',
			'field_order' => '1',
			'attachment_id' => '1292',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 7 => array(
			'id' => '2977',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'bullet-points',
			'field_label' => 'Triangle of Combustion ',
			'description' => 'A fire needs 3 elements:',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Oxygen","Heat","Fuel"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 8 => array(
			'id' => '2978',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Take 1 of these elements away and the fire will die. ',
			'field_order' => '3',
			'attachment_id' => '1293',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 9 => array(
			'id' => '2979',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Smoking   ","Flammable liquids, gases and chemicals   ","Medical oxygen ","Electrical items   ","Clutter   ","Arson   ","Staff kitchens / cooking equipment   ","Carelessness "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 10 => array(
			'id' => '2980',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'text-image',
			'field_label' => 'Smoking',
			'description' => 'Adhere to the organisation’s Smoking Policy.  

Challenge/report anyone smoking on site. ',
			'field_order' => '1',
			'attachment_id' => '1294',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 11 => array(
			'id' => '2981',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => 'Flammable liquids, gases & chemicals',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Everyday cleaning products   ","Chemicals and gases   ","Take care with gas cylinders  ","Control of Substances Hazardous to Health (C.O.S.H.H.)"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 12 => array(
			'id' => '2982',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => 'Flammables should be:  ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Clearly labelled   ","Stored securely and correctly away from heat "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 13 => array(
			'id' => '2983',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => 'Medical Oxygen',
			'description' => 'Oxygen makes a fire WORSE. ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Always report leaks.  ","Be familiar with how oxygen is supplied and managed.  ","Know how to turn off cylinders or fixed oxygen supply.  ","Store cylinders properly on mounted wall brackets or trolleys.  ","Don’t smoke near oxygen!  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 14 => array(
			'id' => '2984',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'text-image',
			'field_label' => 'Electrical Equipment ',
			'description' => 'Can be a FIRE HAZARD. 

if in poor condition or used wrongly.  

Look for signs of damage, overheating or not working properly.  

Make sure equipment is tested.  

If in any doubt,  

SWITCH OFF, REPORT AND LABEL  

Let others know about the fault.  

Repair or discard the faulty item. ',
			'field_order' => '5',
			'attachment_id' => '1295',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 15 => array(
			'id' => '2985',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => ' Clutter',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Acts as fuel for fire. ","Blocks exits. ","Increases risk of trips and falls. ","Disrupts access for fire fighters. ","Always keep fire escape routes clear "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 16 => array(
			'id' => '2986',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'text-image',
			'field_label' => 'Arson',
			'description' => 'Healthcare premises are an easy target.   

Arson is the most likely cause of fire in the NHS.  

Be on your guard.  

Report any suspicion to a manager.  

Consider contacting the police. ',
			'field_order' => '7',
			'attachment_id' => '1296',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 17 => array(
			'id' => '2987',
			'course_id' => '111',
			'course_lesson_id' => '486',
			'field_type' => 'text-image',
			'field_label' => 'The Regulatory Reform (Fire Safety) Order 2005',
			'description' => 'The Regulatory Reform (Fire Safety) Order 2005 demands that all organisations carry out regular and timely Fire Risk Assessments.  

Become accustomed with the location of fire equipment, fire exits and the evacuation protocol for your working area.  

You must familiarise yourself with your organisation’s Fire Safety Policy and Fire Risk Assessment.  

Take note of any significant findings in the Fire Risk Assessment. ',
			'field_order' => '0',
			'attachment_id' => '1298',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:10:59',
			'modified' => '2024-08-05 08:10:59'
		),
		(int) 18 => array(
			'id' => '2988',
			'course_id' => '111',
			'course_lesson_id' => '486',
			'field_type' => 'bullet-points',
			'field_label' => 'Risk Assessment - Significant Findings',
			'description' => 'You should be aware of any Significant Findings in any Fire Risk Assessments that affect you, your role or location. For example: ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["What fire hazards have been identified (preventive measures   ","The actions taken to remove or reduce the chance of fire occurring   ","Which people are at risk, particularly those at greatest risk   ","The actions required to reduce the risk to people (protective measures)   ","The actions people need to take in case of fire (emergency plan)   ","The information, instruction and training needed and how it will be given ","The Fire Safety Advisor can provide a Risk Assessment for your area of work "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:10:59',
			'modified' => '2024-08-05 08:10:59'
		),
		(int) 19 => array(
			'id' => '2989',
			'course_id' => '111',
			'course_lesson_id' => '486',
			'field_type' => 'bullet-points',
			'field_label' => 'Protective Measures',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Structural fire separation   ","Fire doors (30 minute minimum protection)   ","Fire alarms   ","Fire signage   ","Emergency lighting","Fire fighting equipment   ","Evacuation procedures   ","Refuges  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:10:59',
			'modified' => '2024-08-05 08:10:59'
		),
		(int) 20 => array(
			'id' => '2990',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Fire extinguishers come in different shapes, sizes and colours.  

Each fire extinguisher is specifically designed to tackle a certain type of fire.  

Only use fire extinguishers and any other fire fighting equipment if you're trained to do so.',
			'field_order' => '0',
			'attachment_id' => '1300',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 21 => array(
			'id' => '2991',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Red',
			'description' => 'Water Fire Extinguishers (suitable for solid fires and safe for use on paper, wood and textiles. Ordinary water fire extinguishers should not be used on fires with electrical equipment). ',
			'field_order' => '1',
			'attachment_id' => '1301',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 22 => array(
			'id' => '2992',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Blue',
			'description' => 'Dry Powder Fire Extinguishers (suitable for small fires and fires involving electrical equipment. However it should not be used on sensitive electrical equipment such as computers). ',
			'field_order' => '2',
			'attachment_id' => '1302',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 23 => array(
			'id' => '2993',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Cream',
			'description' => 'Foam Fire Extinguishers (suitable for fires involving flammable liquids such as petrol and effective in preventing re-ignition).',
			'field_order' => '3',
			'attachment_id' => '1303',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 24 => array(
			'id' => '2994',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Black',
			'description' => 'CO2 or Carbon Dioxide Fire Extinguishers (very effective on fires of computer equipment and various other electrical appliances). ',
			'field_order' => '4',
			'attachment_id' => '1304',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 25 => array(
			'id' => '2995',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Yellow',
			'description' => ' Wet Chemical Fire Extinguishers (developed specifically to deal with deep fat cooking fires so suitable for fires in kitchens and in food processing plants). ',
			'field_order' => '5',
			'attachment_id' => '1305',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 26 => array(
			'id' => '2996',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'bullet-points',
			'field_label' => 'Actions in the event of fire',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Raise the alarm   ","Tackle the fire if you are trained  AND ONLY if it’s safe to do so   ","Evacuate patients to a safe area  and ensure their health needs are met   ","Close doors and windows if it’s safe to do so   ","Direct fire brigade on arrival   ","Await further information from attending fire team  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 27 => array(
			'id' => '2997',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'image-bullets',
			'field_label' => ' If you hear the fire alarm',
			'description' => 'Follow your organisation’s evacuation plan and procedure. The general principles are:',
			'field_order' => '1',
			'attachment_id' => '1306',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Exit the building as quickly as possible   ","Do not stop to collect personal belongings   ","Do not use lifts   ","Meet well away from the building at the agreed assembly point   ","Do not return to the building unless told it is safe to do so   ","Follow any instructions from Fire Response Team and the emergency services   ","If you are responsible for patients or other people you will need to follow separate instructions to ensure their safety. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 28 => array(
			'id' => '2998',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'bullet-points',
			'field_label' => 'You must know…',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Where are the fire alarm call points?   ","What the hospitals internal fire emergency number is. ","Where the escape routes are. ","Where is the safe refuge?   ","How will the patients be moved?   ","What are the security arrangements?   ","Each type of alarm signal. ","When are alarm test days?  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 29 => array(
			'id' => '2999',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'image-bullets',
			'field_label' => 'Don't forget about…',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1307',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Disabled colleagues. ","Patients and visitors. ","Alternative ways out. ","Switching equipment off if necessary and safe to do so. ","Closing windows and doors. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 30 => array(
			'id' => '3000',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'bullet-points',
			'field_label' => 'Remember to…',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Report hazards. ","Raise the alarm before any other action is taken. ","Know your means of escape. ","Keep escape routes clear. ","Ensure personal safety. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 31 => array(
			'id' => '3001',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'text-image',
			'field_label' => 'Finally',
			'description' => 'If you have any queries or concerns regarding Fire Safety in the hospital or the area you work please contact our fire safety advisor:   

Russell Stephenson on 01524 516336 (extension 46336) or email  

russell.stephenson@mbht.nhs.uk  ',
			'field_order' => '5',
			'attachment_id' => '1308',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 32 => array(
			'id' => '3002',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which extinguishers would you NOT use to put out a flammable liquids fire? ',
			'description' => 'select one or more answers',
			'field_order' => '0',
			'attachment_id' => '1311',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Water","CO2","Foam","Powder"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 33 => array(
			'id' => '3012',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'What is the minimum time an NHS fire door will contain fire, smoke and toxic fumes?',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => '1314',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["15 minutes ","30 minutes ","1 hour ","2 hours"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 34 => array(
			'id' => '3004',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'What responsibilities do ALL staff have during a fire incident?',
			'description' => 'select one or more answers',
			'field_order' => '2',
			'attachment_id' => '1315',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To raise the alarm ","To inform colleagues of the fire ","To evacuate patients from the building ","To use the appropriate fire extinguisher "]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 35 => array(
			'id' => '3005',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of these actions might result in a fire hazard? ',
			'description' => 'select one or more answers',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Allowing the build up of combustible waste ","Not using the appropriate safe disposal procedures ","Acting responsibly and following correct operating procedures  ","Using the appropriate safe disposal procedures "]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 36 => array(
			'id' => '3014',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'Who is responsible for using a fire extinguisher? ',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => '1316',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Only staff who have been trained and are competent to do so ","Any member of staff near the fire ","Only the fire wardens ","Only Fire Incident Co-ordinators ","Only the fire brigade "]',
			'field_correct' => '0',
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 37 => array(
			'id' => '3015',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'Which types of extinguisher could be used on a materials (general furnishings, fabrics and/or clothes) fire? ',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Water or foam","Powder or foam","Water or CO2","CO2 or powder"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 38 => array(
			'id' => '3008',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following should you do when there is a fire? ',
			'description' => 'select one or more answers',
			'field_order' => '6',
			'attachment_id' => '1317',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Close doors to restrict the spread of fire ","Raise the alarm ","Alert and inform your colleagues in the immediate vicinity ","Use the nearest appropriate fire extinguisher if you have been trained ","Collect all your personal belongings before evacuating the building "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 39 => array(
			'id' => '3009',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => ' What should you do if you find a fire hazard such as a fire door that is not shutting properly?',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Report it to your line manager ","Report it to estates ","Remove the hazard if possible and appropriate ","Leave it to someone else to report "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 40 => array(
			'id' => '3010',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following should be your first response to a fire? ',
			'description' => 'select an answer',
			'field_order' => '8',
			'attachment_id' => '1318',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Raise the alarm  ","Pick up the nearest fire extinguisher, read the instructions and tackle the fire ","Immediately close all doors and windows ","Assist those most in need of help to leave the building ","Move intensive care patients close to the lifts ready to be evacuated "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 41 => array(
			'id' => '3011',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'A ‘triangle of fire’ could consist of waste paper, lit cigarettes and air. ',
			'description' => 'select an answer ',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True ","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '2970',
		(int) 1 => '2971',
		(int) 2 => '2972',
		(int) 3 => '2973',
		(int) 4 => '2974',
		(int) 5 => '2975',
		(int) 6 => '2976',
		(int) 7 => '2977',
		(int) 8 => '2978',
		(int) 9 => '2979',
		(int) 10 => '2980',
		(int) 11 => '2981',
		(int) 12 => '2982',
		(int) 13 => '2983',
		(int) 14 => '2984',
		(int) 15 => '2985',
		(int) 16 => '2986',
		(int) 17 => '2987',
		(int) 18 => '2988',
		(int) 19 => '2989',
		(int) 20 => '2990',
		(int) 21 => '2991',
		(int) 22 => '2992',
		(int) 23 => '2993',
		(int) 24 => '2994',
		(int) 25 => '2995',
		(int) 26 => '2996',
		(int) 27 => '2997',
		(int) 28 => '2998',
		(int) 29 => '2999',
		(int) 30 => '3000',
		(int) 31 => '3001',
		(int) 32 => '3002',
		(int) 33 => '3012',
		(int) 34 => '3004',
		(int) 35 => '3005',
		(int) 36 => '3014',
		(int) 37 => '3015',
		(int) 38 => '3008',
		(int) 39 => '3009',
		(int) 40 => '3010',
		(int) 41 => '3011'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '111'
$k = (int) 13
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
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		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 113 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 112 => array(
		(int) 0 => '13',
		(int) 1 => '64',
		(int) 2 => '62',
		(int) 3 => '63',
		(int) 4 => '61',
		(int) 5 => '60',
		(int) 6 => '7',
		(int) 7 => '6'
	),
	(int) 114 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
	),
	(int) 115 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 118 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 116 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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				[maximum depth reached]
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			),
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			),
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			),
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			),
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			),
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
			'banner_align_id' => '0',
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			'course_length' => '',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'field_count' => (int) 39,
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			),
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			),
			(int) 38 => array(
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			(int) 11 => array(
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			),
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			(int) 15 => array(
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			),
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				[maximum depth reached]
			),
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			),
			(int) 18 => array(
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			),
			(int) 19 => array(
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			),
			(int) 20 => array(
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			),
			(int) 21 => array(
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			(int) 24 => array(
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			),
			(int) 25 => array(
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			),
			(int) 26 => array(
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			),
			(int) 28 => array(
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			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
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			(int) 36 => '3528',
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		'Course' => array(
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
			'banner_media_id' => '1616',
			'thumbnail_media_id' => '1617',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 14:59:06',
			'modified' => '2024-08-07 14:26:42',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'field_count' => (int) 52,
			'answer_count' => (int) 0,
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			(int) 5 => array(
				[maximum depth reached]
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			(int) 6 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 8 => array(
				[maximum depth reached]
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			(int) 9 => array(
				[maximum depth reached]
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			(int) 10 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 12 => array(
				[maximum depth reached]
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			(int) 13 => array(
				[maximum depth reached]
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			(int) 14 => array(
				[maximum depth reached]
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			(int) 15 => array(
				[maximum depth reached]
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			(int) 16 => array(
				[maximum depth reached]
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			(int) 17 => array(
				[maximum depth reached]
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			(int) 18 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 20 => array(
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			(int) 22 => array(
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			(int) 23 => array(
				[maximum depth reached]
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			(int) 24 => array(
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			(int) 25 => array(
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			),
			(int) 26 => array(
				[maximum depth reached]
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			(int) 27 => array(
				[maximum depth reached]
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			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
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			(int) 32 => array(
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			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
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			(int) 35 => array(
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			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
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			(int) 15 => array(
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			(int) 16 => array(
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			(int) 17 => array(
				[maximum depth reached]
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			(int) 18 => array(
				[maximum depth reached]
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			(int) 19 => array(
				[maximum depth reached]
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			(int) 20 => array(
				[maximum depth reached]
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			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
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			(int) 23 => array(
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			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
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			(int) 33 => array(
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			(int) 34 => array(
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			(int) 35 => array(
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				[maximum depth reached]
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			(int) 37 => array(
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			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
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			(int) 18 => '3428',
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			(int) 20 => '3430',
			(int) 21 => '3431',
			(int) 22 => '3432',
			(int) 23 => '3433',
			(int) 24 => '3434',
			(int) 25 => '3435',
			(int) 26 => '3436',
			(int) 27 => '3437',
			(int) 28 => '3438',
			(int) 29 => '3439',
			(int) 30 => '3440',
			(int) 31 => '3441',
			(int) 32 => '3442',
			(int) 33 => '3443',
			(int) 34 => '3444',
			(int) 35 => '3445',
			(int) 36 => '3448',
			(int) 37 => '3449',
			(int) 38 => '3450',
			(int) 39 => '3451',
			(int) 40 => '3452',
			(int) 41 => '3453',
			(int) 42 => '3454',
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			(int) 47 => '3459',
			(int) 48 => '3460',
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			'description' => 'Access to practice 2<br />This session&nbsp;provides a basic introduction to the key elements of safety science. The elements of safety science that we focus on and which have underpinned all domains of the syllabus are: systems thinking, risk expertise, human factors and safety culture.',
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 54 => array(
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			(int) 55 => array(
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			),
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			(int) 1 => array(
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			),
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				[maximum depth reached]
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
			(int) 15 => array(
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			),
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				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
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			),
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				[maximum depth reached]
			),
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			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
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			),
			(int) 24 => array(
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			),
			(int) 25 => array(
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			),
			(int) 26 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 42 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
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			(int) 52 => '3405',
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			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
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		'LessonFieldIds' => array(
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			(int) 2 => '3310',
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			(int) 5 => '3313',
			(int) 6 => '3314',
			(int) 7 => '3315',
			(int) 8 => '3316',
			(int) 9 => '3317',
			(int) 10 => '3318',
			(int) 11 => '3319',
			(int) 12 => '3320',
			(int) 13 => '3321',
			(int) 14 => '3322',
			(int) 15 => '3323',
			(int) 16 => '3324',
			(int) 17 => '3325',
			(int) 18 => '3326',
			(int) 19 => '3327',
			(int) 20 => '3328',
			(int) 21 => '3329',
			(int) 22 => '3330',
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			(int) 24 => '3332',
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			(int) 28 => '3336',
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			(int) 30 => '3338',
			(int) 31 => '3339',
			(int) 32 => '3340',
			(int) 33 => '3341',
			(int) 34 => '3342',
			(int) 35 => '3343',
			(int) 36 => '3344',
			(int) 37 => '3345',
			(int) 38 => '3346',
			(int) 39 => '3347',
			(int) 40 => '3348',
			(int) 41 => '3349',
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			(int) 43 => '3351'
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	),
	(int) 8 => array(
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				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3166',
			(int) 1 => '3243',
			(int) 2 => '3244',
			(int) 3 => '3169',
			(int) 4 => '3170',
			(int) 5 => '3171',
			(int) 6 => '3245',
			(int) 7 => '3173',
			(int) 8 => '3174',
			(int) 9 => '3175',
			(int) 10 => '3246',
			(int) 11 => '3247',
			(int) 12 => '3178',
			(int) 13 => '3179',
			(int) 14 => '3248',
			(int) 15 => '3181',
			(int) 16 => '3182',
			(int) 17 => '3183',
			(int) 18 => '3249',
			(int) 19 => '3185',
			(int) 20 => '3186',
			(int) 21 => '3187',
			(int) 22 => '3188',
			(int) 23 => '3189',
			(int) 24 => '3190',
			(int) 25 => '3191',
			(int) 26 => '3192',
			(int) 27 => '3193',
			(int) 28 => '3195',
			(int) 29 => '3196',
			(int) 30 => '3197',
			(int) 31 => '3198',
			(int) 32 => '3250',
			(int) 33 => '3200',
			(int) 34 => '3251',
			(int) 35 => '3203',
			(int) 36 => '3204',
			(int) 37 => '3205',
			(int) 38 => '3208',
			(int) 39 => '3206',
			(int) 40 => '3207',
			(int) 41 => '3209',
			(int) 42 => '3210',
			(int) 43 => '3211',
			(int) 44 => '3212',
			(int) 45 => '3213',
			(int) 46 => '3214',
			(int) 47 => '3215',
			(int) 48 => '3216',
			(int) 49 => '3217',
			(int) 50 => '3219',
			(int) 51 => '3218',
			(int) 52 => '3220',
			(int) 53 => '3221',
			(int) 54 => '3222',
			(int) 55 => '3223',
			(int) 56 => '3224',
			(int) 57 => '3225',
			(int) 58 => '3226',
			(int) 59 => '3227',
			(int) 60 => '3228',
			(int) 61 => '3229',
			(int) 62 => '3230',
			(int) 63 => '3231',
			(int) 64 => '3232',
			(int) 65 => '3233',
			(int) 66 => '3234',
			(int) 67 => '3235',
			(int) 68 => '3237',
			(int) 69 => '3238',
			(int) 70 => '3239',
			(int) 71 => '3240',
			(int) 72 => '3241',
			(int) 73 => '3242'
		)
	),
	(int) 11 => array(
		'Course' => array(
			'id' => '113',
			'course_title' => 'Health & Safety (NHS Core Skills)',
			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
			'banner_media_id' => '1418',
			'thumbnail_media_id' => '1419',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'field_count' => (int) 107,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 498 => array(
				[maximum depth reached]
			),
			(int) 499 => array(
				[maximum depth reached]
			),
			(int) 500 => array(
				[maximum depth reached]
			),
			(int) 501 => array(
				[maximum depth reached]
			),
			(int) 502 => array(
				[maximum depth reached]
			),
			(int) 503 => array(
				[maximum depth reached]
			),
			(int) 504 => array(
				[maximum depth reached]
			),
			(int) 505 => array(
				[maximum depth reached]
			),
			(int) 506 => array(
				[maximum depth reached]
			),
			(int) 507 => array(
				[maximum depth reached]
			),
			(int) 508 => array(
				[maximum depth reached]
			),
			(int) 509 => array(
				[maximum depth reached]
			),
			(int) 510 => array(
				[maximum depth reached]
			),
			(int) 511 => array(
				[maximum depth reached]
			),
			(int) 512 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3058',
			(int) 1 => '3059',
			(int) 2 => '3060',
			(int) 3 => '3061',
			(int) 4 => '3062',
			(int) 5 => '3063',
			(int) 6 => '3064',
			(int) 7 => '3065',
			(int) 8 => '3066',
			(int) 9 => '3067',
			(int) 10 => '3068',
			(int) 11 => '3069',
			(int) 12 => '3070',
			(int) 13 => '3071',
			(int) 14 => '3072',
			(int) 15 => '3252',
			(int) 16 => '3253',
			(int) 17 => '3075',
			(int) 18 => '3077',
			(int) 19 => '3076',
			(int) 20 => '3078',
			(int) 21 => '3254',
			(int) 22 => '3080',
			(int) 23 => '3081',
			(int) 24 => '3082',
			(int) 25 => '3083',
			(int) 26 => '3084',
			(int) 27 => '3085',
			(int) 28 => '3086',
			(int) 29 => '3087',
			(int) 30 => '3088',
			(int) 31 => '3089',
			(int) 32 => '3090',
			(int) 33 => '3091',
			(int) 34 => '3092',
			(int) 35 => '3093',
			(int) 36 => '3094',
			(int) 37 => '3095',
			(int) 38 => '3096',
			(int) 39 => '3097',
			(int) 40 => '3098',
			(int) 41 => '3099',
			(int) 42 => '3100',
			(int) 43 => '3101',
			(int) 44 => '3255',
			(int) 45 => '3103',
			(int) 46 => '3104',
			(int) 47 => '3105',
			(int) 48 => '3106',
			(int) 49 => '3107',
			(int) 50 => '3108',
			(int) 51 => '3109',
			(int) 52 => '3110',
			(int) 53 => '3111',
			(int) 54 => '3112',
			(int) 55 => '3113',
			(int) 56 => '3114',
			(int) 57 => '3116',
			(int) 58 => '3117',
			(int) 59 => '3118',
			(int) 60 => '3119',
			(int) 61 => '3120',
			(int) 62 => '3121',
			(int) 63 => '3122',
			(int) 64 => '3123',
			(int) 65 => '3124',
			(int) 66 => '3125',
			(int) 67 => '3126',
			(int) 68 => '3127',
			(int) 69 => '3128',
			(int) 70 => '3129',
			(int) 71 => '3130',
			(int) 72 => '3131',
			(int) 73 => '3132',
			(int) 74 => '3133',
			(int) 75 => '3134',
			(int) 76 => '3135',
			(int) 77 => '3136',
			(int) 78 => '3137',
			(int) 79 => '3138',
			(int) 80 => '3139',
			(int) 81 => '3140',
			(int) 82 => '3141',
			(int) 83 => '3142',
			(int) 84 => '3143',
			(int) 85 => '3144',
			(int) 86 => '3145',
			(int) 87 => '3146',
			(int) 88 => '3147',
			(int) 89 => '3148',
			(int) 90 => '3149',
			(int) 91 => '3150',
			(int) 92 => '3151',
			(int) 93 => '3152',
			(int) 94 => '3153',
			(int) 95 => '3154',
			(int) 96 => '3155',
			(int) 97 => '3156',
			(int) 98 => '3157',
			(int) 99 => '3158',
			(int) 100 => '3159',
			(int) 101 => '3160',
			(int) 102 => '3161',
			(int) 103 => '3162',
			(int) 104 => '3163',
			(int) 105 => '3164',
			(int) 106 => '3165'
		)
	),
	(int) 12 => array(
		'Course' => array(
			'id' => '112',
			'course_title' => 'Equality Diversity And Inclusion E-Learning',
			'description' => 'Welcome to this e-Learning package on Equality, Diversity and Human Rights. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1323',
			'thumbnail_media_id' => '1320',
			'logo_media_id' => null,
			'banner_align_id' => '4',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 09:12:40',
			'modified' => '2024-08-07 14:24:36',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'field_count' => (int) 42,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 490 => array(
				[maximum depth reached]
			),
			(int) 491 => array(
				[maximum depth reached]
			),
			(int) 492 => array(
				[maximum depth reached]
			),
			(int) 493 => array(
				[maximum depth reached]
			),
			(int) 494 => array(
				[maximum depth reached]
			),
			(int) 495 => array(
				[maximum depth reached]
			),
			(int) 496 => array(
				[maximum depth reached]
			),
			(int) 497 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3016',
			(int) 1 => '3017',
			(int) 2 => '3018',
			(int) 3 => '3019',
			(int) 4 => '3020',
			(int) 5 => '3021',
			(int) 6 => '3022',
			(int) 7 => '3023',
			(int) 8 => '3024',
			(int) 9 => '3025',
			(int) 10 => '3026',
			(int) 11 => '3027',
			(int) 12 => '3028',
			(int) 13 => '3029',
			(int) 14 => '3030',
			(int) 15 => '3031',
			(int) 16 => '3032',
			(int) 17 => '3033',
			(int) 18 => '3034',
			(int) 19 => '3035',
			(int) 20 => '3036',
			(int) 21 => '3037',
			(int) 22 => '3038',
			(int) 23 => '3039',
			(int) 24 => '3040',
			(int) 25 => '3041',
			(int) 26 => '3042',
			(int) 27 => '3043',
			(int) 28 => '3044',
			(int) 29 => '3045',
			(int) 30 => '3046',
			(int) 31 => '3047',
			(int) 32 => '3048',
			(int) 33 => '3049',
			(int) 34 => '3050',
			(int) 35 => '3051',
			(int) 36 => '3052',
			(int) 37 => '3053',
			(int) 38 => '3054',
			(int) 39 => '3055',
			(int) 40 => '3056',
			(int) 41 => '3057'
		)
	),
	(int) 13 => array(
		'Course' => array(
			'id' => '111',
			'course_title' => 'Fire General Safety Awareness Transcript ',
			'description' => 'Welcome to this e-Learning package on Fire Safety &ndash; Level 1. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1647',
			'thumbnail_media_id' => '1648',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 13:04:44',
			'modified' => '2024-08-07 14:24:24',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'field_count' => (int) 42
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			(int) 21 => array(
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				[maximum depth reached]
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			),
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			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
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			),
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				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
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			(int) 41 => array(
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			(int) 486 => array(
				[maximum depth reached]
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			(int) 487 => array(
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			(int) 488 => array(
				[maximum depth reached]
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			(int) 489 => array(
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			(int) 5 => array(
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				[maximum depth reached]
			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			(int) 38 => '3008',
			(int) 39 => '3009',
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			(int) 41 => '3011'
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			'id' => '110',
			'course_title' => 'Conflict Resolution (Core Skill) Training',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Conflict Resolution Level 1&nbsp;in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1651',
			'thumbnail_media_id' => '1650',
			'logo_media_id' => null,
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			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 Minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 10:15:23',
			'modified' => '2024-08-07 14:23:51'
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
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			),
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				[maximum depth reached]
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				[maximum depth reached]
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			),
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			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			)
		)
	),
	(int) 15 => array(
		'Course' => array(
			'id' => '109',
			'course_title' => 'Autism Awareness E-Learning',
			'description' => 'A training package designed to ensure all Trust staff have a basic awareness of autism.',
			'banner_media_id' => '1272',
			'thumbnail_media_id' => '1254',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 08:34:50',
			'modified' => '2024-08-07 14:24:06'
		),
		'CourseLesson' => array(
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			),
			(int) 2 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
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			),
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			),
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			),
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				[maximum depth reached]
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			)
		)
	)
)
$courseIds = array(
	(int) 0 => '124',
	(int) 1 => '123',
	(int) 2 => '122',
	(int) 3 => '121',
	(int) 4 => '120',
	(int) 5 => '119',
	(int) 6 => '118',
	(int) 7 => '117',
	(int) 8 => '116',
	(int) 9 => '115',
	(int) 10 => '114',
	(int) 11 => '113',
	(int) 12 => '112',
	(int) 13 => '111',
	(int) 14 => '110',
	(int) 15 => '109'
)
$course = array(
	'Course' => array(
		'id' => '111',
		'course_title' => 'Fire General Safety Awareness Transcript ',
		'description' => 'Welcome to this e-Learning package on Fire Safety &ndash; Level 1. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
		'banner_media_id' => '1647',
		'thumbnail_media_id' => '1648',
		'logo_media_id' => null,
		'banner_align_id' => '0',
		'type_id' => '0',
		'created_user_id' => '8779',
		'course_length' => '30 minutes',
		'expiry_date' => null,
		'expired' => '0',
		'active' => '1',
		'created' => '2024-07-31 13:04:44',
		'modified' => '2024-08-07 14:24:24'
	),
	'CourseLesson' => array(
		(int) 0 => array(
			'id' => '482',
			'course_id' => '111',
			'lesson_title' => 'What you will learn in this session',
			'description' => 'Summary of session.',
			'lesson_order' => '0',
			'created_user_id' => '8779',
			'session_length' => '2 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 13:06:12',
			'modified' => '2024-07-31 13:06:12'
		),
		(int) 1 => array(
			'id' => '483',
			'course_id' => '111',
			'lesson_title' => ' Why is this so important? ',
			'description' => 'Facts and stats.',
			'lesson_order' => '1',
			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 13:08:24',
			'modified' => '2024-07-31 13:08:24'
		),
		(int) 2 => array(
			'id' => '484',
			'course_id' => '111',
			'lesson_title' => 'What is Fire?',
			'description' => 'Elements of fire.',
			'lesson_order' => '2',
			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 13:12:43',
			'modified' => '2024-07-31 13:12:43'
		),
		(int) 3 => array(
			'id' => '485',
			'course_id' => '111',
			'lesson_title' => ' Fire Hazards on NHS Premises ',
			'description' => 'Fire Hazards on NHS Premises: Smoking, Flammable liquids, gases &amp; chemicals, Medical Oxygen, Electrical Equipment, Cutter and Arson.',
			'lesson_order' => '3',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 13:16:12',
			'modified' => '2024-07-31 13:16:58'
		),
		(int) 4 => array(
			'id' => '486',
			'course_id' => '111',
			'lesson_title' => 'Fire Risk Assessment',
			'description' => 'Regulatory Reform (Fire Safety) Order 2005',
			'lesson_order' => '4',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 08:06:30',
			'modified' => '2024-08-05 08:14:22'
		),
		(int) 5 => array(
			'id' => '487',
			'course_id' => '111',
			'lesson_title' => 'Fire Extinguishers',
			'description' => 'Learn about what each fire extinguishers is used for.',
			'lesson_order' => '5',
			'created_user_id' => '8779',
			'session_length' => '5 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 08:15:31',
			'modified' => '2024-08-05 08:15:31'
		),
		(int) 6 => array(
			'id' => '488',
			'course_id' => '111',
			'lesson_title' => 'Actions in the Event of a Fire',
			'description' => 'Learn about the actions you must take in the event of a fire, what to do if you hear the alram, what you must know and what not to forget.',
			'lesson_order' => '6',
			'created_user_id' => '8779',
			'session_length' => '10 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 08:23:27',
			'modified' => '2024-08-05 08:23:27'
		),
		(int) 7 => array(
			'id' => '489',
			'course_id' => '111',
			'lesson_title' => 'Quiz',
			'description' => 'This quiz is made up of 10 questions. All questions must be answered correctly to pass.&nbsp;&nbsp;&nbsp;<br />Once you've started, select the correct option or options for each question and then click SUBMIT to confirm your choice and move on to the next question.',
			'lesson_order' => '7',
			'created_user_id' => '8779',
			'session_length' => '15 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-08-05 08:33:12',
			'modified' => '2024-08-05 08:33:12'
		)
	),
	'CourseLessonField' => array(
		(int) 0 => array(
			'id' => '2970',
			'course_id' => '111',
			'course_lesson_id' => '482',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The characteristics of fire, smoke and toxic fumes   ","Fire hazards involved in the working environment   ","Significant findings of relevant fire risk assessments   ","Practise and promote fire prevention   ","Basic fire safety and fire safety protocols including staff responsibilities","How to raise the fire alarm and actions to take on hearing the fire alarm","Action to take if fire breaks out or smoke is detected   ","Identify the types of fire extinguishers used in different situations","Evacuation procedures and associated escape routes  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:07:49',
			'modified' => '2024-07-31 13:07:49'
		),
		(int) 1 => array(
			'id' => '2971',
			'course_id' => '111',
			'course_lesson_id' => '482',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'You will require further practical training to include evacuation procedures and use of fire fighting equipment.  

Dependent on role, location and service need, the outcomes here should be supplemented by specific job and site training. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:07:49',
			'modified' => '2024-07-31 13:07:49'
		),
		(int) 2 => array(
			'id' => '2972',
			'course_id' => '111',
			'course_lesson_id' => '483',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1291',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:11:44',
			'modified' => '2024-07-31 13:11:44'
		),
		(int) 3 => array(
			'id' => '2973',
			'course_id' => '111',
			'course_lesson_id' => '483',
			'field_type' => 'bullet-points',
			'field_label' => 'In England in 2012-2013:  ',
			'description' => '(Health and Social Care Information Centre)  ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Fire & Rescue services attended 154,000 fires. ","271 deaths.","3,830 injuries. ","Approximately 1,500 fires on NHS premises in 2011/12. ","Item 5"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:11:44',
			'modified' => '2024-07-31 13:11:44'
		),
		(int) 4 => array(
			'id' => '2974',
			'course_id' => '111',
			'course_lesson_id' => '483',
			'field_type' => 'bullet-points',
			'field_label' => 'University Hospitals of Morecambe Bay NHS F.T. ',
			'description' => 'Eric – Fire Safety April 2014 – March 2015 (Estates Return Information Collection) ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Fires recorded: F.G.H., 1. Q.V.C., 0. R.L.I., 1. W.G.H., 0. Trust, 2. ","False alarms: F.G.H., 23. Q.V.C., 0. R.L.I., 36. W.G.H., 9. Trust, 68. ","Number of deaths resulting from fires: F.G.H., 0. Q.V.C., 0. R.L.I., 0. W.G.H., 0. Trust, 0. ","Number of people injured resulting from fires: F.G.H., 0. Q.V.C., 0. R.L.I., 0. W.G.H., 0. Trust, 0. ","Number of patients sustaining injury during evacuation: F.G.H., 0. Q.V.C., 0. R.L.I., 0. W.G.H., 0. Trust, 0. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:11:44',
			'modified' => '2024-07-31 13:11:44'
		),
		(int) 5 => array(
			'id' => '2975',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["A chemical reaction producing smoke, heat and flames   ","Produces dangerous, toxic gases ","Will cause disorientation   ","Will damage property   ","May cause injury or death   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 6 => array(
			'id' => '2976',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Smoke inhalation is the number 1 cause of death in indoor fires.  

People affected by smoke inhalation can be  left with ongoing effects and medical issues.  ',
			'field_order' => '1',
			'attachment_id' => '1292',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 7 => array(
			'id' => '2977',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'bullet-points',
			'field_label' => 'Triangle of Combustion ',
			'description' => 'A fire needs 3 elements:',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Oxygen","Heat","Fuel"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 8 => array(
			'id' => '2978',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Take 1 of these elements away and the fire will die. ',
			'field_order' => '3',
			'attachment_id' => '1293',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 9 => array(
			'id' => '2979',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Smoking   ","Flammable liquids, gases and chemicals   ","Medical oxygen ","Electrical items   ","Clutter   ","Arson   ","Staff kitchens / cooking equipment   ","Carelessness "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 10 => array(
			'id' => '2980',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'text-image',
			'field_label' => 'Smoking',
			'description' => 'Adhere to the organisation’s Smoking Policy.  

Challenge/report anyone smoking on site. ',
			'field_order' => '1',
			'attachment_id' => '1294',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 11 => array(
			'id' => '2981',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => 'Flammable liquids, gases & chemicals',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Everyday cleaning products   ","Chemicals and gases   ","Take care with gas cylinders  ","Control of Substances Hazardous to Health (C.O.S.H.H.)"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 12 => array(
			'id' => '2982',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => 'Flammables should be:  ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Clearly labelled   ","Stored securely and correctly away from heat "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 13 => array(
			'id' => '2983',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => 'Medical Oxygen',
			'description' => 'Oxygen makes a fire WORSE. ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Always report leaks.  ","Be familiar with how oxygen is supplied and managed.  ","Know how to turn off cylinders or fixed oxygen supply.  ","Store cylinders properly on mounted wall brackets or trolleys.  ","Don’t smoke near oxygen!  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 14 => array(
			'id' => '2984',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'text-image',
			'field_label' => 'Electrical Equipment ',
			'description' => 'Can be a FIRE HAZARD. 

if in poor condition or used wrongly.  

Look for signs of damage, overheating or not working properly.  

Make sure equipment is tested.  

If in any doubt,  

SWITCH OFF, REPORT AND LABEL  

Let others know about the fault.  

Repair or discard the faulty item. ',
			'field_order' => '5',
			'attachment_id' => '1295',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 15 => array(
			'id' => '2985',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => ' Clutter',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Acts as fuel for fire. ","Blocks exits. ","Increases risk of trips and falls. ","Disrupts access for fire fighters. ","Always keep fire escape routes clear "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 16 => array(
			'id' => '2986',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'text-image',
			'field_label' => 'Arson',
			'description' => 'Healthcare premises are an easy target.   

Arson is the most likely cause of fire in the NHS.  

Be on your guard.  

Report any suspicion to a manager.  

Consider contacting the police. ',
			'field_order' => '7',
			'attachment_id' => '1296',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 17 => array(
			'id' => '2987',
			'course_id' => '111',
			'course_lesson_id' => '486',
			'field_type' => 'text-image',
			'field_label' => 'The Regulatory Reform (Fire Safety) Order 2005',
			'description' => 'The Regulatory Reform (Fire Safety) Order 2005 demands that all organisations carry out regular and timely Fire Risk Assessments.  

Become accustomed with the location of fire equipment, fire exits and the evacuation protocol for your working area.  

You must familiarise yourself with your organisation’s Fire Safety Policy and Fire Risk Assessment.  

Take note of any significant findings in the Fire Risk Assessment. ',
			'field_order' => '0',
			'attachment_id' => '1298',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:10:59',
			'modified' => '2024-08-05 08:10:59'
		),
		(int) 18 => array(
			'id' => '2988',
			'course_id' => '111',
			'course_lesson_id' => '486',
			'field_type' => 'bullet-points',
			'field_label' => 'Risk Assessment - Significant Findings',
			'description' => 'You should be aware of any Significant Findings in any Fire Risk Assessments that affect you, your role or location. For example: ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["What fire hazards have been identified (preventive measures   ","The actions taken to remove or reduce the chance of fire occurring   ","Which people are at risk, particularly those at greatest risk   ","The actions required to reduce the risk to people (protective measures)   ","The actions people need to take in case of fire (emergency plan)   ","The information, instruction and training needed and how it will be given ","The Fire Safety Advisor can provide a Risk Assessment for your area of work "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:10:59',
			'modified' => '2024-08-05 08:10:59'
		),
		(int) 19 => array(
			'id' => '2989',
			'course_id' => '111',
			'course_lesson_id' => '486',
			'field_type' => 'bullet-points',
			'field_label' => 'Protective Measures',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Structural fire separation   ","Fire doors (30 minute minimum protection)   ","Fire alarms   ","Fire signage   ","Emergency lighting","Fire fighting equipment   ","Evacuation procedures   ","Refuges  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:10:59',
			'modified' => '2024-08-05 08:10:59'
		),
		(int) 20 => array(
			'id' => '2990',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Fire extinguishers come in different shapes, sizes and colours.  

Each fire extinguisher is specifically designed to tackle a certain type of fire.  

Only use fire extinguishers and any other fire fighting equipment if you're trained to do so.',
			'field_order' => '0',
			'attachment_id' => '1300',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 21 => array(
			'id' => '2991',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Red',
			'description' => 'Water Fire Extinguishers (suitable for solid fires and safe for use on paper, wood and textiles. Ordinary water fire extinguishers should not be used on fires with electrical equipment). ',
			'field_order' => '1',
			'attachment_id' => '1301',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 22 => array(
			'id' => '2992',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Blue',
			'description' => 'Dry Powder Fire Extinguishers (suitable for small fires and fires involving electrical equipment. However it should not be used on sensitive electrical equipment such as computers). ',
			'field_order' => '2',
			'attachment_id' => '1302',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 23 => array(
			'id' => '2993',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Cream',
			'description' => 'Foam Fire Extinguishers (suitable for fires involving flammable liquids such as petrol and effective in preventing re-ignition).',
			'field_order' => '3',
			'attachment_id' => '1303',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 24 => array(
			'id' => '2994',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Black',
			'description' => 'CO2 or Carbon Dioxide Fire Extinguishers (very effective on fires of computer equipment and various other electrical appliances). ',
			'field_order' => '4',
			'attachment_id' => '1304',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 25 => array(
			'id' => '2995',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Yellow',
			'description' => ' Wet Chemical Fire Extinguishers (developed specifically to deal with deep fat cooking fires so suitable for fires in kitchens and in food processing plants). ',
			'field_order' => '5',
			'attachment_id' => '1305',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 26 => array(
			'id' => '2996',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'bullet-points',
			'field_label' => 'Actions in the event of fire',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Raise the alarm   ","Tackle the fire if you are trained  AND ONLY if it’s safe to do so   ","Evacuate patients to a safe area  and ensure their health needs are met   ","Close doors and windows if it’s safe to do so   ","Direct fire brigade on arrival   ","Await further information from attending fire team  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 27 => array(
			'id' => '2997',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'image-bullets',
			'field_label' => ' If you hear the fire alarm',
			'description' => 'Follow your organisation’s evacuation plan and procedure. The general principles are:',
			'field_order' => '1',
			'attachment_id' => '1306',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Exit the building as quickly as possible   ","Do not stop to collect personal belongings   ","Do not use lifts   ","Meet well away from the building at the agreed assembly point   ","Do not return to the building unless told it is safe to do so   ","Follow any instructions from Fire Response Team and the emergency services   ","If you are responsible for patients or other people you will need to follow separate instructions to ensure their safety. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 28 => array(
			'id' => '2998',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'bullet-points',
			'field_label' => 'You must know…',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Where are the fire alarm call points?   ","What the hospitals internal fire emergency number is. ","Where the escape routes are. ","Where is the safe refuge?   ","How will the patients be moved?   ","What are the security arrangements?   ","Each type of alarm signal. ","When are alarm test days?  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 29 => array(
			'id' => '2999',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'image-bullets',
			'field_label' => 'Don't forget about…',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1307',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Disabled colleagues. ","Patients and visitors. ","Alternative ways out. ","Switching equipment off if necessary and safe to do so. ","Closing windows and doors. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 30 => array(
			'id' => '3000',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'bullet-points',
			'field_label' => 'Remember to…',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Report hazards. ","Raise the alarm before any other action is taken. ","Know your means of escape. ","Keep escape routes clear. ","Ensure personal safety. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 31 => array(
			'id' => '3001',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'text-image',
			'field_label' => 'Finally',
			'description' => 'If you have any queries or concerns regarding Fire Safety in the hospital or the area you work please contact our fire safety advisor:   

Russell Stephenson on 01524 516336 (extension 46336) or email  

russell.stephenson@mbht.nhs.uk  ',
			'field_order' => '5',
			'attachment_id' => '1308',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 32 => array(
			'id' => '3002',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which extinguishers would you NOT use to put out a flammable liquids fire? ',
			'description' => 'select one or more answers',
			'field_order' => '0',
			'attachment_id' => '1311',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Water","CO2","Foam","Powder"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 33 => array(
			'id' => '3004',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'What responsibilities do ALL staff have during a fire incident?',
			'description' => 'select one or more answers',
			'field_order' => '2',
			'attachment_id' => '1315',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To raise the alarm ","To inform colleagues of the fire ","To evacuate patients from the building ","To use the appropriate fire extinguisher "]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 34 => array(
			'id' => '3005',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of these actions might result in a fire hazard? ',
			'description' => 'select one or more answers',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Allowing the build up of combustible waste ","Not using the appropriate safe disposal procedures ","Acting responsibly and following correct operating procedures  ","Using the appropriate safe disposal procedures "]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 35 => array(
			'id' => '3008',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following should you do when there is a fire? ',
			'description' => 'select one or more answers',
			'field_order' => '6',
			'attachment_id' => '1317',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Close doors to restrict the spread of fire ","Raise the alarm ","Alert and inform your colleagues in the immediate vicinity ","Use the nearest appropriate fire extinguisher if you have been trained ","Collect all your personal belongings before evacuating the building "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 36 => array(
			'id' => '3009',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => ' What should you do if you find a fire hazard such as a fire door that is not shutting properly?',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Report it to your line manager ","Report it to estates ","Remove the hazard if possible and appropriate ","Leave it to someone else to report "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 37 => array(
			'id' => '3010',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following should be your first response to a fire? ',
			'description' => 'select an answer',
			'field_order' => '8',
			'attachment_id' => '1318',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Raise the alarm  ","Pick up the nearest fire extinguisher, read the instructions and tackle the fire ","Immediately close all doors and windows ","Assist those most in need of help to leave the building ","Move intensive care patients close to the lifts ready to be evacuated "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 38 => array(
			'id' => '3011',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'A ‘triangle of fire’ could consist of waste paper, lit cigarettes and air. ',
			'description' => 'select an answer ',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True ","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 39 => array(
			'id' => '3012',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'What is the minimum time an NHS fire door will contain fire, smoke and toxic fumes?',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => '1314',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["15 minutes ","30 minutes ","1 hour ","2 hours"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 40 => array(
			'id' => '3014',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'Who is responsible for using a fire extinguisher? ',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => '1316',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Only staff who have been trained and are competent to do so ","Any member of staff near the fire ","Only the fire wardens ","Only Fire Incident Co-ordinators ","Only the fire brigade "]',
			'field_correct' => '0',
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 41 => array(
			'id' => '3015',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'Which types of extinguisher could be used on a materials (general furnishings, fabrics and/or clothes) fire? ',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Water or foam","Powder or foam","Water or CO2","CO2 or powder"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		)
	),
	'LessonFieldList' => array(
		(int) 482 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			)
		),
		(int) 483 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			)
		),
		(int) 484 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		(int) 485 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		(int) 486 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			)
		),
		(int) 487 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			)
		),
		(int) 488 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			)
		),
		(int) 489 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		)
	),
	'LessonFieldAll' => array(
		(int) 0 => array(
			'id' => '2970',
			'course_id' => '111',
			'course_lesson_id' => '482',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The characteristics of fire, smoke and toxic fumes   ","Fire hazards involved in the working environment   ","Significant findings of relevant fire risk assessments   ","Practise and promote fire prevention   ","Basic fire safety and fire safety protocols including staff responsibilities","How to raise the fire alarm and actions to take on hearing the fire alarm","Action to take if fire breaks out or smoke is detected   ","Identify the types of fire extinguishers used in different situations","Evacuation procedures and associated escape routes  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:07:49',
			'modified' => '2024-07-31 13:07:49'
		),
		(int) 1 => array(
			'id' => '2971',
			'course_id' => '111',
			'course_lesson_id' => '482',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'You will require further practical training to include evacuation procedures and use of fire fighting equipment.  

Dependent on role, location and service need, the outcomes here should be supplemented by specific job and site training. ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:07:49',
			'modified' => '2024-07-31 13:07:49'
		),
		(int) 2 => array(
			'id' => '2972',
			'course_id' => '111',
			'course_lesson_id' => '483',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => '1291',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:11:44',
			'modified' => '2024-07-31 13:11:44'
		),
		(int) 3 => array(
			'id' => '2973',
			'course_id' => '111',
			'course_lesson_id' => '483',
			'field_type' => 'bullet-points',
			'field_label' => 'In England in 2012-2013:  ',
			'description' => '(Health and Social Care Information Centre)  ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Fire & Rescue services attended 154,000 fires. ","271 deaths.","3,830 injuries. ","Approximately 1,500 fires on NHS premises in 2011/12. ","Item 5"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:11:44',
			'modified' => '2024-07-31 13:11:44'
		),
		(int) 4 => array(
			'id' => '2974',
			'course_id' => '111',
			'course_lesson_id' => '483',
			'field_type' => 'bullet-points',
			'field_label' => 'University Hospitals of Morecambe Bay NHS F.T. ',
			'description' => 'Eric – Fire Safety April 2014 – March 2015 (Estates Return Information Collection) ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Fires recorded: F.G.H., 1. Q.V.C., 0. R.L.I., 1. W.G.H., 0. Trust, 2. ","False alarms: F.G.H., 23. Q.V.C., 0. R.L.I., 36. W.G.H., 9. Trust, 68. ","Number of deaths resulting from fires: F.G.H., 0. Q.V.C., 0. R.L.I., 0. W.G.H., 0. Trust, 0. ","Number of people injured resulting from fires: F.G.H., 0. Q.V.C., 0. R.L.I., 0. W.G.H., 0. Trust, 0. ","Number of patients sustaining injury during evacuation: F.G.H., 0. Q.V.C., 0. R.L.I., 0. W.G.H., 0. Trust, 0. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:11:44',
			'modified' => '2024-07-31 13:11:44'
		),
		(int) 5 => array(
			'id' => '2975',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["A chemical reaction producing smoke, heat and flames   ","Produces dangerous, toxic gases ","Will cause disorientation   ","Will damage property   ","May cause injury or death   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 6 => array(
			'id' => '2976',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Smoke inhalation is the number 1 cause of death in indoor fires.  

People affected by smoke inhalation can be  left with ongoing effects and medical issues.  ',
			'field_order' => '1',
			'attachment_id' => '1292',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 7 => array(
			'id' => '2977',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'bullet-points',
			'field_label' => 'Triangle of Combustion ',
			'description' => 'A fire needs 3 elements:',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Oxygen","Heat","Fuel"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 8 => array(
			'id' => '2978',
			'course_id' => '111',
			'course_lesson_id' => '484',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Take 1 of these elements away and the fire will die. ',
			'field_order' => '3',
			'attachment_id' => '1293',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:15:38',
			'modified' => '2024-07-31 13:15:38'
		),
		(int) 9 => array(
			'id' => '2979',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Smoking   ","Flammable liquids, gases and chemicals   ","Medical oxygen ","Electrical items   ","Clutter   ","Arson   ","Staff kitchens / cooking equipment   ","Carelessness "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 10 => array(
			'id' => '2980',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'text-image',
			'field_label' => 'Smoking',
			'description' => 'Adhere to the organisation’s Smoking Policy.  

Challenge/report anyone smoking on site. ',
			'field_order' => '1',
			'attachment_id' => '1294',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 11 => array(
			'id' => '2981',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => 'Flammable liquids, gases & chemicals',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Everyday cleaning products   ","Chemicals and gases   ","Take care with gas cylinders  ","Control of Substances Hazardous to Health (C.O.S.H.H.)"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 12 => array(
			'id' => '2982',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => 'Flammables should be:  ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Clearly labelled   ","Stored securely and correctly away from heat "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 13 => array(
			'id' => '2983',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => 'Medical Oxygen',
			'description' => 'Oxygen makes a fire WORSE. ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Always report leaks.  ","Be familiar with how oxygen is supplied and managed.  ","Know how to turn off cylinders or fixed oxygen supply.  ","Store cylinders properly on mounted wall brackets or trolleys.  ","Don’t smoke near oxygen!  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 14 => array(
			'id' => '2984',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'text-image',
			'field_label' => 'Electrical Equipment ',
			'description' => 'Can be a FIRE HAZARD. 

if in poor condition or used wrongly.  

Look for signs of damage, overheating or not working properly.  

Make sure equipment is tested.  

If in any doubt,  

SWITCH OFF, REPORT AND LABEL  

Let others know about the fault.  

Repair or discard the faulty item. ',
			'field_order' => '5',
			'attachment_id' => '1295',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 15 => array(
			'id' => '2985',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'bullet-points',
			'field_label' => ' Clutter',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Acts as fuel for fire. ","Blocks exits. ","Increases risk of trips and falls. ","Disrupts access for fire fighters. ","Always keep fire escape routes clear "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 16 => array(
			'id' => '2986',
			'course_id' => '111',
			'course_lesson_id' => '485',
			'field_type' => 'text-image',
			'field_label' => 'Arson',
			'description' => 'Healthcare premises are an easy target.   

Arson is the most likely cause of fire in the NHS.  

Be on your guard.  

Report any suspicion to a manager.  

Consider contacting the police. ',
			'field_order' => '7',
			'attachment_id' => '1296',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 13:23:53',
			'modified' => '2024-07-31 13:23:53'
		),
		(int) 17 => array(
			'id' => '2987',
			'course_id' => '111',
			'course_lesson_id' => '486',
			'field_type' => 'text-image',
			'field_label' => 'The Regulatory Reform (Fire Safety) Order 2005',
			'description' => 'The Regulatory Reform (Fire Safety) Order 2005 demands that all organisations carry out regular and timely Fire Risk Assessments.  

Become accustomed with the location of fire equipment, fire exits and the evacuation protocol for your working area.  

You must familiarise yourself with your organisation’s Fire Safety Policy and Fire Risk Assessment.  

Take note of any significant findings in the Fire Risk Assessment. ',
			'field_order' => '0',
			'attachment_id' => '1298',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:10:59',
			'modified' => '2024-08-05 08:10:59'
		),
		(int) 18 => array(
			'id' => '2988',
			'course_id' => '111',
			'course_lesson_id' => '486',
			'field_type' => 'bullet-points',
			'field_label' => 'Risk Assessment - Significant Findings',
			'description' => 'You should be aware of any Significant Findings in any Fire Risk Assessments that affect you, your role or location. For example: ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["What fire hazards have been identified (preventive measures   ","The actions taken to remove or reduce the chance of fire occurring   ","Which people are at risk, particularly those at greatest risk   ","The actions required to reduce the risk to people (protective measures)   ","The actions people need to take in case of fire (emergency plan)   ","The information, instruction and training needed and how it will be given ","The Fire Safety Advisor can provide a Risk Assessment for your area of work "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:10:59',
			'modified' => '2024-08-05 08:10:59'
		),
		(int) 19 => array(
			'id' => '2989',
			'course_id' => '111',
			'course_lesson_id' => '486',
			'field_type' => 'bullet-points',
			'field_label' => 'Protective Measures',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Structural fire separation   ","Fire doors (30 minute minimum protection)   ","Fire alarms   ","Fire signage   ","Emergency lighting","Fire fighting equipment   ","Evacuation procedures   ","Refuges  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:10:59',
			'modified' => '2024-08-05 08:10:59'
		),
		(int) 20 => array(
			'id' => '2990',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Fire extinguishers come in different shapes, sizes and colours.  

Each fire extinguisher is specifically designed to tackle a certain type of fire.  

Only use fire extinguishers and any other fire fighting equipment if you're trained to do so.',
			'field_order' => '0',
			'attachment_id' => '1300',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 21 => array(
			'id' => '2991',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Red',
			'description' => 'Water Fire Extinguishers (suitable for solid fires and safe for use on paper, wood and textiles. Ordinary water fire extinguishers should not be used on fires with electrical equipment). ',
			'field_order' => '1',
			'attachment_id' => '1301',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 22 => array(
			'id' => '2992',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Blue',
			'description' => 'Dry Powder Fire Extinguishers (suitable for small fires and fires involving electrical equipment. However it should not be used on sensitive electrical equipment such as computers). ',
			'field_order' => '2',
			'attachment_id' => '1302',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 23 => array(
			'id' => '2993',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Cream',
			'description' => 'Foam Fire Extinguishers (suitable for fires involving flammable liquids such as petrol and effective in preventing re-ignition).',
			'field_order' => '3',
			'attachment_id' => '1303',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 24 => array(
			'id' => '2994',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Black',
			'description' => 'CO2 or Carbon Dioxide Fire Extinguishers (very effective on fires of computer equipment and various other electrical appliances). ',
			'field_order' => '4',
			'attachment_id' => '1304',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 25 => array(
			'id' => '2995',
			'course_id' => '111',
			'course_lesson_id' => '487',
			'field_type' => 'text-image',
			'field_label' => 'Yellow',
			'description' => ' Wet Chemical Fire Extinguishers (developed specifically to deal with deep fat cooking fires so suitable for fires in kitchens and in food processing plants). ',
			'field_order' => '5',
			'attachment_id' => '1305',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:22:16',
			'modified' => '2024-08-05 08:22:16'
		),
		(int) 26 => array(
			'id' => '2996',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'bullet-points',
			'field_label' => 'Actions in the event of fire',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Raise the alarm   ","Tackle the fire if you are trained  AND ONLY if it’s safe to do so   ","Evacuate patients to a safe area  and ensure their health needs are met   ","Close doors and windows if it’s safe to do so   ","Direct fire brigade on arrival   ","Await further information from attending fire team  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 27 => array(
			'id' => '2997',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'image-bullets',
			'field_label' => ' If you hear the fire alarm',
			'description' => 'Follow your organisation’s evacuation plan and procedure. The general principles are:',
			'field_order' => '1',
			'attachment_id' => '1306',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Exit the building as quickly as possible   ","Do not stop to collect personal belongings   ","Do not use lifts   ","Meet well away from the building at the agreed assembly point   ","Do not return to the building unless told it is safe to do so   ","Follow any instructions from Fire Response Team and the emergency services   ","If you are responsible for patients or other people you will need to follow separate instructions to ensure their safety. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 28 => array(
			'id' => '2998',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'bullet-points',
			'field_label' => 'You must know…',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Where are the fire alarm call points?   ","What the hospitals internal fire emergency number is. ","Where the escape routes are. ","Where is the safe refuge?   ","How will the patients be moved?   ","What are the security arrangements?   ","Each type of alarm signal. ","When are alarm test days?  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 29 => array(
			'id' => '2999',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'image-bullets',
			'field_label' => 'Don't forget about…',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1307',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => '["Disabled colleagues. ","Patients and visitors. ","Alternative ways out. ","Switching equipment off if necessary and safe to do so. ","Closing windows and doors. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 30 => array(
			'id' => '3000',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'bullet-points',
			'field_label' => 'Remember to…',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Report hazards. ","Raise the alarm before any other action is taken. ","Know your means of escape. ","Keep escape routes clear. ","Ensure personal safety. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 31 => array(
			'id' => '3001',
			'course_id' => '111',
			'course_lesson_id' => '488',
			'field_type' => 'text-image',
			'field_label' => 'Finally',
			'description' => 'If you have any queries or concerns regarding Fire Safety in the hospital or the area you work please contact our fire safety advisor:   

Russell Stephenson on 01524 516336 (extension 46336) or email  

russell.stephenson@mbht.nhs.uk  ',
			'field_order' => '5',
			'attachment_id' => '1308',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 08:31:55',
			'modified' => '2024-08-05 08:31:55'
		),
		(int) 32 => array(
			'id' => '3002',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which extinguishers would you NOT use to put out a flammable liquids fire? ',
			'description' => 'select one or more answers',
			'field_order' => '0',
			'attachment_id' => '1311',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Water","CO2","Foam","Powder"]',
			'field_correct' => '0,1,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 33 => array(
			'id' => '3012',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'What is the minimum time an NHS fire door will contain fire, smoke and toxic fumes?',
			'description' => 'select an answer',
			'field_order' => '1',
			'attachment_id' => '1314',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["15 minutes ","30 minutes ","1 hour ","2 hours"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 34 => array(
			'id' => '3004',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'What responsibilities do ALL staff have during a fire incident?',
			'description' => 'select one or more answers',
			'field_order' => '2',
			'attachment_id' => '1315',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To raise the alarm ","To inform colleagues of the fire ","To evacuate patients from the building ","To use the appropriate fire extinguisher "]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 35 => array(
			'id' => '3005',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of these actions might result in a fire hazard? ',
			'description' => 'select one or more answers',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Allowing the build up of combustible waste ","Not using the appropriate safe disposal procedures ","Acting responsibly and following correct operating procedures  ","Using the appropriate safe disposal procedures "]',
			'field_correct' => '0,1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 36 => array(
			'id' => '3014',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'Who is responsible for using a fire extinguisher? ',
			'description' => 'select an answer',
			'field_order' => '4',
			'attachment_id' => '1316',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Only staff who have been trained and are competent to do so ","Any member of staff near the fire ","Only the fire wardens ","Only Fire Incident Co-ordinators ","Only the fire brigade "]',
			'field_correct' => '0',
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 37 => array(
			'id' => '3015',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'Which types of extinguisher could be used on a materials (general furnishings, fabrics and/or clothes) fire? ',
			'description' => 'select an answer',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Water or foam","Powder or foam","Water or CO2","CO2 or powder"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 38 => array(
			'id' => '3008',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following should you do when there is a fire? ',
			'description' => 'select one or more answers',
			'field_order' => '6',
			'attachment_id' => '1317',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Close doors to restrict the spread of fire ","Raise the alarm ","Alert and inform your colleagues in the immediate vicinity ","Use the nearest appropriate fire extinguisher if you have been trained ","Collect all your personal belongings before evacuating the building "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 39 => array(
			'id' => '3009',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'multiple-choice',
			'field_label' => ' What should you do if you find a fire hazard such as a fire door that is not shutting properly?',
			'description' => 'select one or more answers',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Report it to your line manager ","Report it to estates ","Remove the hazard if possible and appropriate ","Leave it to someone else to report "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 40 => array(
			'id' => '3010',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'Which of the following should be your first response to a fire? ',
			'description' => 'select an answer',
			'field_order' => '8',
			'attachment_id' => '1318',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Raise the alarm  ","Pick up the nearest fire extinguisher, read the instructions and tackle the fire ","Immediately close all doors and windows ","Assist those most in need of help to leave the building ","Move intensive care patients close to the lifts ready to be evacuated "]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		),
		(int) 41 => array(
			'id' => '3011',
			'course_id' => '111',
			'course_lesson_id' => '489',
			'field_type' => 'single-choice',
			'field_label' => 'A ‘triangle of fire’ could consist of waste paper, lit cigarettes and air. ',
			'description' => 'select an answer ',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True ","False"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-08-05 09:01:48',
			'modified' => '2024-08-05 09:01:48'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '2970',
		(int) 1 => '2971',
		(int) 2 => '2972',
		(int) 3 => '2973',
		(int) 4 => '2974',
		(int) 5 => '2975',
		(int) 6 => '2976',
		(int) 7 => '2977',
		(int) 8 => '2978',
		(int) 9 => '2979',
		(int) 10 => '2980',
		(int) 11 => '2981',
		(int) 12 => '2982',
		(int) 13 => '2983',
		(int) 14 => '2984',
		(int) 15 => '2985',
		(int) 16 => '2986',
		(int) 17 => '2987',
		(int) 18 => '2988',
		(int) 19 => '2989',
		(int) 20 => '2990',
		(int) 21 => '2991',
		(int) 22 => '2992',
		(int) 23 => '2993',
		(int) 24 => '2994',
		(int) 25 => '2995',
		(int) 26 => '2996',
		(int) 27 => '2997',
		(int) 28 => '2998',
		(int) 29 => '2999',
		(int) 30 => '3000',
		(int) 31 => '3001',
		(int) 32 => '3002',
		(int) 33 => '3012',
		(int) 34 => '3004',
		(int) 35 => '3005',
		(int) 36 => '3014',
		(int) 37 => '3015',
		(int) 38 => '3008',
		(int) 39 => '3009',
		(int) 40 => '3010',
		(int) 41 => '3011'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '111'
$k = (int) 13
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
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		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 113 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 112 => array(
		(int) 0 => '13',
		(int) 1 => '64',
		(int) 2 => '62',
		(int) 3 => '63',
		(int) 4 => '61',
		(int) 5 => '60',
		(int) 6 => '7',
		(int) 7 => '6'
	),
	(int) 114 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
	),
	(int) 115 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 118 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 116 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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				[maximum depth reached]
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			),
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			),
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			),
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			),
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			),
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
			'banner_align_id' => '0',
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			'course_length' => '',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'field_count' => (int) 39,
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			),
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			),
			(int) 38 => array(
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			(int) 11 => array(
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			),
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			(int) 15 => array(
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			),
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				[maximum depth reached]
			),
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			),
			(int) 18 => array(
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			),
			(int) 19 => array(
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			),
			(int) 20 => array(
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			),
			(int) 21 => array(
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			(int) 24 => array(
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			),
			(int) 25 => array(
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			),
			(int) 26 => array(
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			),
			(int) 28 => array(
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			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
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			(int) 36 => '3528',
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		'Course' => array(
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
			'banner_media_id' => '1616',
			'thumbnail_media_id' => '1617',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 14:59:06',
			'modified' => '2024-08-07 14:26:42',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'field_count' => (int) 52,
			'answer_count' => (int) 0,
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			(int) 5 => array(
				[maximum depth reached]
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			(int) 6 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 8 => array(
				[maximum depth reached]
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			(int) 9 => array(
				[maximum depth reached]
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			(int) 10 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 12 => array(
				[maximum depth reached]
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			(int) 13 => array(
				[maximum depth reached]
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			(int) 14 => array(
				[maximum depth reached]
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			(int) 15 => array(
				[maximum depth reached]
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			(int) 16 => array(
				[maximum depth reached]
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			(int) 17 => array(
				[maximum depth reached]
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			(int) 18 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 20 => array(
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			(int) 22 => array(
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			(int) 23 => array(
				[maximum depth reached]
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			(int) 24 => array(
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			(int) 25 => array(
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			),
			(int) 26 => array(
				[maximum depth reached]
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			(int) 27 => array(
				[maximum depth reached]
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			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
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			(int) 32 => array(
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			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
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			(int) 35 => array(
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			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
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			(int) 15 => array(
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			(int) 16 => array(
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			(int) 17 => array(
				[maximum depth reached]
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			(int) 18 => array(
				[maximum depth reached]
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			(int) 19 => array(
				[maximum depth reached]
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			(int) 20 => array(
				[maximum depth reached]
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			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
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			(int) 23 => array(
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			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
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			(int) 33 => array(
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			(int) 34 => array(
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			(int) 35 => array(
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				[maximum depth reached]
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			(int) 37 => array(
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			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
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			(int) 18 => '3428',
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			(int) 20 => '3430',
			(int) 21 => '3431',
			(int) 22 => '3432',
			(int) 23 => '3433',
			(int) 24 => '3434',
			(int) 25 => '3435',
			(int) 26 => '3436',
			(int) 27 => '3437',
			(int) 28 => '3438',
			(int) 29 => '3439',
			(int) 30 => '3440',
			(int) 31 => '3441',
			(int) 32 => '3442',
			(int) 33 => '3443',
			(int) 34 => '3444',
			(int) 35 => '3445',
			(int) 36 => '3448',
			(int) 37 => '3449',
			(int) 38 => '3450',
			(int) 39 => '3451',
			(int) 40 => '3452',
			(int) 41 => '3453',
			(int) 42 => '3454',
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			(int) 47 => '3459',
			(int) 48 => '3460',
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			'description' => 'Access to practice 2<br />This session&nbsp;provides a basic introduction to the key elements of safety science. The elements of safety science that we focus on and which have underpinned all domains of the syllabus are: systems thinking, risk expertise, human factors and safety culture.',
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 54 => array(
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			(int) 55 => array(
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			),
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			(int) 1 => array(
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			),
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				[maximum depth reached]
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
			(int) 15 => array(
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			),
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				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
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			),
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				[maximum depth reached]
			),
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			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
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			),
			(int) 24 => array(
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			),
			(int) 25 => array(
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			),
			(int) 26 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
			(int) 42 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
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			(int) 52 => '3405',
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			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
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				[maximum depth reached]
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		'LessonFieldIds' => array(
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			(int) 2 => '3310',
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			(int) 5 => '3313',
			(int) 6 => '3314',
			(int) 7 => '3315',
			(int) 8 => '3316',
			(int) 9 => '3317',
			(int) 10 => '3318',
			(int) 11 => '3319',
			(int) 12 => '3320',
			(int) 13 => '3321',
			(int) 14 => '3322',
			(int) 15 => '3323',
			(int) 16 => '3324',
			(int) 17 => '3325',
			(int) 18 => '3326',
			(int) 19 => '3327',
			(int) 20 => '3328',
			(int) 21 => '3329',
			(int) 22 => '3330',
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			(int) 24 => '3332',
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			(int) 28 => '3336',
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			(int) 30 => '3338',
			(int) 31 => '3339',
			(int) 32 => '3340',
			(int) 33 => '3341',
			(int) 34 => '3342',
			(int) 35 => '3343',
			(int) 36 => '3344',
			(int) 37 => '3345',
			(int) 38 => '3346',
			(int) 39 => '3347',
			(int) 40 => '3348',
			(int) 41 => '3349',
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			(int) 43 => '3351'
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	),
	(int) 8 => array(
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				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3166',
			(int) 1 => '3243',
			(int) 2 => '3244',
			(int) 3 => '3169',
			(int) 4 => '3170',
			(int) 5 => '3171',
			(int) 6 => '3245',
			(int) 7 => '3173',
			(int) 8 => '3174',
			(int) 9 => '3175',
			(int) 10 => '3246',
			(int) 11 => '3247',
			(int) 12 => '3178',
			(int) 13 => '3179',
			(int) 14 => '3248',
			(int) 15 => '3181',
			(int) 16 => '3182',
			(int) 17 => '3183',
			(int) 18 => '3249',
			(int) 19 => '3185',
			(int) 20 => '3186',
			(int) 21 => '3187',
			(int) 22 => '3188',
			(int) 23 => '3189',
			(int) 24 => '3190',
			(int) 25 => '3191',
			(int) 26 => '3192',
			(int) 27 => '3193',
			(int) 28 => '3195',
			(int) 29 => '3196',
			(int) 30 => '3197',
			(int) 31 => '3198',
			(int) 32 => '3250',
			(int) 33 => '3200',
			(int) 34 => '3251',
			(int) 35 => '3203',
			(int) 36 => '3204',
			(int) 37 => '3205',
			(int) 38 => '3208',
			(int) 39 => '3206',
			(int) 40 => '3207',
			(int) 41 => '3209',
			(int) 42 => '3210',
			(int) 43 => '3211',
			(int) 44 => '3212',
			(int) 45 => '3213',
			(int) 46 => '3214',
			(int) 47 => '3215',
			(int) 48 => '3216',
			(int) 49 => '3217',
			(int) 50 => '3219',
			(int) 51 => '3218',
			(int) 52 => '3220',
			(int) 53 => '3221',
			(int) 54 => '3222',
			(int) 55 => '3223',
			(int) 56 => '3224',
			(int) 57 => '3225',
			(int) 58 => '3226',
			(int) 59 => '3227',
			(int) 60 => '3228',
			(int) 61 => '3229',
			(int) 62 => '3230',
			(int) 63 => '3231',
			(int) 64 => '3232',
			(int) 65 => '3233',
			(int) 66 => '3234',
			(int) 67 => '3235',
			(int) 68 => '3237',
			(int) 69 => '3238',
			(int) 70 => '3239',
			(int) 71 => '3240',
			(int) 72 => '3241',
			(int) 73 => '3242'
		)
	),
	(int) 11 => array(
		'Course' => array(
			'id' => '113',
			'course_title' => 'Health & Safety (NHS Core Skills)',
			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
			'banner_media_id' => '1418',
			'thumbnail_media_id' => '1419',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'field_count' => (int) 107,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 498 => array(
				[maximum depth reached]
			),
			(int) 499 => array(
				[maximum depth reached]
			),
			(int) 500 => array(
				[maximum depth reached]
			),
			(int) 501 => array(
				[maximum depth reached]
			),
			(int) 502 => array(
				[maximum depth reached]
			),
			(int) 503 => array(
				[maximum depth reached]
			),
			(int) 504 => array(
				[maximum depth reached]
			),
			(int) 505 => array(
				[maximum depth reached]
			),
			(int) 506 => array(
				[maximum depth reached]
			),
			(int) 507 => array(
				[maximum depth reached]
			),
			(int) 508 => array(
				[maximum depth reached]
			),
			(int) 509 => array(
				[maximum depth reached]
			),
			(int) 510 => array(
				[maximum depth reached]
			),
			(int) 511 => array(
				[maximum depth reached]
			),
			(int) 512 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3058',
			(int) 1 => '3059',
			(int) 2 => '3060',
			(int) 3 => '3061',
			(int) 4 => '3062',
			(int) 5 => '3063',
			(int) 6 => '3064',
			(int) 7 => '3065',
			(int) 8 => '3066',
			(int) 9 => '3067',
			(int) 10 => '3068',
			(int) 11 => '3069',
			(int) 12 => '3070',
			(int) 13 => '3071',
			(int) 14 => '3072',
			(int) 15 => '3252',
			(int) 16 => '3253',
			(int) 17 => '3075',
			(int) 18 => '3077',
			(int) 19 => '3076',
			(int) 20 => '3078',
			(int) 21 => '3254',
			(int) 22 => '3080',
			(int) 23 => '3081',
			(int) 24 => '3082',
			(int) 25 => '3083',
			(int) 26 => '3084',
			(int) 27 => '3085',
			(int) 28 => '3086',
			(int) 29 => '3087',
			(int) 30 => '3088',
			(int) 31 => '3089',
			(int) 32 => '3090',
			(int) 33 => '3091',
			(int) 34 => '3092',
			(int) 35 => '3093',
			(int) 36 => '3094',
			(int) 37 => '3095',
			(int) 38 => '3096',
			(int) 39 => '3097',
			(int) 40 => '3098',
			(int) 41 => '3099',
			(int) 42 => '3100',
			(int) 43 => '3101',
			(int) 44 => '3255',
			(int) 45 => '3103',
			(int) 46 => '3104',
			(int) 47 => '3105',
			(int) 48 => '3106',
			(int) 49 => '3107',
			(int) 50 => '3108',
			(int) 51 => '3109',
			(int) 52 => '3110',
			(int) 53 => '3111',
			(int) 54 => '3112',
			(int) 55 => '3113',
			(int) 56 => '3114',
			(int) 57 => '3116',
			(int) 58 => '3117',
			(int) 59 => '3118',
			(int) 60 => '3119',
			(int) 61 => '3120',
			(int) 62 => '3121',
			(int) 63 => '3122',
			(int) 64 => '3123',
			(int) 65 => '3124',
			(int) 66 => '3125',
			(int) 67 => '3126',
			(int) 68 => '3127',
			(int) 69 => '3128',
			(int) 70 => '3129',
			(int) 71 => '3130',
			(int) 72 => '3131',
			(int) 73 => '3132',
			(int) 74 => '3133',
			(int) 75 => '3134',
			(int) 76 => '3135',
			(int) 77 => '3136',
			(int) 78 => '3137',
			(int) 79 => '3138',
			(int) 80 => '3139',
			(int) 81 => '3140',
			(int) 82 => '3141',
			(int) 83 => '3142',
			(int) 84 => '3143',
			(int) 85 => '3144',
			(int) 86 => '3145',
			(int) 87 => '3146',
			(int) 88 => '3147',
			(int) 89 => '3148',
			(int) 90 => '3149',
			(int) 91 => '3150',
			(int) 92 => '3151',
			(int) 93 => '3152',
			(int) 94 => '3153',
			(int) 95 => '3154',
			(int) 96 => '3155',
			(int) 97 => '3156',
			(int) 98 => '3157',
			(int) 99 => '3158',
			(int) 100 => '3159',
			(int) 101 => '3160',
			(int) 102 => '3161',
			(int) 103 => '3162',
			(int) 104 => '3163',
			(int) 105 => '3164',
			(int) 106 => '3165'
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	),
	(int) 12 => array(
		'Course' => array(
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			'description' => 'Welcome to this e-Learning package on Equality, Diversity and Human Rights. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1323',
			'thumbnail_media_id' => '1320',
			'logo_media_id' => null,
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			'created_user_id' => '8779',
			'course_length' => '60 minutes',
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			'expired' => '0',
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			'created' => '2024-08-05 09:12:40',
			'modified' => '2024-08-07 14:24:36',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
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		'CourseLesson' => array(
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			(int) 1 => array(
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			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 490 => array(
				[maximum depth reached]
			),
			(int) 491 => array(
				[maximum depth reached]
			),
			(int) 492 => array(
				[maximum depth reached]
			),
			(int) 493 => array(
				[maximum depth reached]
			),
			(int) 494 => array(
				[maximum depth reached]
			),
			(int) 495 => array(
				[maximum depth reached]
			),
			(int) 496 => array(
				[maximum depth reached]
			),
			(int) 497 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
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		'LessonFieldIds' => array(
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			(int) 2 => '3018',
			(int) 3 => '3019',
			(int) 4 => '3020',
			(int) 5 => '3021',
			(int) 6 => '3022',
			(int) 7 => '3023',
			(int) 8 => '3024',
			(int) 9 => '3025',
			(int) 10 => '3026',
			(int) 11 => '3027',
			(int) 12 => '3028',
			(int) 13 => '3029',
			(int) 14 => '3030',
			(int) 15 => '3031',
			(int) 16 => '3032',
			(int) 17 => '3033',
			(int) 18 => '3034',
			(int) 19 => '3035',
			(int) 20 => '3036',
			(int) 21 => '3037',
			(int) 22 => '3038',
			(int) 23 => '3039',
			(int) 24 => '3040',
			(int) 25 => '3041',
			(int) 26 => '3042',
			(int) 27 => '3043',
			(int) 28 => '3044',
			(int) 29 => '3045',
			(int) 30 => '3046',
			(int) 31 => '3047',
			(int) 32 => '3048',
			(int) 33 => '3049',
			(int) 34 => '3050',
			(int) 35 => '3051',
			(int) 36 => '3052',
			(int) 37 => '3053',
			(int) 38 => '3054',
			(int) 39 => '3055',
			(int) 40 => '3056',
			(int) 41 => '3057'
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	),
	(int) 13 => array(
		'Course' => array(
			'id' => '111',
			'course_title' => 'Fire General Safety Awareness Transcript ',
			'description' => 'Welcome to this e-Learning package on Fire Safety &ndash; Level 1. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1647',
			'thumbnail_media_id' => '1648',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 13:04:44',
			'modified' => '2024-08-07 14:24:24',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'field_count' => (int) 42,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
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		'CourseLesson' => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 482 => array(
				[maximum depth reached]
			),
			(int) 483 => array(
				[maximum depth reached]
			),
			(int) 484 => array(
				[maximum depth reached]
			),
			(int) 485 => array(
				[maximum depth reached]
			),
			(int) 486 => array(
				[maximum depth reached]
			),
			(int) 487 => array(
				[maximum depth reached]
			),
			(int) 488 => array(
				[maximum depth reached]
			),
			(int) 489 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '2970',
			(int) 1 => '2971',
			(int) 2 => '2972',
			(int) 3 => '2973',
			(int) 4 => '2974',
			(int) 5 => '2975',
			(int) 6 => '2976',
			(int) 7 => '2977',
			(int) 8 => '2978',
			(int) 9 => '2979',
			(int) 10 => '2980',
			(int) 11 => '2981',
			(int) 12 => '2982',
			(int) 13 => '2983',
			(int) 14 => '2984',
			(int) 15 => '2985',
			(int) 16 => '2986',
			(int) 17 => '2987',
			(int) 18 => '2988',
			(int) 19 => '2989',
			(int) 20 => '2990',
			(int) 21 => '2991',
			(int) 22 => '2992',
			(int) 23 => '2993',
			(int) 24 => '2994',
			(int) 25 => '2995',
			(int) 26 => '2996',
			(int) 27 => '2997',
			(int) 28 => '2998',
			(int) 29 => '2999',
			(int) 30 => '3000',
			(int) 31 => '3001',
			(int) 32 => '3002',
			(int) 33 => '3012',
			(int) 34 => '3004',
			(int) 35 => '3005',
			(int) 36 => '3014',
			(int) 37 => '3015',
			(int) 38 => '3008',
			(int) 39 => '3009',
			(int) 40 => '3010',
			(int) 41 => '3011'
		)
	),
	(int) 14 => array(
		'Course' => array(
			'id' => '110',
			'course_title' => 'Conflict Resolution (Core Skill) Training',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Conflict Resolution Level 1&nbsp;in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1651',
			'thumbnail_media_id' => '1650',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 Minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 10:15:23',
			'modified' => '2024-08-07 14:23:51',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'field_count' => (int) 90
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 467 => array(
				[maximum depth reached]
			),
			(int) 468 => array(
				[maximum depth reached]
			),
			(int) 469 => array(
				[maximum depth reached]
			),
			(int) 470 => array(
				[maximum depth reached]
			),
			(int) 471 => array(
				[maximum depth reached]
			),
			(int) 472 => array(
				[maximum depth reached]
			),
			(int) 473 => array(
				[maximum depth reached]
			),
			(int) 474 => array(
				[maximum depth reached]
			),
			(int) 475 => array(
				[maximum depth reached]
			),
			(int) 476 => array(
				[maximum depth reached]
			),
			(int) 477 => array(
				[maximum depth reached]
			),
			(int) 478 => array(
				[maximum depth reached]
			),
			(int) 479 => array(
				[maximum depth reached]
			),
			(int) 480 => array(
				[maximum depth reached]
			),
			(int) 481 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
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			'created_user_id' => '8779',
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			'created_user_id' => '8779',
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			'character_id' => '',
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			'created_user_id' => '8779',
			'session_length' => '3 minutes',
			'character_id' => '',
			'active' => '1',
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			'created_user_id' => '8779',
			'session_length' => '3 minutes ',
			'character_id' => '',
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			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 11:09:23',
			'modified' => '2024-07-31 11:09:38'
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			'course_id' => '110',
			'lesson_title' => 'Personal Space',
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			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
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			'session_length' => '15 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 11:37:08',
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			'description' => 'In 2015/16, there were 70,555 reported physical assaults against NHS staff in England. Anecdotal evidence shows there has been an increase in attacks on staff including emergency workers.

It is essential that all staff feel safe whilst at work. Violent behaviour can have an adverse personal effect on staff and it can impact negatively on the standards of patient care.

This session describes the impact that violence and aggression can have on an individual and steps that can be taken to avoid conflict.',
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			'description' => 'Firstly, it is important that we consider the definition of conflict. Conflict is described as:

A disagreement, struggle or fight, to be incompatible.  A common factor is that there are issues with communication between the parties involved.',
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			'description' => 'Choose one or more options and select Submit.',
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			'description' => 'Assault is an extreme form of conflict. There are two types of assault:',
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			'field_label' => 'Physical Assault (also known as Assault and Battery) ',
			'description' => 'The intentional application of force to a person from another, without lawful justification, resulting in physical injury or personal discomfort. 

There are three key phrases in relation to physical assault: ',
			'field_order' => '4',
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			'field_type' => 'bullet-points',
			'field_label' => 'Non-physical Assault (also known as Verbal Assault) ',
			'description' => 'The use of inappropriate words or behaviour causing distress and/or constituting harassment. Examples include: ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Threatening behaviour (for example, threatening to hit someone but there is no actual physical contact) ","Abusive behaviour (verbal or by any other means of communication – email, texting, graffiti, via social media, includes swearing or other offensive language) ","Anything racial or sexual in nature (a potential hate crime) ","Harassment ","Stalking "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 6 => array(
			'id' => '2884',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'text-image',
			'field_label' => 'The Assault Cycle [2] is a 5-stage model that helps to identify why an assault has occurred and the most appropriate type of intervention.',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1274',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 7 => array(
			'id' => '2885',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'bullet-points',
			'field_label' => 'Trigger Phase',
			'description' => 'The trigger phase is the aggressor’s first behaviours which indicate a movement away from how they usually behave.

Unless you have a detailed understanding of the person, these early warning signs may be missed.

The change in behaviour may well reflect a sense of being psychologically ill at ease. When identified, it is important to try different interventions to prevent further escalation. Consider the following:',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Environment - too hot/too cold/too noisy etc.","Other patients and staff around you","Meetings about their care or mental health","Loss of freedom ","Change in routine or the routine itself","Frustration for any reason","Contact with family, for example a good/bad visit","Loss of contact with family and/or friends"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 8 => array(
			'id' => '2886',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'There may be no obvious triggers.',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 9 => array(
			'id' => '2887',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'bullet-points',
			'field_label' => 'Escalation phase',
			'description' => 'This phase leads directly to assaultive behaviour. The patient deviates more and more from their baseline behaviours.

If there is no intervention, the deviation becomes increasingly obvious and it is more difficult to divert their attention on to other activities.

They become overly focussed on a particular issue and are less likely to respond to any form of rational intervention.

It is therefore necessary to intervene as early as possible in this phase. This can be done by:',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Counselling","Removal from the immediate environment","Anger management techniques"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 10 => array(
			'id' => '2888',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => 'Crisis phase',
			'description' => 'As the patient becomes increasingly physically, emotionally and psychologically aroused, his or her control over aggressive impulses lessens and direct assaultive behaviour becomes likely.

Simultaneously, your physical and psychological responses may be hampering your control and effectiveness.

In this phase, the least effective strategy is to adopt an intervention that presumes the patient can respond rationally.

It is important to focus on the safety of yourself, the patient and anyone else who may be threatened.

Options may be limited - escape from danger.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 11 => array(
			'id' => '2889',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => 'Plateau and post crisis depression phases',
			'description' => 'During the recovery phase, the patient may start to relax and decreases any aggressive behaviour. It is important to note that the confrontation may appear to be over but it could be temporary and could easily re-escalate.
 
During the post-crisis phase the patient tries to return to a stable base level and may experience tiredness, depression and guilt.',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 12 => array(
			'id' => '2891',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Verbal communication',
			'description' => 'There are two elements to verbal communication:

Verbal spoken

For example, you could try the following:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Say something positive","Change the subject","Use humour (sparingly) to lighten the mood (be very careful with this!)","Motivate the other person","Empathise with the other person","Give choices","Set limits"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 13 => array(
			'id' => '2892',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Para-verbal',
			'description' => 'For example, consider the following',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Tone of voice","Pitch","Volume"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 14 => array(
			'id' => '2893',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'text-image',
			'field_label' => 'You can use verbal communication and body language to minimise the likelihood of conflict. Picking up on body language can give you a better indication of someone's state of anxiety or level of agitation.',
			'description' => 'Please be aware that due to PPE, such as visors and masks, being worn during Covid-19 this may inhibit communication when trying to communicate with someone who is becoming angry.',
			'field_order' => '0',
			'attachment_id' => '1275',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 15 => array(
			'id' => '2894',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Non-verbal communication',
			'description' => 'Non-verbal communication includes facial expression, eye contact, proximity and body language such as gestures and posture.

Ways to improve your body language include:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Keep your body relaxed and open","Use open hand language","Breathe deeply and calmly","Respect personal space","Be aware of your facial expressions","Avoid making sudden movements","Don’t stare"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 16 => array(
			'id' => '2895',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'text-image',
			'field_label' => 'Non-matching behaviour is when your body language contradicts what you say. ',
			'description' => ' People pick up on this, even if we think we are not being obvious. You will find being genuine, open and honest reduces the probability of conflict.',
			'field_order' => '4',
			'attachment_id' => '1276',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 17 => array(
			'id' => '2896',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Communication impact',
			'description' => 'Communication, as defined by the Mehrabian Model, is:

7% from the spoken word
38% from the tone of voice
55% from non-verbal/body language [3]
In other words:',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["What you say is less important than how you say it","People believe what they see before they believe what they hear","People are persuaded by attitude and appearance"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 18 => array(
			'id' => '2897',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Non-verbal communication is particularly important when dealing with emotional issues.',
			'field_order' => '6',
			'attachment_id' => '1277',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 19 => array(
			'id' => '2898',
			'course_id' => '110',
			'course_lesson_id' => '469',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Communication breakdown can occur for various reasons. Factors that contribute may include:',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The language used (English not a first language, dialect/accent, complexity/jargon used)","The environment - noise levels (too loud or too quiet), temperature (too hot and people may feel sleepy)","Personal emotions - fear, anxiety, stress, anger, confusion","Alcohol or drugs - both prescriptive medication or illicit substances","Disabilities - hard of hearing, speech impediment","Cultural differences - cross-cultural communication is very often hampered by a lack of understanding between the participants and, even when both parties want the same outcome, these differences can lead to conflict. Be aware that what you say and how you say it can be misunderstood as can your body language","Stereotyping or preconceived ideas ","Non-matching behaviour - conflict between what you say and how you say it","Educational background differences - differing education backgrounds may hinder the understanding of the listener and cause confusion or anger","Cognitive difficulties – dementia, learning disabilities","Mental health"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:43:11',
			'modified' => '2024-07-31 10:43:11'
		),
		(int) 20 => array(
			'id' => '2899',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'The attitude and behavioural cycle establish a link between attitude and behaviour. Positive attitude creates a virtuous cycle of positive behaviour.',
			'field_order' => '0',
			'attachment_id' => '1278',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 21 => array(
			'id' => '2900',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'paragraph',
			'field_label' => 'My attitude',
			'description' => 'Health professional: "I'm really angry because I've been put on nights again."',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 22 => array(
			'id' => '2901',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'text-links',
			'field_label' => 'My behaviour',
			'description' => 'Health professional: "I’m ignoring the bell call from one of my patients as they constantly ring it for no reason."',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 23 => array(
			'id' => '2902',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'paragraph',
			'field_label' => 'Your attitude',
			'description' => 'Patient: "No one wants to help me in this hospital. I don’t want to be here anymore."',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 24 => array(
			'id' => '2903',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'paragraph',
			'field_label' => 'Your behaviour',
			'description' => 'Patient: "I’m going to swear and be unpleasant to the next person who comes to help me as I have been ignored for the last 45 minutes."',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 25 => array(
			'id' => '2904',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'The basics',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["De-escalate yourself first - remember to breathe","Act calm - neutral facial expression, relaxed body, minimal gestures","Reassure yourself - positive self-talk and project success","Ask for help"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 26 => array(
			'id' => '2905',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Then:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Assess the individual’s emotional state","Identify trigger factors","Reassure them to try to reduce anxiety","Talk/listen","Problem solve, for example risk assess the situation, be aware of your environment or those who might present a threat","Keep a relaxed and alert posture"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 27 => array(
			'id' => '2906',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Personal safety',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Maintain an adequate distance between you and the other person","Allow space and time - back off if they advance towards you","Adopt a stance where hands are open and positioned above the waist as this facilitates the natural flinch response to protect oneself","Move towards a safe place ","Ask for any weapon to be put down (not handed over)","If any object constituting a weapon is produced, staff should immediately evacuate the location"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 28 => array(
			'id' => '2907',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'paragraph',
			'field_label' => 'NEVER attempt to deal with an armed individual. ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 29 => array(
			'id' => '2908',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'The language you use can have a big impact on how the other person reacts. Avoid the following:',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Ordering, e.g. you must...; you have to...","Threatening, e.g. if you don’t, then","Preaching, e.g. you should…","Lecturing, e.g. here’s why you are wrong…","Judging, e.g. you’ll never change","Excusing, e.g. it’s not so bad","Labelling, e.g. you’re being unrealistic "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 30 => array(
			'id' => '2909',
			'course_id' => '110',
			'course_lesson_id' => '472',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'People who work alone are at increased risk of physical/verbal abuse and harassment from patients, relatives or members of the public. Employers have a duty to protect them from risk of physical and verbal abuse by carrying out risk assessments and providing lone worker devices.',
			'field_order' => '0',
			'attachment_id' => '1279',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-07-31 10:56:07',
			'modified' => '2024-07-31 10:56:07'
		),
		(int) 31 => array(
			'id' => '2910',
			'course_id' => '110',
			'course_lesson_id' => '472',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Employees should take practical steps to improve their personal safety by:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Attending training","Adhering to lone workers' policy and procedures","Reporting near misses and incidents"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:56:07',
			'modified' => '2024-07-31 10:56:07'
		),
		(int) 32 => array(
			'id' => '2911',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'We need to recognise when a situation is escalating so that we respond appropriately.

Conflict can be divided into three different levels. When dealing with each of these levels, it is important to use the right strategy. Dealing with a 'hiccup' in the same way as a crisis would not be productive. This would be like using a hammer to crack a nut.',
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			'attachment_id' => '1280',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 33 => array(
			'id' => '2912',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => 'Hiccups',
			'description' => 'Hiccups are conflicts that are no more than a minor irritation, are inevitable and part of our daily lives. These are generally easier and quicker to deal with and sort out.',
			'field_order' => '1',
			'attachment_id' => '1281',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
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			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 34 => array(
			'id' => '2913',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => 'Clash',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1282',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 35 => array(
			'id' => '2914',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => 'Crisis',
			'description' => 'A crisis can be very traumatic and, in some cases, dangerous. These are infrequent but more severe and more difficult to deal with (named third party intervention) this is when we see Violence and Aggression occur.',
			'field_order' => '3',
			'attachment_id' => '1283',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 36 => array(
			'id' => '2915',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Some non-verbal and verbal warning and danger signs:',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The face becomes flushed","Breathing becomes shallow","Sweating may be visible on the forehead","Gaze may increase in intensity","Tone in voice hardens and often becomes louder","Sometimes a distinct pulse is visible in the neck","Shoulders rise and arms extend away from the body","Fists clench and the forearms rise","Body weight shifts forward and is taken on toes"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 37 => array(
			'id' => '2916',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1284',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 38 => array(
			'id' => '2917',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => 'PALMS',
			'description' => 'The PALMS model may be used during a 'crisis'.',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Position yourself - Where are you in relation to escape routes?","Attitude - is your attitude non-inflammatory?","Look and listen - are you aware of minor changes, could they be significant?","Make space - have you thought about your personal space?","Stance - is your stance non-inflammatory?"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 39 => array(
			'id' => '2918',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'text-image',
			'field_label' => 'Let's take a look at three different models that may help when dealing with different levels of conflict.',
			'description' => '',
			'field_order' => '1',
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			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 40 => array(
			'id' => '2920',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1286',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
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			'show_correct' => '0',
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			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 41 => array(
			'id' => '2921',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => 'CUDSA',
			'description' => 'The CUDSA model may be used during 'clashes'.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Confront the conflict","Understand the other person's point of view","Define the problem","Search for a solution","Agree a solution applicable to both parties"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 42 => array(
			'id' => '2922',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => 'LEAPS',
			'description' => 'The LEAPS model (George Thompson) has been designed to help you structure your communication into an easily remembered format. If used effectively, it can help to prevent communication breakdowns before they become a problem. It may be used during a 'hiccup'.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Listen to the other person, it shows you're interested and that you care","Empathise this will help diffuse the situation. Using phrases like 'I can see this has made you angry'","Ask question, this might help you discover facts","Paraphrase, this shows the person that you are listening and trying to understand their problem","Summarise, reach an agreement and a way forward"]',
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			'show_correct' => '0',
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			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 43 => array(
			'id' => '2923',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'A risk assessment identifies the nature, severity, imminence, frequency, duration and likelihood of harm to self or others.',
			'description' => 'When in a conflict situation, use the SAFER approach to conducting a dynamic risk assessment.


',
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			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
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			'id' => '2924',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'bullet-points',
			'field_label' => 'Assess the threat',
			'description' => '(people, objects, places).',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["People - sex, age, size, skills, mental state, numbers present, physical or mental tiredness","Objects - alcohol, drugs, potential weapons, items of value, time of the day, animals","Places - excessive noise, safe exits, room layout, public or private premises, slip/trip hazards, imminent danger"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 45 => array(
			'id' => '2925',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Step back ',
			'description' => ' physically and mentally.',
			'field_order' => '1',
			'attachment_id' => null,
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			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 46 => array(
			'id' => '2926',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Find ',
			'description' => 'help',
			'field_order' => '3',
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			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
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			'id' => '2927',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Evaluate',
			'description' => 'your options',
			'field_order' => '4',
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			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 48 => array(
			'id' => '2928',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Respond',
			'description' => 'in an appropriate manner.',
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			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 49 => array(
			'id' => '2929',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Personal space is culturally defined but is usually:',
			'field_order' => '0',
			'attachment_id' => '1288',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 50 => array(
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			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Intimate',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Up to 0.5m","People we feel very close to"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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		),
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			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Personal',
			'description' => '',
			'field_order' => '2',
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			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["About 1.2m","Friends and associates"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
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			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Social',
			'description' => '',
			'field_order' => '3',
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			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["About 2.4m","New acquaintances"]',
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 53 => array(
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			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Public',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["2.4m plus","Larger audiences"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
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			'course_id' => '110',
			'course_lesson_id' => '477',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'You should always have an awareness of your environment and surroundings. Keeping a physical distance allows time to think, react and get out of the way.

Ensure you have an appropriate and comfortable space between you and an aggressive person and, if necessary, place a barrier between yourself and the aggressor.

Have an escape route/plan ready to be put into use. Get away if communication has not resolved the situation. Use passive compliance if you can’t get away.

Only use force when absolutely necessary (reasonable, appropriate and necessary) to protect yourself and others.',
			'field_order' => '0',
			'attachment_id' => '1289',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:23:36',
			'modified' => '2024-07-31 11:23:36'
		),
		(int) 55 => array(
			'id' => '2935',
			'course_id' => '110',
			'course_lesson_id' => '477',
			'field_type' => 'paragraph',
			'field_label' => 'The use of force in self-defence must be reasonable:',
			'description' => '"A person may use such force as is reasonable in the circumstances in the prevention of crime, or in the effecting or assisting in the lawful arrest of offenders or suspected offenders or persons unlawfully at large"

',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:23:36',
			'modified' => '2024-07-31 11:23:36'
		),
		(int) 56 => array(
			'id' => '2936',
			'course_id' => '110',
			'course_lesson_id' => '477',
			'field_type' => 'bullet-points',
			'field_label' => 'Reasonable force is force that is deemed as:',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Proportionate - Is the amount of harm to be suffered correct or suitable in size, amount, or degree when considered in relation to something else? For example, if a patient attacks another patient and staff requests to stop are ignored, then staff may have to physically intervene by using a degree of force. ","Necessary - Is the action necessary and would a failure to carry it out result in a greater degree of damage to self or others? For example, on an acute admission ward a patient has been telling a nurse that they are angry with a doctor and is going to assault them. The nurse sees that the doctor the patient is angry with arrives on shift, the patient approaches them and the nurse has to physically intervene."]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:23:36',
			'modified' => '2024-07-31 11:23:36'
		),
		(int) 57 => array(
			'id' => '2937',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Immediately after a violent incident a number of actions need to be taken.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 58 => array(
			'id' => '2938',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'Questions to ask',
			'description' => 'The following questions provide a useful guide:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Has anyone been injured?","Do they need medical or any other assistance?","Have the individuals affected been moved to a place of safety?","Does the cause of the incident remain and is there risk of further incidents?","Has the incident been reported or the alarm raised?","Have the police been called?","Has an incident report form been completed?"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 59 => array(
			'id' => '2939',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'Support',
			'description' => 'Following a violent incident, longer-term support may be required. People requiring support may include those directly affected, anyone who witnessed the incident and those who are based or work in the vicinity.

Post-incident support may come from:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Colleagues","Trade union","An individual’s line manager","Occupational Health services","Human Resources (for example, in relation to a phased return to work)","Employee counselling services","Victim Support","Criminal Injuries Compensation Authority"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 60 => array(
			'id' => '2940',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'paragraph',
			'field_label' => 'Reporting',
			'description' => 'If the incident is not reported, it is as if it did not happen. Without reporting it, steps can’t be taken to prevent it happening again.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 61 => array(
			'id' => '2941',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'An organisation needs to fully support its employees:',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["It has a legal duty for their safety","No one should be placed needlessly at risk","It needs to reduce the potential impact of an incident","All incidents need to be fully investigated","Appropriate training needs to be provided"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 62 => array(
			'id' => '2942',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'The benefits include:',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Employees feel valued and respected","Preventative measures provide assurance and security","Employee welfare is supported","Lessons learnt can prevent future incidents from occurring","Employees feel empowered ","The financial and reputational cost or impact is reduced"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 63 => array(
			'id' => '2943',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'In addition to support channels outlined above, it is important that you are aware of the security management roles in your organisation.

Director with Responsibility for Security
The role of the Director with responsibility for security (or equivalent) in your organisation is to be the named responsible board member for security management within the Trust.

Security Management Specialist (SMS)
Operationally responsible for the implementation of the national strategy for managing security and tailoring it to local requirements.',
			'field_order' => '6',
			'attachment_id' => '1290',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 64 => array(
			'id' => '2944',
			'course_id' => '110',
			'course_lesson_id' => '479',
			'field_type' => 'bullet-points',
			'field_label' => 'As an employee, you also have a responsibility to ensure your own personal safety.',
			'description' => 'Do not:',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Show hostility","Use provocative language ","Raise your voice","Show signs of irritation","Behave in an overly authoritative manner","Give an ultimatum - unless you are prepared, and able, to follow it through "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:34:14',
			'modified' => '2024-07-31 11:34:14'
		),
		(int) 65 => array(
			'id' => '2945',
			'course_id' => '110',
			'course_lesson_id' => '479',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Do:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Be prepared for problems","Avoid behaviour that is likely to provoke patients","Keep calm","Be respectful and tolerant","Remember that silence can be helpful","Listen and try to understand","Get help if you fear that violence is likely"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:34:14',
			'modified' => '2024-07-31 11:34:14'
		),
		(int) 66 => array(
			'id' => '2946',
			'course_id' => '110',
			'course_lesson_id' => '480',
			'field_type' => 'bullet-points',
			'field_label' => 'Key Points',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Violent behaviour can have an adverse personal effect on staff and it can impact negatively on the standards of patient care","Common causes of conflict include poor communication, poor physical health, religion and cultural differences and environmental factors","You can use verbal communication and body language to minimise the likelihood of conflict. Picking up on body language can give you a better indication of someone's state of anxiety or level of agitation","The attitude and behavioural cycle establishes a link between attitude and behaviour. Positive attitude creates a virtuous cycle of positive behaviour","People who work alone are at increased risk of physical/verbal abuse and harassment from patients, relatives or members of the public","You should always have an awareness of your environment and surroundings. Keeping a physical distance allows time to think, react and get out of the way","The use of force in self-defence must be reasonable - it should be proportionate and necessary","Following a violent incident, longer-term support may be required. People requiring support may include those directly affected, anyone who witnessed the incident and those who are based or work in the vicinity"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:36:02',
			'modified' => '2024-07-31 11:36:02'
		),
		(int) 67 => array(
			'id' => '2947',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following may cause conflict?',
			'description' => 'Choose one or more options and select Submit',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A patient in a drop-in centre not realising that they need to pick up a ticket before they sit down","A family member expecting an immediate response to a question about a patient\u2019s condition","A drunken person coming in off the street"," A patient being told that a consultant can\u2019t make an arranged appointment due to an emergency"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 68 => array(
			'id' => '2948',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Indicate the normal order of individual's emotions during a conflict escalation?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Violence, anger, frustration, aggression","Frustration, aggression, anger, violence","Frustration, anger, aggression, violence","Anger, violence, frustration, aggression"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 69 => array(
			'id' => '2949',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'An irate visitor comes up to you and demands information on a patient who has just been admitted. How would you use communication skills to diffuse the situation?',
			'description' => 'Choose four options and select Submit.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Speak quickly to get the message across","Maintain eye contact, blinking slowly"," Touch the visitor","Keep a relaxed and open posture when talking to the visitor"," Consider the effect of the words you use","Ensure you have a calm and soft tone of voice"]',
			'field_correct' => '1,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 70 => array(
			'id' => '2950',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'A patient verbally abuses a member of staff. The staff member does not report it as they see this as part of their role. As training is based around reported incidents, this does not get picked up. What action should the staff member take?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Not report verbal abuse as receiving it is part of their role","Report all incidents of abuse including verbal to enable the organisation to learn and better support staff and patients","Verbally retaliate"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 71 => array(
			'id' => '2951',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Non-verbal communication is particularly important when:',
			'description' => 'Choose two options and select Submit.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["You are dealing with emotional issues","You are talking on the telephone","You are in a conflict situation","You are sending a text"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 72 => array(
			'id' => '2952',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the main forms of communication?',
			'description' => 'Choose two options and select Submit.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Visual","Auditory","Verbal","Non-verbal"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 73 => array(
			'id' => '2953',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following may be causes of breakdown in communication?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Emotional state of the patient","Patient feeling hot, in pain or hungry","Language barrier","PPE and face coverings","Noisy environment","Power and authority"]',
			'field_correct' => '0,1,2,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 74 => array(
			'id' => '2954',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What do you need to do to improve communication?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Talk slowly and clearly","Check that you are being understood","Don't talk down to a patient","Adopt an open posture","Repeat information if required"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 75 => array(
			'id' => '2955',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'During a conflict situation, the aggressor looks away but still appears agitated and goes quiet. How might these signs be interpreted?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" You have successfully de-escalated this conflict","A physical attack may be imminent","You have scared the aggressor into submission"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 76 => array(
			'id' => '2956',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Jenny is a health visitor who was physically assaulted by a patient’s father during a home visit. On her report Jenny states that the man was ‘extremely quiet and was showing no outward signs of being angry’. Why should Jenny have been more concerned by this man’s behaviour?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["People who go quiet when they are angry may be more volatile than people who show their anger"," People who go quiet when they are angry usually have emotional issues","People who go quiet when they are angry may be less volatile than people who show their anger"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 77 => array(
			'id' => '2957',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'When working alone what do you need to ensure in order to help protect yourself from potential conflicts?',
			'description' => 'Choose four options and select Submit.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["You work to a specified, agreed appointments list","You undertake a dynamic risk assessment for new situations","You have a mobile phone available to use","You carry an implement you can use as a weapon if required","You keep in contact with colleagues or managers"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 78 => array(
			'id' => '2958',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'How might the procedures relating to the provision of a health service contribute to the escalation of conflict?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Patients may have to repeat information to various staff members"," Patients may have to answer personal questions","Patients may have to wait to receive the service","Patients may have to undergo invasive procedures"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 79 => array(
			'id' => '2959',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following defines the 'reactionary gap'?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The minimum distance between two people to enable a response to a potential threat","The time taken to leave the area where a conflict is taking place","The minimum distance you should be from an exit route"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 80 => array(
			'id' => '2960',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'A community physiotherapist is required to enter a patient's intimate space to manipulate a leg joint. What could they do to minimise the risks of conflict?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Communicate well","Ensure the patient is put at ease","Explain the procedure","Always physically restrain the patient","Approach the patient in a professional manner"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 81 => array(
			'id' => '2961',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What does the phrase 'calming or slowing' mean in a conflict situation?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Slowing down the rate of communication and breaking the flow into manageable sections","Ensuring your movements are not rapid","Breathing more slowly"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 82 => array(
			'id' => '2962',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'single-choice',
			'field_label' => 'Once you have found a strategy for successfully dealing with a conflict situation, the same strategy should then be used for all other conflict situations.',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 83 => array(
			'id' => '2963',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the key elements that define 'reasonable force'?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '16',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Minimum use of force","Proportionate","Necessary"]',
			'field_correct' => '0,1,2',
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 84 => array(
			'id' => '2964',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'single-choice',
			'field_label' => 'An irate patient enters a GP surgery shouting abuse. He pulls out a knife and threatens the receptionist while demanding to see a doctor. As the situation develops it becomes clear that it will be necessary to use reasonable force to protect the surgery staff and patients. Which of the following best describes ‘reasonable force’?',
			'description' => 'An irate patient enters a GP surgery shouting abuse. He pulls out a knife and threatens the receptionist while demanding to see a doctor. As the situation develops it becomes clear that it will be necessary to use reasonable force to protect the surgery staff and patients. Which of the following best describes ‘reasonable force’?',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The use of force for self-defence or to protect others without using more force than is necessary","Using force on a patient that will result in staff being prosecuted","Refusing to treat a patient who is being abusive and violent"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 85 => array(
			'id' => '2965',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What support is offered by the organisation Victim Support?',
			'description' => 'Choose four options and select Submit.',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Emotional support","Payments for victims of violence","Practical support","Telephone support via support line","Confidential support"]',
			'field_correct' => '0,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 86 => array(
			'id' => '2966',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'How might a Trust benefit from offering support to staff following a violent incident?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Staff will take less time to recover","Staff are more committed to the Trust","Staff will be retained longer","The Trust will gain a reputation as a good employer"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 87 => array(
			'id' => '2967',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is the role of the Security Management Specialist within your organisation?',
			'description' => 'Choose the two correct options and select Submit.',
			'field_order' => '20',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To ensure all doors and windows are secure","To check all staff mileage claims at the end of each month","To investigate incidents of physical assault on Trust staff"," To advise the Trust on physical security measures"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 88 => array(
			'id' => '2968',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'The letters of the LEAPS model of communication stands for which of the following?',
			'description' => 'Choose the correct options and select Submit.',
			'field_order' => '21',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Listening, Empathising, Asking, Paraphrasing, Summarising"," Lunging, Engaging, Assisting, Prosecuting, Suspecting"," Learning, Encountering, Advising, Posturing, Succeeding"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 89 => array(
			'id' => '2969',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following describe the PALMS model of communication?',
			'description' => 'Choose two correct options and select Submit.',
			'field_order' => '22',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The use of your palms to prevent an attack","A non-aggressive stance, giving appropriate space","Communicating that you want to help resolve the issue"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		)
	),
	'LessonFieldList' => array(
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				[maximum depth reached]
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			(int) 1 => array(
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			(int) 3 => array(
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			(int) 4 => array(
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			(int) 5 => array(
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			),
			(int) 6 => array(
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			),
			(int) 7 => array(
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			(int) 8 => array(
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			(int) 11 => array(
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		(int) 468 => array(
			(int) 0 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
				[maximum depth reached]
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			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		(int) 469 => array(
			(int) 0 => array(
				[maximum depth reached]
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		),
		(int) 470 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
				[maximum depth reached]
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			(int) 4 => array(
				[maximum depth reached]
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		),
		(int) 471 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
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			(int) 2 => array(
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			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 472 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
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		(int) 473 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		(int) 474 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		(int) 475 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			)
		),
		(int) 476 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 477 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			)
		),
		(int) 478 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		(int) 479 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			)
		),
		(int) 480 => array(
			(int) 0 => array(
				[maximum depth reached]
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		),
		(int) 481 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			)
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	),
	'LessonFieldAll' => array(
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			'id' => '2878',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'In 2015/16, there were 70,555 reported physical assaults against NHS staff in England. Anecdotal evidence shows there has been an increase in attacks on staff including emergency workers.

It is essential that all staff feel safe whilst at work. Violent behaviour can have an adverse personal effect on staff and it can impact negatively on the standards of patient care.

This session describes the impact that violence and aggression can have on an individual and steps that can be taken to avoid conflict.',
			'field_order' => '0',
			'attachment_id' => '1273',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 1 => array(
			'id' => '2879',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Firstly, it is important that we consider the definition of conflict. Conflict is described as:

A disagreement, struggle or fight, to be incompatible.  A common factor is that there are issues with communication between the parties involved.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 2 => array(
			'id' => '2880',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following do you think can cause conflict?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Poor communication","Poor information sharing","Staff attitude","Physical health","Unmet needs","Environmental factors","Religious and cultural differences","Lack of resources"]',
			'field_correct' => '0,1,2,3,4,5,6,7',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 3 => array(
			'id' => '2881',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => 'Assault',
			'description' => 'Assault is an extreme form of conflict. There are two types of assault:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 4 => array(
			'id' => '2882',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'bullet-points',
			'field_label' => 'Physical Assault (also known as Assault and Battery) ',
			'description' => 'The intentional application of force to a person from another, without lawful justification, resulting in physical injury or personal discomfort. 

There are three key phrases in relation to physical assault: ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Intentional – a person has to have mental capacity and intent for it to be considered as a possible criminal act. Examples of people who may not have capacity include dementia patients, stroke victims, someone in extreme pain ","Lawful justification – sometimes there’s lawful justification in being hands on which prevents it being an assault, for example use of reasonable force, physical interventions within mental health trusts and security staff ","Physical injury or personal discomfort – within Learning Disability services or when working with children there’s a lot of pinching, touching and minor slaps, all, by definition physical assaults as there’s physical contact but they wouldn’t be reported as such unless it affects the victim or breaks an acceptable threshold "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 5 => array(
			'id' => '2883',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'bullet-points',
			'field_label' => 'Non-physical Assault (also known as Verbal Assault) ',
			'description' => 'The use of inappropriate words or behaviour causing distress and/or constituting harassment. Examples include: ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Threatening behaviour (for example, threatening to hit someone but there is no actual physical contact) ","Abusive behaviour (verbal or by any other means of communication – email, texting, graffiti, via social media, includes swearing or other offensive language) ","Anything racial or sexual in nature (a potential hate crime) ","Harassment ","Stalking "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 6 => array(
			'id' => '2884',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'text-image',
			'field_label' => 'The Assault Cycle [2] is a 5-stage model that helps to identify why an assault has occurred and the most appropriate type of intervention.',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1274',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 7 => array(
			'id' => '2885',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'bullet-points',
			'field_label' => 'Trigger Phase',
			'description' => 'The trigger phase is the aggressor’s first behaviours which indicate a movement away from how they usually behave.

Unless you have a detailed understanding of the person, these early warning signs may be missed.

The change in behaviour may well reflect a sense of being psychologically ill at ease. When identified, it is important to try different interventions to prevent further escalation. Consider the following:',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Environment - too hot/too cold/too noisy etc.","Other patients and staff around you","Meetings about their care or mental health","Loss of freedom ","Change in routine or the routine itself","Frustration for any reason","Contact with family, for example a good/bad visit","Loss of contact with family and/or friends"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 8 => array(
			'id' => '2886',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'There may be no obvious triggers.',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 9 => array(
			'id' => '2887',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'bullet-points',
			'field_label' => 'Escalation phase',
			'description' => 'This phase leads directly to assaultive behaviour. The patient deviates more and more from their baseline behaviours.

If there is no intervention, the deviation becomes increasingly obvious and it is more difficult to divert their attention on to other activities.

They become overly focussed on a particular issue and are less likely to respond to any form of rational intervention.

It is therefore necessary to intervene as early as possible in this phase. This can be done by:',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Counselling","Removal from the immediate environment","Anger management techniques"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 10 => array(
			'id' => '2888',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => 'Crisis phase',
			'description' => 'As the patient becomes increasingly physically, emotionally and psychologically aroused, his or her control over aggressive impulses lessens and direct assaultive behaviour becomes likely.

Simultaneously, your physical and psychological responses may be hampering your control and effectiveness.

In this phase, the least effective strategy is to adopt an intervention that presumes the patient can respond rationally.

It is important to focus on the safety of yourself, the patient and anyone else who may be threatened.

Options may be limited - escape from danger.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 11 => array(
			'id' => '2889',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => 'Plateau and post crisis depression phases',
			'description' => 'During the recovery phase, the patient may start to relax and decreases any aggressive behaviour. It is important to note that the confrontation may appear to be over but it could be temporary and could easily re-escalate.
 
During the post-crisis phase the patient tries to return to a stable base level and may experience tiredness, depression and guilt.',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 12 => array(
			'id' => '2893',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'text-image',
			'field_label' => 'You can use verbal communication and body language to minimise the likelihood of conflict. Picking up on body language can give you a better indication of someone's state of anxiety or level of agitation.',
			'description' => 'Please be aware that due to PPE, such as visors and masks, being worn during Covid-19 this may inhibit communication when trying to communicate with someone who is becoming angry.',
			'field_order' => '0',
			'attachment_id' => '1275',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 13 => array(
			'id' => '2891',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Verbal communication',
			'description' => 'There are two elements to verbal communication:

Verbal spoken

For example, you could try the following:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Say something positive","Change the subject","Use humour (sparingly) to lighten the mood (be very careful with this!)","Motivate the other person","Empathise with the other person","Give choices","Set limits"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 14 => array(
			'id' => '2892',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Para-verbal',
			'description' => 'For example, consider the following',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Tone of voice","Pitch","Volume"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 15 => array(
			'id' => '2894',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Non-verbal communication',
			'description' => 'Non-verbal communication includes facial expression, eye contact, proximity and body language such as gestures and posture.

Ways to improve your body language include:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Keep your body relaxed and open","Use open hand language","Breathe deeply and calmly","Respect personal space","Be aware of your facial expressions","Avoid making sudden movements","Don’t stare"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 16 => array(
			'id' => '2895',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'text-image',
			'field_label' => 'Non-matching behaviour is when your body language contradicts what you say. ',
			'description' => ' People pick up on this, even if we think we are not being obvious. You will find being genuine, open and honest reduces the probability of conflict.',
			'field_order' => '4',
			'attachment_id' => '1276',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 17 => array(
			'id' => '2896',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Communication impact',
			'description' => 'Communication, as defined by the Mehrabian Model, is:

7% from the spoken word
38% from the tone of voice
55% from non-verbal/body language [3]
In other words:',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["What you say is less important than how you say it","People believe what they see before they believe what they hear","People are persuaded by attitude and appearance"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 18 => array(
			'id' => '2897',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Non-verbal communication is particularly important when dealing with emotional issues.',
			'field_order' => '6',
			'attachment_id' => '1277',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 19 => array(
			'id' => '2898',
			'course_id' => '110',
			'course_lesson_id' => '469',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Communication breakdown can occur for various reasons. Factors that contribute may include:',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The language used (English not a first language, dialect/accent, complexity/jargon used)","The environment - noise levels (too loud or too quiet), temperature (too hot and people may feel sleepy)","Personal emotions - fear, anxiety, stress, anger, confusion","Alcohol or drugs - both prescriptive medication or illicit substances","Disabilities - hard of hearing, speech impediment","Cultural differences - cross-cultural communication is very often hampered by a lack of understanding between the participants and, even when both parties want the same outcome, these differences can lead to conflict. Be aware that what you say and how you say it can be misunderstood as can your body language","Stereotyping or preconceived ideas ","Non-matching behaviour - conflict between what you say and how you say it","Educational background differences - differing education backgrounds may hinder the understanding of the listener and cause confusion or anger","Cognitive difficulties – dementia, learning disabilities","Mental health"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:43:11',
			'modified' => '2024-07-31 10:43:11'
		),
		(int) 20 => array(
			'id' => '2899',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'The attitude and behavioural cycle establish a link between attitude and behaviour. Positive attitude creates a virtuous cycle of positive behaviour.',
			'field_order' => '0',
			'attachment_id' => '1278',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 21 => array(
			'id' => '2900',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'paragraph',
			'field_label' => 'My attitude',
			'description' => 'Health professional: "I'm really angry because I've been put on nights again."',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 22 => array(
			'id' => '2901',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'text-links',
			'field_label' => 'My behaviour',
			'description' => 'Health professional: "I’m ignoring the bell call from one of my patients as they constantly ring it for no reason."',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 23 => array(
			'id' => '2902',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'paragraph',
			'field_label' => 'Your attitude',
			'description' => 'Patient: "No one wants to help me in this hospital. I don’t want to be here anymore."',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 24 => array(
			'id' => '2903',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'paragraph',
			'field_label' => 'Your behaviour',
			'description' => 'Patient: "I’m going to swear and be unpleasant to the next person who comes to help me as I have been ignored for the last 45 minutes."',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 25 => array(
			'id' => '2904',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'The basics',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["De-escalate yourself first - remember to breathe","Act calm - neutral facial expression, relaxed body, minimal gestures","Reassure yourself - positive self-talk and project success","Ask for help"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 26 => array(
			'id' => '2905',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Then:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Assess the individual’s emotional state","Identify trigger factors","Reassure them to try to reduce anxiety","Talk/listen","Problem solve, for example risk assess the situation, be aware of your environment or those who might present a threat","Keep a relaxed and alert posture"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 27 => array(
			'id' => '2906',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Personal safety',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Maintain an adequate distance between you and the other person","Allow space and time - back off if they advance towards you","Adopt a stance where hands are open and positioned above the waist as this facilitates the natural flinch response to protect oneself","Move towards a safe place ","Ask for any weapon to be put down (not handed over)","If any object constituting a weapon is produced, staff should immediately evacuate the location"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 28 => array(
			'id' => '2907',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'paragraph',
			'field_label' => 'NEVER attempt to deal with an armed individual. ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 29 => array(
			'id' => '2908',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'The language you use can have a big impact on how the other person reacts. Avoid the following:',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Ordering, e.g. you must...; you have to...","Threatening, e.g. if you don’t, then","Preaching, e.g. you should…","Lecturing, e.g. here’s why you are wrong…","Judging, e.g. you’ll never change","Excusing, e.g. it’s not so bad","Labelling, e.g. you’re being unrealistic "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 30 => array(
			'id' => '2909',
			'course_id' => '110',
			'course_lesson_id' => '472',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'People who work alone are at increased risk of physical/verbal abuse and harassment from patients, relatives or members of the public. Employers have a duty to protect them from risk of physical and verbal abuse by carrying out risk assessments and providing lone worker devices.',
			'field_order' => '0',
			'attachment_id' => '1279',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:56:07',
			'modified' => '2024-07-31 10:56:07'
		),
		(int) 31 => array(
			'id' => '2910',
			'course_id' => '110',
			'course_lesson_id' => '472',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Employees should take practical steps to improve their personal safety by:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Attending training","Adhering to lone workers' policy and procedures","Reporting near misses and incidents"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:56:07',
			'modified' => '2024-07-31 10:56:07'
		),
		(int) 32 => array(
			'id' => '2911',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'We need to recognise when a situation is escalating so that we respond appropriately.

Conflict can be divided into three different levels. When dealing with each of these levels, it is important to use the right strategy. Dealing with a 'hiccup' in the same way as a crisis would not be productive. This would be like using a hammer to crack a nut.',
			'field_order' => '0',
			'attachment_id' => '1280',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 33 => array(
			'id' => '2912',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => 'Hiccups',
			'description' => 'Hiccups are conflicts that are no more than a minor irritation, are inevitable and part of our daily lives. These are generally easier and quicker to deal with and sort out.',
			'field_order' => '1',
			'attachment_id' => '1281',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 34 => array(
			'id' => '2913',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => 'Clash',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1282',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 35 => array(
			'id' => '2914',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => 'Crisis',
			'description' => 'A crisis can be very traumatic and, in some cases, dangerous. These are infrequent but more severe and more difficult to deal with (named third party intervention) this is when we see Violence and Aggression occur.',
			'field_order' => '3',
			'attachment_id' => '1283',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 36 => array(
			'id' => '2915',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Some non-verbal and verbal warning and danger signs:',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The face becomes flushed","Breathing becomes shallow","Sweating may be visible on the forehead","Gaze may increase in intensity","Tone in voice hardens and often becomes louder","Sometimes a distinct pulse is visible in the neck","Shoulders rise and arms extend away from the body","Fists clench and the forearms rise","Body weight shifts forward and is taken on toes"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 37 => array(
			'id' => '2918',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'text-image',
			'field_label' => 'Let's take a look at three different models that may help when dealing with different levels of conflict.',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1285',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 38 => array(
			'id' => '2922',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => 'LEAPS',
			'description' => 'The LEAPS model (George Thompson) has been designed to help you structure your communication into an easily remembered format. If used effectively, it can help to prevent communication breakdowns before they become a problem. It may be used during a 'hiccup'.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Listen to the other person, it shows you're interested and that you care","Empathise this will help diffuse the situation. Using phrases like 'I can see this has made you angry'","Ask question, this might help you discover facts","Paraphrase, this shows the person that you are listening and trying to understand their problem","Summarise, reach an agreement and a way forward"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 39 => array(
			'id' => '2920',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1286',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 40 => array(
			'id' => '2921',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => 'CUDSA',
			'description' => 'The CUDSA model may be used during 'clashes'.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Confront the conflict","Understand the other person's point of view","Define the problem","Search for a solution","Agree a solution applicable to both parties"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 41 => array(
			'id' => '2916',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1284',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 42 => array(
			'id' => '2917',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => 'PALMS',
			'description' => 'The PALMS model may be used during a 'crisis'.',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Position yourself - Where are you in relation to escape routes?","Attitude - is your attitude non-inflammatory?","Look and listen - are you aware of minor changes, could they be significant?","Make space - have you thought about your personal space?","Stance - is your stance non-inflammatory?"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 43 => array(
			'id' => '2923',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'A risk assessment identifies the nature, severity, imminence, frequency, duration and likelihood of harm to self or others.',
			'description' => 'When in a conflict situation, use the SAFER approach to conducting a dynamic risk assessment.


',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 44 => array(
			'id' => '2925',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Step back ',
			'description' => ' physically and mentally.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 45 => array(
			'id' => '2924',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'bullet-points',
			'field_label' => 'Assess the threat',
			'description' => '(people, objects, places).',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["People - sex, age, size, skills, mental state, numbers present, physical or mental tiredness","Objects - alcohol, drugs, potential weapons, items of value, time of the day, animals","Places - excessive noise, safe exits, room layout, public or private premises, slip/trip hazards, imminent danger"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 46 => array(
			'id' => '2926',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Find ',
			'description' => 'help',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 47 => array(
			'id' => '2927',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Evaluate',
			'description' => 'your options',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 48 => array(
			'id' => '2928',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Respond',
			'description' => 'in an appropriate manner.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 49 => array(
			'id' => '2929',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Personal space is culturally defined but is usually:',
			'field_order' => '0',
			'attachment_id' => '1288',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 50 => array(
			'id' => '2930',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Intimate',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Up to 0.5m","People we feel very close to"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 51 => array(
			'id' => '2931',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Personal',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["About 1.2m","Friends and associates"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 52 => array(
			'id' => '2932',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Social',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["About 2.4m","New acquaintances"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 53 => array(
			'id' => '2933',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Public',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["2.4m plus","Larger audiences"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 54 => array(
			'id' => '2934',
			'course_id' => '110',
			'course_lesson_id' => '477',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'You should always have an awareness of your environment and surroundings. Keeping a physical distance allows time to think, react and get out of the way.

Ensure you have an appropriate and comfortable space between you and an aggressive person and, if necessary, place a barrier between yourself and the aggressor.

Have an escape route/plan ready to be put into use. Get away if communication has not resolved the situation. Use passive compliance if you can’t get away.

Only use force when absolutely necessary (reasonable, appropriate and necessary) to protect yourself and others.',
			'field_order' => '0',
			'attachment_id' => '1289',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:23:36',
			'modified' => '2024-07-31 11:23:36'
		),
		(int) 55 => array(
			'id' => '2935',
			'course_id' => '110',
			'course_lesson_id' => '477',
			'field_type' => 'paragraph',
			'field_label' => 'The use of force in self-defence must be reasonable:',
			'description' => '"A person may use such force as is reasonable in the circumstances in the prevention of crime, or in the effecting or assisting in the lawful arrest of offenders or suspected offenders or persons unlawfully at large"

',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:23:36',
			'modified' => '2024-07-31 11:23:36'
		),
		(int) 56 => array(
			'id' => '2936',
			'course_id' => '110',
			'course_lesson_id' => '477',
			'field_type' => 'bullet-points',
			'field_label' => 'Reasonable force is force that is deemed as:',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Proportionate - Is the amount of harm to be suffered correct or suitable in size, amount, or degree when considered in relation to something else? For example, if a patient attacks another patient and staff requests to stop are ignored, then staff may have to physically intervene by using a degree of force. ","Necessary - Is the action necessary and would a failure to carry it out result in a greater degree of damage to self or others? For example, on an acute admission ward a patient has been telling a nurse that they are angry with a doctor and is going to assault them. The nurse sees that the doctor the patient is angry with arrives on shift, the patient approaches them and the nurse has to physically intervene."]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:23:36',
			'modified' => '2024-07-31 11:23:36'
		),
		(int) 57 => array(
			'id' => '2937',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Immediately after a violent incident a number of actions need to be taken.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 58 => array(
			'id' => '2938',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'Questions to ask',
			'description' => 'The following questions provide a useful guide:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Has anyone been injured?","Do they need medical or any other assistance?","Have the individuals affected been moved to a place of safety?","Does the cause of the incident remain and is there risk of further incidents?","Has the incident been reported or the alarm raised?","Have the police been called?","Has an incident report form been completed?"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 59 => array(
			'id' => '2940',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'paragraph',
			'field_label' => 'Reporting',
			'description' => 'If the incident is not reported, it is as if it did not happen. Without reporting it, steps can’t be taken to prevent it happening again.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 60 => array(
			'id' => '2939',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'Support',
			'description' => 'Following a violent incident, longer-term support may be required. People requiring support may include those directly affected, anyone who witnessed the incident and those who are based or work in the vicinity.

Post-incident support may come from:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Colleagues","Trade union","An individual’s line manager","Occupational Health services","Human Resources (for example, in relation to a phased return to work)","Employee counselling services","Victim Support","Criminal Injuries Compensation Authority"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 61 => array(
			'id' => '2941',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'An organisation needs to fully support its employees:',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["It has a legal duty for their safety","No one should be placed needlessly at risk","It needs to reduce the potential impact of an incident","All incidents need to be fully investigated","Appropriate training needs to be provided"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 62 => array(
			'id' => '2942',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'The benefits include:',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Employees feel valued and respected","Preventative measures provide assurance and security","Employee welfare is supported","Lessons learnt can prevent future incidents from occurring","Employees feel empowered ","The financial and reputational cost or impact is reduced"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 63 => array(
			'id' => '2943',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'In addition to support channels outlined above, it is important that you are aware of the security management roles in your organisation.

Director with Responsibility for Security
The role of the Director with responsibility for security (or equivalent) in your organisation is to be the named responsible board member for security management within the Trust.

Security Management Specialist (SMS)
Operationally responsible for the implementation of the national strategy for managing security and tailoring it to local requirements.',
			'field_order' => '6',
			'attachment_id' => '1290',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 64 => array(
			'id' => '2944',
			'course_id' => '110',
			'course_lesson_id' => '479',
			'field_type' => 'bullet-points',
			'field_label' => 'As an employee, you also have a responsibility to ensure your own personal safety.',
			'description' => 'Do not:',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Show hostility","Use provocative language ","Raise your voice","Show signs of irritation","Behave in an overly authoritative manner","Give an ultimatum - unless you are prepared, and able, to follow it through "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:34:14',
			'modified' => '2024-07-31 11:34:14'
		),
		(int) 65 => array(
			'id' => '2945',
			'course_id' => '110',
			'course_lesson_id' => '479',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Do:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Be prepared for problems","Avoid behaviour that is likely to provoke patients","Keep calm","Be respectful and tolerant","Remember that silence can be helpful","Listen and try to understand","Get help if you fear that violence is likely"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:34:14',
			'modified' => '2024-07-31 11:34:14'
		),
		(int) 66 => array(
			'id' => '2946',
			'course_id' => '110',
			'course_lesson_id' => '480',
			'field_type' => 'bullet-points',
			'field_label' => 'Key Points',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Violent behaviour can have an adverse personal effect on staff and it can impact negatively on the standards of patient care","Common causes of conflict include poor communication, poor physical health, religion and cultural differences and environmental factors","You can use verbal communication and body language to minimise the likelihood of conflict. Picking up on body language can give you a better indication of someone's state of anxiety or level of agitation","The attitude and behavioural cycle establishes a link between attitude and behaviour. Positive attitude creates a virtuous cycle of positive behaviour","People who work alone are at increased risk of physical/verbal abuse and harassment from patients, relatives or members of the public","You should always have an awareness of your environment and surroundings. Keeping a physical distance allows time to think, react and get out of the way","The use of force in self-defence must be reasonable - it should be proportionate and necessary","Following a violent incident, longer-term support may be required. People requiring support may include those directly affected, anyone who witnessed the incident and those who are based or work in the vicinity"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:36:02',
			'modified' => '2024-07-31 11:36:02'
		),
		(int) 67 => array(
			'id' => '2947',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following may cause conflict?',
			'description' => 'Choose one or more options and select Submit',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A patient in a drop-in centre not realising that they need to pick up a ticket before they sit down","A family member expecting an immediate response to a question about a patient\u2019s condition","A drunken person coming in off the street"," A patient being told that a consultant can\u2019t make an arranged appointment due to an emergency"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 68 => array(
			'id' => '2948',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Indicate the normal order of individual's emotions during a conflict escalation?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Violence, anger, frustration, aggression","Frustration, aggression, anger, violence","Frustration, anger, aggression, violence","Anger, violence, frustration, aggression"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 69 => array(
			'id' => '2949',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'An irate visitor comes up to you and demands information on a patient who has just been admitted. How would you use communication skills to diffuse the situation?',
			'description' => 'Choose four options and select Submit.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Speak quickly to get the message across","Maintain eye contact, blinking slowly"," Touch the visitor","Keep a relaxed and open posture when talking to the visitor"," Consider the effect of the words you use","Ensure you have a calm and soft tone of voice"]',
			'field_correct' => '1,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 70 => array(
			'id' => '2950',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'A patient verbally abuses a member of staff. The staff member does not report it as they see this as part of their role. As training is based around reported incidents, this does not get picked up. What action should the staff member take?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Not report verbal abuse as receiving it is part of their role","Report all incidents of abuse including verbal to enable the organisation to learn and better support staff and patients","Verbally retaliate"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 71 => array(
			'id' => '2951',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Non-verbal communication is particularly important when:',
			'description' => 'Choose two options and select Submit.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["You are dealing with emotional issues","You are talking on the telephone","You are in a conflict situation","You are sending a text"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 72 => array(
			'id' => '2952',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the main forms of communication?',
			'description' => 'Choose two options and select Submit.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Visual","Auditory","Verbal","Non-verbal"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 73 => array(
			'id' => '2953',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following may be causes of breakdown in communication?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Emotional state of the patient","Patient feeling hot, in pain or hungry","Language barrier","PPE and face coverings","Noisy environment","Power and authority"]',
			'field_correct' => '0,1,2,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 74 => array(
			'id' => '2954',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What do you need to do to improve communication?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Talk slowly and clearly","Check that you are being understood","Don't talk down to a patient","Adopt an open posture","Repeat information if required"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 75 => array(
			'id' => '2955',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'During a conflict situation, the aggressor looks away but still appears agitated and goes quiet. How might these signs be interpreted?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" You have successfully de-escalated this conflict","A physical attack may be imminent","You have scared the aggressor into submission"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 76 => array(
			'id' => '2956',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Jenny is a health visitor who was physically assaulted by a patient’s father during a home visit. On her report Jenny states that the man was ‘extremely quiet and was showing no outward signs of being angry’. Why should Jenny have been more concerned by this man’s behaviour?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["People who go quiet when they are angry may be more volatile than people who show their anger"," People who go quiet when they are angry usually have emotional issues","People who go quiet when they are angry may be less volatile than people who show their anger"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 77 => array(
			'id' => '2957',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'When working alone what do you need to ensure in order to help protect yourself from potential conflicts?',
			'description' => 'Choose four options and select Submit.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["You work to a specified, agreed appointments list","You undertake a dynamic risk assessment for new situations","You have a mobile phone available to use","You carry an implement you can use as a weapon if required","You keep in contact with colleagues or managers"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 78 => array(
			'id' => '2958',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'How might the procedures relating to the provision of a health service contribute to the escalation of conflict?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Patients may have to repeat information to various staff members"," Patients may have to answer personal questions","Patients may have to wait to receive the service","Patients may have to undergo invasive procedures"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 79 => array(
			'id' => '2959',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following defines the 'reactionary gap'?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The minimum distance between two people to enable a response to a potential threat","The time taken to leave the area where a conflict is taking place","The minimum distance you should be from an exit route"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 80 => array(
			'id' => '2960',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'A community physiotherapist is required to enter a patient's intimate space to manipulate a leg joint. What could they do to minimise the risks of conflict?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Communicate well","Ensure the patient is put at ease","Explain the procedure","Always physically restrain the patient","Approach the patient in a professional manner"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 81 => array(
			'id' => '2961',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What does the phrase 'calming or slowing' mean in a conflict situation?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Slowing down the rate of communication and breaking the flow into manageable sections","Ensuring your movements are not rapid","Breathing more slowly"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 82 => array(
			'id' => '2962',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'single-choice',
			'field_label' => 'Once you have found a strategy for successfully dealing with a conflict situation, the same strategy should then be used for all other conflict situations.',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 83 => array(
			'id' => '2963',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the key elements that define 'reasonable force'?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '16',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Minimum use of force","Proportionate","Necessary"]',
			'field_correct' => '0,1,2',
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 84 => array(
			'id' => '2964',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'single-choice',
			'field_label' => 'An irate patient enters a GP surgery shouting abuse. He pulls out a knife and threatens the receptionist while demanding to see a doctor. As the situation develops it becomes clear that it will be necessary to use reasonable force to protect the surgery staff and patients. Which of the following best describes ‘reasonable force’?',
			'description' => 'An irate patient enters a GP surgery shouting abuse. He pulls out a knife and threatens the receptionist while demanding to see a doctor. As the situation develops it becomes clear that it will be necessary to use reasonable force to protect the surgery staff and patients. Which of the following best describes ‘reasonable force’?',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The use of force for self-defence or to protect others without using more force than is necessary","Using force on a patient that will result in staff being prosecuted","Refusing to treat a patient who is being abusive and violent"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 85 => array(
			'id' => '2965',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What support is offered by the organisation Victim Support?',
			'description' => 'Choose four options and select Submit.',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Emotional support","Payments for victims of violence","Practical support","Telephone support via support line","Confidential support"]',
			'field_correct' => '0,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 86 => array(
			'id' => '2966',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'How might a Trust benefit from offering support to staff following a violent incident?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Staff will take less time to recover","Staff are more committed to the Trust","Staff will be retained longer","The Trust will gain a reputation as a good employer"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 87 => array(
			'id' => '2967',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is the role of the Security Management Specialist within your organisation?',
			'description' => 'Choose the two correct options and select Submit.',
			'field_order' => '20',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To ensure all doors and windows are secure","To check all staff mileage claims at the end of each month","To investigate incidents of physical assault on Trust staff"," To advise the Trust on physical security measures"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 88 => array(
			'id' => '2968',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'The letters of the LEAPS model of communication stands for which of the following?',
			'description' => 'Choose the correct options and select Submit.',
			'field_order' => '21',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Listening, Empathising, Asking, Paraphrasing, Summarising"," Lunging, Engaging, Assisting, Prosecuting, Suspecting"," Learning, Encountering, Advising, Posturing, Succeeding"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 89 => array(
			'id' => '2969',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following describe the PALMS model of communication?',
			'description' => 'Choose two correct options and select Submit.',
			'field_order' => '22',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The use of your palms to prevent an attack","A non-aggressive stance, giving appropriate space","Communicating that you want to help resolve the issue"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '2878',
		(int) 1 => '2879',
		(int) 2 => '2880',
		(int) 3 => '2881',
		(int) 4 => '2882',
		(int) 5 => '2883',
		(int) 6 => '2884',
		(int) 7 => '2885',
		(int) 8 => '2886',
		(int) 9 => '2887',
		(int) 10 => '2888',
		(int) 11 => '2889',
		(int) 12 => '2893',
		(int) 13 => '2891',
		(int) 14 => '2892',
		(int) 15 => '2894',
		(int) 16 => '2895',
		(int) 17 => '2896',
		(int) 18 => '2897',
		(int) 19 => '2898',
		(int) 20 => '2899',
		(int) 21 => '2900',
		(int) 22 => '2901',
		(int) 23 => '2902',
		(int) 24 => '2903',
		(int) 25 => '2904',
		(int) 26 => '2905',
		(int) 27 => '2906',
		(int) 28 => '2907',
		(int) 29 => '2908',
		(int) 30 => '2909',
		(int) 31 => '2910',
		(int) 32 => '2911',
		(int) 33 => '2912',
		(int) 34 => '2913',
		(int) 35 => '2914',
		(int) 36 => '2915',
		(int) 37 => '2918',
		(int) 38 => '2922',
		(int) 39 => '2920',
		(int) 40 => '2921',
		(int) 41 => '2916',
		(int) 42 => '2917',
		(int) 43 => '2923',
		(int) 44 => '2925',
		(int) 45 => '2924',
		(int) 46 => '2926',
		(int) 47 => '2927',
		(int) 48 => '2928',
		(int) 49 => '2929',
		(int) 50 => '2930',
		(int) 51 => '2931',
		(int) 52 => '2932',
		(int) 53 => '2933',
		(int) 54 => '2934',
		(int) 55 => '2935',
		(int) 56 => '2936',
		(int) 57 => '2937',
		(int) 58 => '2938',
		(int) 59 => '2940',
		(int) 60 => '2939',
		(int) 61 => '2941',
		(int) 62 => '2942',
		(int) 63 => '2943',
		(int) 64 => '2944',
		(int) 65 => '2945',
		(int) 66 => '2946',
		(int) 67 => '2947',
		(int) 68 => '2948',
		(int) 69 => '2949',
		(int) 70 => '2950',
		(int) 71 => '2951',
		(int) 72 => '2952',
		(int) 73 => '2953',
		(int) 74 => '2954',
		(int) 75 => '2955',
		(int) 76 => '2956',
		(int) 77 => '2957',
		(int) 78 => '2958',
		(int) 79 => '2959',
		(int) 80 => '2960',
		(int) 81 => '2961',
		(int) 82 => '2962',
		(int) 83 => '2963',
		(int) 84 => '2964',
		(int) 85 => '2965',
		(int) 86 => '2966',
		(int) 87 => '2967',
		(int) 88 => '2968',
		(int) 89 => '2969'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '110'
$k = (int) 14
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
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		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 113 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 112 => array(
		(int) 0 => '13',
		(int) 1 => '64',
		(int) 2 => '62',
		(int) 3 => '63',
		(int) 4 => '61',
		(int) 5 => '60',
		(int) 6 => '7',
		(int) 7 => '6'
	),
	(int) 114 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
	),
	(int) 115 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 118 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 116 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
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			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
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				[maximum depth reached]
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			(int) 31 => array(
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			(int) 32 => array(
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			),
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			(int) 35 => array(
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			),
			(int) 36 => array(
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			),
			(int) 37 => array(
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			(int) 38 => array(
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
			'banner_media_id' => '1616',
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			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 14:59:06',
			'modified' => '2024-08-07 14:26:42',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'field_count' => (int) 52,
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				[maximum depth reached]
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			(int) 15 => array(
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			(int) 16 => array(
				[maximum depth reached]
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			(int) 26 => array(
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			(int) 27 => array(
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			(int) 28 => array(
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			(int) 16 => array(
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			(int) 17 => array(
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			(int) 19 => array(
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			(int) 20 => array(
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			(int) 23 => array(
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			(int) 24 => array(
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			(int) 25 => array(
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			(int) 26 => array(
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			(int) 27 => array(
				[maximum depth reached]
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			(int) 28 => array(
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			(int) 29 => array(
				[maximum depth reached]
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			(int) 30 => array(
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			(int) 31 => array(
				[maximum depth reached]
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			(int) 32 => array(
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			(int) 33 => array(
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			(int) 39 => array(
				[maximum depth reached]
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			(int) 40 => array(
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			(int) 41 => array(
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			(int) 42 => array(
				[maximum depth reached]
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			(int) 43 => array(
				[maximum depth reached]
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			(int) 44 => array(
				[maximum depth reached]
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			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
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			(int) 47 => array(
				[maximum depth reached]
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			(int) 48 => array(
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			(int) 21 => '3431',
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			(int) 23 => '3433',
			(int) 24 => '3434',
			(int) 25 => '3435',
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			(int) 27 => '3437',
			(int) 28 => '3438',
			(int) 29 => '3439',
			(int) 30 => '3440',
			(int) 31 => '3441',
			(int) 32 => '3442',
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			),
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			),
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			),
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			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3166',
			(int) 1 => '3243',
			(int) 2 => '3244',
			(int) 3 => '3169',
			(int) 4 => '3170',
			(int) 5 => '3171',
			(int) 6 => '3245',
			(int) 7 => '3173',
			(int) 8 => '3174',
			(int) 9 => '3175',
			(int) 10 => '3246',
			(int) 11 => '3247',
			(int) 12 => '3178',
			(int) 13 => '3179',
			(int) 14 => '3248',
			(int) 15 => '3181',
			(int) 16 => '3182',
			(int) 17 => '3183',
			(int) 18 => '3249',
			(int) 19 => '3185',
			(int) 20 => '3186',
			(int) 21 => '3187',
			(int) 22 => '3188',
			(int) 23 => '3189',
			(int) 24 => '3190',
			(int) 25 => '3191',
			(int) 26 => '3192',
			(int) 27 => '3193',
			(int) 28 => '3195',
			(int) 29 => '3196',
			(int) 30 => '3197',
			(int) 31 => '3198',
			(int) 32 => '3250',
			(int) 33 => '3200',
			(int) 34 => '3251',
			(int) 35 => '3203',
			(int) 36 => '3204',
			(int) 37 => '3205',
			(int) 38 => '3208',
			(int) 39 => '3206',
			(int) 40 => '3207',
			(int) 41 => '3209',
			(int) 42 => '3210',
			(int) 43 => '3211',
			(int) 44 => '3212',
			(int) 45 => '3213',
			(int) 46 => '3214',
			(int) 47 => '3215',
			(int) 48 => '3216',
			(int) 49 => '3217',
			(int) 50 => '3219',
			(int) 51 => '3218',
			(int) 52 => '3220',
			(int) 53 => '3221',
			(int) 54 => '3222',
			(int) 55 => '3223',
			(int) 56 => '3224',
			(int) 57 => '3225',
			(int) 58 => '3226',
			(int) 59 => '3227',
			(int) 60 => '3228',
			(int) 61 => '3229',
			(int) 62 => '3230',
			(int) 63 => '3231',
			(int) 64 => '3232',
			(int) 65 => '3233',
			(int) 66 => '3234',
			(int) 67 => '3235',
			(int) 68 => '3237',
			(int) 69 => '3238',
			(int) 70 => '3239',
			(int) 71 => '3240',
			(int) 72 => '3241',
			(int) 73 => '3242'
		)
	),
	(int) 11 => array(
		'Course' => array(
			'id' => '113',
			'course_title' => 'Health & Safety (NHS Core Skills)',
			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
			'banner_media_id' => '1418',
			'thumbnail_media_id' => '1419',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'field_count' => (int) 107,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 498 => array(
				[maximum depth reached]
			),
			(int) 499 => array(
				[maximum depth reached]
			),
			(int) 500 => array(
				[maximum depth reached]
			),
			(int) 501 => array(
				[maximum depth reached]
			),
			(int) 502 => array(
				[maximum depth reached]
			),
			(int) 503 => array(
				[maximum depth reached]
			),
			(int) 504 => array(
				[maximum depth reached]
			),
			(int) 505 => array(
				[maximum depth reached]
			),
			(int) 506 => array(
				[maximum depth reached]
			),
			(int) 507 => array(
				[maximum depth reached]
			),
			(int) 508 => array(
				[maximum depth reached]
			),
			(int) 509 => array(
				[maximum depth reached]
			),
			(int) 510 => array(
				[maximum depth reached]
			),
			(int) 511 => array(
				[maximum depth reached]
			),
			(int) 512 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3058',
			(int) 1 => '3059',
			(int) 2 => '3060',
			(int) 3 => '3061',
			(int) 4 => '3062',
			(int) 5 => '3063',
			(int) 6 => '3064',
			(int) 7 => '3065',
			(int) 8 => '3066',
			(int) 9 => '3067',
			(int) 10 => '3068',
			(int) 11 => '3069',
			(int) 12 => '3070',
			(int) 13 => '3071',
			(int) 14 => '3072',
			(int) 15 => '3252',
			(int) 16 => '3253',
			(int) 17 => '3075',
			(int) 18 => '3077',
			(int) 19 => '3076',
			(int) 20 => '3078',
			(int) 21 => '3254',
			(int) 22 => '3080',
			(int) 23 => '3081',
			(int) 24 => '3082',
			(int) 25 => '3083',
			(int) 26 => '3084',
			(int) 27 => '3085',
			(int) 28 => '3086',
			(int) 29 => '3087',
			(int) 30 => '3088',
			(int) 31 => '3089',
			(int) 32 => '3090',
			(int) 33 => '3091',
			(int) 34 => '3092',
			(int) 35 => '3093',
			(int) 36 => '3094',
			(int) 37 => '3095',
			(int) 38 => '3096',
			(int) 39 => '3097',
			(int) 40 => '3098',
			(int) 41 => '3099',
			(int) 42 => '3100',
			(int) 43 => '3101',
			(int) 44 => '3255',
			(int) 45 => '3103',
			(int) 46 => '3104',
			(int) 47 => '3105',
			(int) 48 => '3106',
			(int) 49 => '3107',
			(int) 50 => '3108',
			(int) 51 => '3109',
			(int) 52 => '3110',
			(int) 53 => '3111',
			(int) 54 => '3112',
			(int) 55 => '3113',
			(int) 56 => '3114',
			(int) 57 => '3116',
			(int) 58 => '3117',
			(int) 59 => '3118',
			(int) 60 => '3119',
			(int) 61 => '3120',
			(int) 62 => '3121',
			(int) 63 => '3122',
			(int) 64 => '3123',
			(int) 65 => '3124',
			(int) 66 => '3125',
			(int) 67 => '3126',
			(int) 68 => '3127',
			(int) 69 => '3128',
			(int) 70 => '3129',
			(int) 71 => '3130',
			(int) 72 => '3131',
			(int) 73 => '3132',
			(int) 74 => '3133',
			(int) 75 => '3134',
			(int) 76 => '3135',
			(int) 77 => '3136',
			(int) 78 => '3137',
			(int) 79 => '3138',
			(int) 80 => '3139',
			(int) 81 => '3140',
			(int) 82 => '3141',
			(int) 83 => '3142',
			(int) 84 => '3143',
			(int) 85 => '3144',
			(int) 86 => '3145',
			(int) 87 => '3146',
			(int) 88 => '3147',
			(int) 89 => '3148',
			(int) 90 => '3149',
			(int) 91 => '3150',
			(int) 92 => '3151',
			(int) 93 => '3152',
			(int) 94 => '3153',
			(int) 95 => '3154',
			(int) 96 => '3155',
			(int) 97 => '3156',
			(int) 98 => '3157',
			(int) 99 => '3158',
			(int) 100 => '3159',
			(int) 101 => '3160',
			(int) 102 => '3161',
			(int) 103 => '3162',
			(int) 104 => '3163',
			(int) 105 => '3164',
			(int) 106 => '3165'
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	),
	(int) 12 => array(
		'Course' => array(
			'id' => '112',
			'course_title' => 'Equality Diversity And Inclusion E-Learning',
			'description' => 'Welcome to this e-Learning package on Equality, Diversity and Human Rights. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1323',
			'thumbnail_media_id' => '1320',
			'logo_media_id' => null,
			'banner_align_id' => '4',
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			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 09:12:40',
			'modified' => '2024-08-07 14:24:36',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'field_count' => (int) 42,
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			'percent_complete' => (int) 0
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		'CourseLesson' => array(
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				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 490 => array(
				[maximum depth reached]
			),
			(int) 491 => array(
				[maximum depth reached]
			),
			(int) 492 => array(
				[maximum depth reached]
			),
			(int) 493 => array(
				[maximum depth reached]
			),
			(int) 494 => array(
				[maximum depth reached]
			),
			(int) 495 => array(
				[maximum depth reached]
			),
			(int) 496 => array(
				[maximum depth reached]
			),
			(int) 497 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
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			(int) 1 => '3017',
			(int) 2 => '3018',
			(int) 3 => '3019',
			(int) 4 => '3020',
			(int) 5 => '3021',
			(int) 6 => '3022',
			(int) 7 => '3023',
			(int) 8 => '3024',
			(int) 9 => '3025',
			(int) 10 => '3026',
			(int) 11 => '3027',
			(int) 12 => '3028',
			(int) 13 => '3029',
			(int) 14 => '3030',
			(int) 15 => '3031',
			(int) 16 => '3032',
			(int) 17 => '3033',
			(int) 18 => '3034',
			(int) 19 => '3035',
			(int) 20 => '3036',
			(int) 21 => '3037',
			(int) 22 => '3038',
			(int) 23 => '3039',
			(int) 24 => '3040',
			(int) 25 => '3041',
			(int) 26 => '3042',
			(int) 27 => '3043',
			(int) 28 => '3044',
			(int) 29 => '3045',
			(int) 30 => '3046',
			(int) 31 => '3047',
			(int) 32 => '3048',
			(int) 33 => '3049',
			(int) 34 => '3050',
			(int) 35 => '3051',
			(int) 36 => '3052',
			(int) 37 => '3053',
			(int) 38 => '3054',
			(int) 39 => '3055',
			(int) 40 => '3056',
			(int) 41 => '3057'
		)
	),
	(int) 13 => array(
		'Course' => array(
			'id' => '111',
			'course_title' => 'Fire General Safety Awareness Transcript ',
			'description' => 'Welcome to this e-Learning package on Fire Safety &ndash; Level 1. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1647',
			'thumbnail_media_id' => '1648',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 13:04:44',
			'modified' => '2024-08-07 14:24:24',
			'term_ids' => array(
				[maximum depth reached]
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'field_count' => (int) 42,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
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				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 482 => array(
				[maximum depth reached]
			),
			(int) 483 => array(
				[maximum depth reached]
			),
			(int) 484 => array(
				[maximum depth reached]
			),
			(int) 485 => array(
				[maximum depth reached]
			),
			(int) 486 => array(
				[maximum depth reached]
			),
			(int) 487 => array(
				[maximum depth reached]
			),
			(int) 488 => array(
				[maximum depth reached]
			),
			(int) 489 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '2970',
			(int) 1 => '2971',
			(int) 2 => '2972',
			(int) 3 => '2973',
			(int) 4 => '2974',
			(int) 5 => '2975',
			(int) 6 => '2976',
			(int) 7 => '2977',
			(int) 8 => '2978',
			(int) 9 => '2979',
			(int) 10 => '2980',
			(int) 11 => '2981',
			(int) 12 => '2982',
			(int) 13 => '2983',
			(int) 14 => '2984',
			(int) 15 => '2985',
			(int) 16 => '2986',
			(int) 17 => '2987',
			(int) 18 => '2988',
			(int) 19 => '2989',
			(int) 20 => '2990',
			(int) 21 => '2991',
			(int) 22 => '2992',
			(int) 23 => '2993',
			(int) 24 => '2994',
			(int) 25 => '2995',
			(int) 26 => '2996',
			(int) 27 => '2997',
			(int) 28 => '2998',
			(int) 29 => '2999',
			(int) 30 => '3000',
			(int) 31 => '3001',
			(int) 32 => '3002',
			(int) 33 => '3012',
			(int) 34 => '3004',
			(int) 35 => '3005',
			(int) 36 => '3014',
			(int) 37 => '3015',
			(int) 38 => '3008',
			(int) 39 => '3009',
			(int) 40 => '3010',
			(int) 41 => '3011'
		)
	),
	(int) 14 => array(
		'Course' => array(
			'id' => '110',
			'course_title' => 'Conflict Resolution (Core Skill) Training',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Conflict Resolution Level 1&nbsp;in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1651',
			'thumbnail_media_id' => '1650',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 Minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 10:15:23',
			'modified' => '2024-08-07 14:23:51',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'field_count' => (int) 90
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 467 => array(
				[maximum depth reached]
			),
			(int) 468 => array(
				[maximum depth reached]
			),
			(int) 469 => array(
				[maximum depth reached]
			),
			(int) 470 => array(
				[maximum depth reached]
			),
			(int) 471 => array(
				[maximum depth reached]
			),
			(int) 472 => array(
				[maximum depth reached]
			),
			(int) 473 => array(
				[maximum depth reached]
			),
			(int) 474 => array(
				[maximum depth reached]
			),
			(int) 475 => array(
				[maximum depth reached]
			),
			(int) 476 => array(
				[maximum depth reached]
			),
			(int) 477 => array(
				[maximum depth reached]
			),
			(int) 478 => array(
				[maximum depth reached]
			),
			(int) 479 => array(
				[maximum depth reached]
			),
			(int) 480 => array(
				[maximum depth reached]
			),
			(int) 481 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
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			'created_user_id' => '8779',
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			'created' => '2024-07-31 10:48:03',
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			'character_id' => '',
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			'created_user_id' => '8779',
			'session_length' => '3 minutes',
			'character_id' => '',
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			'created_user_id' => '8779',
			'session_length' => '3 minutes ',
			'character_id' => '',
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			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 11:09:23',
			'modified' => '2024-07-31 11:09:38'
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			'course_id' => '110',
			'lesson_title' => 'Personal Space',
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			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
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			'created_user_id' => '8779',
			'session_length' => '1 minute',
			'character_id' => '',
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			'created_user_id' => '8779',
			'session_length' => '15 minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 11:37:08',
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			'description' => 'In 2015/16, there were 70,555 reported physical assaults against NHS staff in England. Anecdotal evidence shows there has been an increase in attacks on staff including emergency workers.

It is essential that all staff feel safe whilst at work. Violent behaviour can have an adverse personal effect on staff and it can impact negatively on the standards of patient care.

This session describes the impact that violence and aggression can have on an individual and steps that can be taken to avoid conflict.',
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			'description' => 'Firstly, it is important that we consider the definition of conflict. Conflict is described as:

A disagreement, struggle or fight, to be incompatible.  A common factor is that there are issues with communication between the parties involved.',
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			'field_label' => 'Which of the following do you think can cause conflict?',
			'description' => 'Choose one or more options and select Submit.',
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			'description' => 'Assault is an extreme form of conflict. There are two types of assault:',
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			'field_label' => 'Physical Assault (also known as Assault and Battery) ',
			'description' => 'The intentional application of force to a person from another, without lawful justification, resulting in physical injury or personal discomfort. 

There are three key phrases in relation to physical assault: ',
			'field_order' => '4',
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			'field_label' => 'Non-physical Assault (also known as Verbal Assault) ',
			'description' => 'The use of inappropriate words or behaviour causing distress and/or constituting harassment. Examples include: ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Threatening behaviour (for example, threatening to hit someone but there is no actual physical contact) ","Abusive behaviour (verbal or by any other means of communication – email, texting, graffiti, via social media, includes swearing or other offensive language) ","Anything racial or sexual in nature (a potential hate crime) ","Harassment ","Stalking "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 6 => array(
			'id' => '2884',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'text-image',
			'field_label' => 'The Assault Cycle [2] is a 5-stage model that helps to identify why an assault has occurred and the most appropriate type of intervention.',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1274',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 7 => array(
			'id' => '2885',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'bullet-points',
			'field_label' => 'Trigger Phase',
			'description' => 'The trigger phase is the aggressor’s first behaviours which indicate a movement away from how they usually behave.

Unless you have a detailed understanding of the person, these early warning signs may be missed.

The change in behaviour may well reflect a sense of being psychologically ill at ease. When identified, it is important to try different interventions to prevent further escalation. Consider the following:',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Environment - too hot/too cold/too noisy etc.","Other patients and staff around you","Meetings about their care or mental health","Loss of freedom ","Change in routine or the routine itself","Frustration for any reason","Contact with family, for example a good/bad visit","Loss of contact with family and/or friends"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 8 => array(
			'id' => '2886',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'There may be no obvious triggers.',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 9 => array(
			'id' => '2887',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'bullet-points',
			'field_label' => 'Escalation phase',
			'description' => 'This phase leads directly to assaultive behaviour. The patient deviates more and more from their baseline behaviours.

If there is no intervention, the deviation becomes increasingly obvious and it is more difficult to divert their attention on to other activities.

They become overly focussed on a particular issue and are less likely to respond to any form of rational intervention.

It is therefore necessary to intervene as early as possible in this phase. This can be done by:',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Counselling","Removal from the immediate environment","Anger management techniques"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 10 => array(
			'id' => '2888',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => 'Crisis phase',
			'description' => 'As the patient becomes increasingly physically, emotionally and psychologically aroused, his or her control over aggressive impulses lessens and direct assaultive behaviour becomes likely.

Simultaneously, your physical and psychological responses may be hampering your control and effectiveness.

In this phase, the least effective strategy is to adopt an intervention that presumes the patient can respond rationally.

It is important to focus on the safety of yourself, the patient and anyone else who may be threatened.

Options may be limited - escape from danger.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 11 => array(
			'id' => '2889',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => 'Plateau and post crisis depression phases',
			'description' => 'During the recovery phase, the patient may start to relax and decreases any aggressive behaviour. It is important to note that the confrontation may appear to be over but it could be temporary and could easily re-escalate.
 
During the post-crisis phase the patient tries to return to a stable base level and may experience tiredness, depression and guilt.',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 12 => array(
			'id' => '2891',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Verbal communication',
			'description' => 'There are two elements to verbal communication:

Verbal spoken

For example, you could try the following:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Say something positive","Change the subject","Use humour (sparingly) to lighten the mood (be very careful with this!)","Motivate the other person","Empathise with the other person","Give choices","Set limits"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 13 => array(
			'id' => '2892',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Para-verbal',
			'description' => 'For example, consider the following',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Tone of voice","Pitch","Volume"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 14 => array(
			'id' => '2893',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'text-image',
			'field_label' => 'You can use verbal communication and body language to minimise the likelihood of conflict. Picking up on body language can give you a better indication of someone's state of anxiety or level of agitation.',
			'description' => 'Please be aware that due to PPE, such as visors and masks, being worn during Covid-19 this may inhibit communication when trying to communicate with someone who is becoming angry.',
			'field_order' => '0',
			'attachment_id' => '1275',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 15 => array(
			'id' => '2894',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Non-verbal communication',
			'description' => 'Non-verbal communication includes facial expression, eye contact, proximity and body language such as gestures and posture.

Ways to improve your body language include:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Keep your body relaxed and open","Use open hand language","Breathe deeply and calmly","Respect personal space","Be aware of your facial expressions","Avoid making sudden movements","Don’t stare"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 16 => array(
			'id' => '2895',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'text-image',
			'field_label' => 'Non-matching behaviour is when your body language contradicts what you say. ',
			'description' => ' People pick up on this, even if we think we are not being obvious. You will find being genuine, open and honest reduces the probability of conflict.',
			'field_order' => '4',
			'attachment_id' => '1276',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 17 => array(
			'id' => '2896',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Communication impact',
			'description' => 'Communication, as defined by the Mehrabian Model, is:

7% from the spoken word
38% from the tone of voice
55% from non-verbal/body language [3]
In other words:',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["What you say is less important than how you say it","People believe what they see before they believe what they hear","People are persuaded by attitude and appearance"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 18 => array(
			'id' => '2897',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Non-verbal communication is particularly important when dealing with emotional issues.',
			'field_order' => '6',
			'attachment_id' => '1277',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 19 => array(
			'id' => '2898',
			'course_id' => '110',
			'course_lesson_id' => '469',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Communication breakdown can occur for various reasons. Factors that contribute may include:',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The language used (English not a first language, dialect/accent, complexity/jargon used)","The environment - noise levels (too loud or too quiet), temperature (too hot and people may feel sleepy)","Personal emotions - fear, anxiety, stress, anger, confusion","Alcohol or drugs - both prescriptive medication or illicit substances","Disabilities - hard of hearing, speech impediment","Cultural differences - cross-cultural communication is very often hampered by a lack of understanding between the participants and, even when both parties want the same outcome, these differences can lead to conflict. Be aware that what you say and how you say it can be misunderstood as can your body language","Stereotyping or preconceived ideas ","Non-matching behaviour - conflict between what you say and how you say it","Educational background differences - differing education backgrounds may hinder the understanding of the listener and cause confusion or anger","Cognitive difficulties – dementia, learning disabilities","Mental health"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:43:11',
			'modified' => '2024-07-31 10:43:11'
		),
		(int) 20 => array(
			'id' => '2899',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'The attitude and behavioural cycle establish a link between attitude and behaviour. Positive attitude creates a virtuous cycle of positive behaviour.',
			'field_order' => '0',
			'attachment_id' => '1278',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 21 => array(
			'id' => '2900',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'paragraph',
			'field_label' => 'My attitude',
			'description' => 'Health professional: "I'm really angry because I've been put on nights again."',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 22 => array(
			'id' => '2901',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'text-links',
			'field_label' => 'My behaviour',
			'description' => 'Health professional: "I’m ignoring the bell call from one of my patients as they constantly ring it for no reason."',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 23 => array(
			'id' => '2902',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'paragraph',
			'field_label' => 'Your attitude',
			'description' => 'Patient: "No one wants to help me in this hospital. I don’t want to be here anymore."',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 24 => array(
			'id' => '2903',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'paragraph',
			'field_label' => 'Your behaviour',
			'description' => 'Patient: "I’m going to swear and be unpleasant to the next person who comes to help me as I have been ignored for the last 45 minutes."',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 25 => array(
			'id' => '2904',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'The basics',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["De-escalate yourself first - remember to breathe","Act calm - neutral facial expression, relaxed body, minimal gestures","Reassure yourself - positive self-talk and project success","Ask for help"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 26 => array(
			'id' => '2905',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Then:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Assess the individual’s emotional state","Identify trigger factors","Reassure them to try to reduce anxiety","Talk/listen","Problem solve, for example risk assess the situation, be aware of your environment or those who might present a threat","Keep a relaxed and alert posture"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 27 => array(
			'id' => '2906',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Personal safety',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Maintain an adequate distance between you and the other person","Allow space and time - back off if they advance towards you","Adopt a stance where hands are open and positioned above the waist as this facilitates the natural flinch response to protect oneself","Move towards a safe place ","Ask for any weapon to be put down (not handed over)","If any object constituting a weapon is produced, staff should immediately evacuate the location"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 28 => array(
			'id' => '2907',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'paragraph',
			'field_label' => 'NEVER attempt to deal with an armed individual. ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 29 => array(
			'id' => '2908',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'The language you use can have a big impact on how the other person reacts. Avoid the following:',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Ordering, e.g. you must...; you have to...","Threatening, e.g. if you don’t, then","Preaching, e.g. you should…","Lecturing, e.g. here’s why you are wrong…","Judging, e.g. you’ll never change","Excusing, e.g. it’s not so bad","Labelling, e.g. you’re being unrealistic "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 30 => array(
			'id' => '2909',
			'course_id' => '110',
			'course_lesson_id' => '472',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'People who work alone are at increased risk of physical/verbal abuse and harassment from patients, relatives or members of the public. Employers have a duty to protect them from risk of physical and verbal abuse by carrying out risk assessments and providing lone worker devices.',
			'field_order' => '0',
			'attachment_id' => '1279',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:56:07',
			'modified' => '2024-07-31 10:56:07'
		),
		(int) 31 => array(
			'id' => '2910',
			'course_id' => '110',
			'course_lesson_id' => '472',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Employees should take practical steps to improve their personal safety by:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Attending training","Adhering to lone workers' policy and procedures","Reporting near misses and incidents"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:56:07',
			'modified' => '2024-07-31 10:56:07'
		),
		(int) 32 => array(
			'id' => '2911',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'We need to recognise when a situation is escalating so that we respond appropriately.

Conflict can be divided into three different levels. When dealing with each of these levels, it is important to use the right strategy. Dealing with a 'hiccup' in the same way as a crisis would not be productive. This would be like using a hammer to crack a nut.',
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			'attachment_id' => '1280',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 33 => array(
			'id' => '2912',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => 'Hiccups',
			'description' => 'Hiccups are conflicts that are no more than a minor irritation, are inevitable and part of our daily lives. These are generally easier and quicker to deal with and sort out.',
			'field_order' => '1',
			'attachment_id' => '1281',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 34 => array(
			'id' => '2913',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => 'Clash',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1282',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 35 => array(
			'id' => '2914',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => 'Crisis',
			'description' => 'A crisis can be very traumatic and, in some cases, dangerous. These are infrequent but more severe and more difficult to deal with (named third party intervention) this is when we see Violence and Aggression occur.',
			'field_order' => '3',
			'attachment_id' => '1283',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 36 => array(
			'id' => '2915',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Some non-verbal and verbal warning and danger signs:',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The face becomes flushed","Breathing becomes shallow","Sweating may be visible on the forehead","Gaze may increase in intensity","Tone in voice hardens and often becomes louder","Sometimes a distinct pulse is visible in the neck","Shoulders rise and arms extend away from the body","Fists clench and the forearms rise","Body weight shifts forward and is taken on toes"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 37 => array(
			'id' => '2916',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1284',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 38 => array(
			'id' => '2917',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => 'PALMS',
			'description' => 'The PALMS model may be used during a 'crisis'.',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Position yourself - Where are you in relation to escape routes?","Attitude - is your attitude non-inflammatory?","Look and listen - are you aware of minor changes, could they be significant?","Make space - have you thought about your personal space?","Stance - is your stance non-inflammatory?"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 39 => array(
			'id' => '2918',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'text-image',
			'field_label' => 'Let's take a look at three different models that may help when dealing with different levels of conflict.',
			'description' => '',
			'field_order' => '1',
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			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 40 => array(
			'id' => '2920',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1286',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 41 => array(
			'id' => '2921',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => 'CUDSA',
			'description' => 'The CUDSA model may be used during 'clashes'.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Confront the conflict","Understand the other person's point of view","Define the problem","Search for a solution","Agree a solution applicable to both parties"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 42 => array(
			'id' => '2922',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => 'LEAPS',
			'description' => 'The LEAPS model (George Thompson) has been designed to help you structure your communication into an easily remembered format. If used effectively, it can help to prevent communication breakdowns before they become a problem. It may be used during a 'hiccup'.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Listen to the other person, it shows you're interested and that you care","Empathise this will help diffuse the situation. Using phrases like 'I can see this has made you angry'","Ask question, this might help you discover facts","Paraphrase, this shows the person that you are listening and trying to understand their problem","Summarise, reach an agreement and a way forward"]',
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			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 43 => array(
			'id' => '2923',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'A risk assessment identifies the nature, severity, imminence, frequency, duration and likelihood of harm to self or others.',
			'description' => 'When in a conflict situation, use the SAFER approach to conducting a dynamic risk assessment.


',
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			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 44 => array(
			'id' => '2924',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'bullet-points',
			'field_label' => 'Assess the threat',
			'description' => '(people, objects, places).',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["People - sex, age, size, skills, mental state, numbers present, physical or mental tiredness","Objects - alcohol, drugs, potential weapons, items of value, time of the day, animals","Places - excessive noise, safe exits, room layout, public or private premises, slip/trip hazards, imminent danger"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 45 => array(
			'id' => '2925',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Step back ',
			'description' => ' physically and mentally.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 46 => array(
			'id' => '2926',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Find ',
			'description' => 'help',
			'field_order' => '3',
			'attachment_id' => null,
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			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 47 => array(
			'id' => '2927',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Evaluate',
			'description' => 'your options',
			'field_order' => '4',
			'attachment_id' => null,
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			'external_thumb_src' => null,
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 48 => array(
			'id' => '2928',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Respond',
			'description' => 'in an appropriate manner.',
			'field_order' => '5',
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			'external_thumb_src' => null,
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			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 49 => array(
			'id' => '2929',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Personal space is culturally defined but is usually:',
			'field_order' => '0',
			'attachment_id' => '1288',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 50 => array(
			'id' => '2930',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Intimate',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Up to 0.5m","People we feel very close to"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 51 => array(
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			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Personal',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["About 1.2m","Friends and associates"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 52 => array(
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			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Social',
			'description' => '',
			'field_order' => '3',
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			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["About 2.4m","New acquaintances"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 53 => array(
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			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Public',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["2.4m plus","Larger audiences"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
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			'course_id' => '110',
			'course_lesson_id' => '477',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'You should always have an awareness of your environment and surroundings. Keeping a physical distance allows time to think, react and get out of the way.

Ensure you have an appropriate and comfortable space between you and an aggressive person and, if necessary, place a barrier between yourself and the aggressor.

Have an escape route/plan ready to be put into use. Get away if communication has not resolved the situation. Use passive compliance if you can’t get away.

Only use force when absolutely necessary (reasonable, appropriate and necessary) to protect yourself and others.',
			'field_order' => '0',
			'attachment_id' => '1289',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:23:36',
			'modified' => '2024-07-31 11:23:36'
		),
		(int) 55 => array(
			'id' => '2935',
			'course_id' => '110',
			'course_lesson_id' => '477',
			'field_type' => 'paragraph',
			'field_label' => 'The use of force in self-defence must be reasonable:',
			'description' => '"A person may use such force as is reasonable in the circumstances in the prevention of crime, or in the effecting or assisting in the lawful arrest of offenders or suspected offenders or persons unlawfully at large"

',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:23:36',
			'modified' => '2024-07-31 11:23:36'
		),
		(int) 56 => array(
			'id' => '2936',
			'course_id' => '110',
			'course_lesson_id' => '477',
			'field_type' => 'bullet-points',
			'field_label' => 'Reasonable force is force that is deemed as:',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Proportionate - Is the amount of harm to be suffered correct or suitable in size, amount, or degree when considered in relation to something else? For example, if a patient attacks another patient and staff requests to stop are ignored, then staff may have to physically intervene by using a degree of force. ","Necessary - Is the action necessary and would a failure to carry it out result in a greater degree of damage to self or others? For example, on an acute admission ward a patient has been telling a nurse that they are angry with a doctor and is going to assault them. The nurse sees that the doctor the patient is angry with arrives on shift, the patient approaches them and the nurse has to physically intervene."]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:23:36',
			'modified' => '2024-07-31 11:23:36'
		),
		(int) 57 => array(
			'id' => '2937',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Immediately after a violent incident a number of actions need to be taken.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 58 => array(
			'id' => '2938',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'Questions to ask',
			'description' => 'The following questions provide a useful guide:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Has anyone been injured?","Do they need medical or any other assistance?","Have the individuals affected been moved to a place of safety?","Does the cause of the incident remain and is there risk of further incidents?","Has the incident been reported or the alarm raised?","Have the police been called?","Has an incident report form been completed?"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 59 => array(
			'id' => '2939',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'Support',
			'description' => 'Following a violent incident, longer-term support may be required. People requiring support may include those directly affected, anyone who witnessed the incident and those who are based or work in the vicinity.

Post-incident support may come from:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Colleagues","Trade union","An individual’s line manager","Occupational Health services","Human Resources (for example, in relation to a phased return to work)","Employee counselling services","Victim Support","Criminal Injuries Compensation Authority"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 60 => array(
			'id' => '2940',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'paragraph',
			'field_label' => 'Reporting',
			'description' => 'If the incident is not reported, it is as if it did not happen. Without reporting it, steps can’t be taken to prevent it happening again.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 61 => array(
			'id' => '2941',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'An organisation needs to fully support its employees:',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["It has a legal duty for their safety","No one should be placed needlessly at risk","It needs to reduce the potential impact of an incident","All incidents need to be fully investigated","Appropriate training needs to be provided"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 62 => array(
			'id' => '2942',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'The benefits include:',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Employees feel valued and respected","Preventative measures provide assurance and security","Employee welfare is supported","Lessons learnt can prevent future incidents from occurring","Employees feel empowered ","The financial and reputational cost or impact is reduced"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 63 => array(
			'id' => '2943',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'In addition to support channels outlined above, it is important that you are aware of the security management roles in your organisation.

Director with Responsibility for Security
The role of the Director with responsibility for security (or equivalent) in your organisation is to be the named responsible board member for security management within the Trust.

Security Management Specialist (SMS)
Operationally responsible for the implementation of the national strategy for managing security and tailoring it to local requirements.',
			'field_order' => '6',
			'attachment_id' => '1290',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 64 => array(
			'id' => '2944',
			'course_id' => '110',
			'course_lesson_id' => '479',
			'field_type' => 'bullet-points',
			'field_label' => 'As an employee, you also have a responsibility to ensure your own personal safety.',
			'description' => 'Do not:',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Show hostility","Use provocative language ","Raise your voice","Show signs of irritation","Behave in an overly authoritative manner","Give an ultimatum - unless you are prepared, and able, to follow it through "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:34:14',
			'modified' => '2024-07-31 11:34:14'
		),
		(int) 65 => array(
			'id' => '2945',
			'course_id' => '110',
			'course_lesson_id' => '479',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Do:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Be prepared for problems","Avoid behaviour that is likely to provoke patients","Keep calm","Be respectful and tolerant","Remember that silence can be helpful","Listen and try to understand","Get help if you fear that violence is likely"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:34:14',
			'modified' => '2024-07-31 11:34:14'
		),
		(int) 66 => array(
			'id' => '2946',
			'course_id' => '110',
			'course_lesson_id' => '480',
			'field_type' => 'bullet-points',
			'field_label' => 'Key Points',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Violent behaviour can have an adverse personal effect on staff and it can impact negatively on the standards of patient care","Common causes of conflict include poor communication, poor physical health, religion and cultural differences and environmental factors","You can use verbal communication and body language to minimise the likelihood of conflict. Picking up on body language can give you a better indication of someone's state of anxiety or level of agitation","The attitude and behavioural cycle establishes a link between attitude and behaviour. Positive attitude creates a virtuous cycle of positive behaviour","People who work alone are at increased risk of physical/verbal abuse and harassment from patients, relatives or members of the public","You should always have an awareness of your environment and surroundings. Keeping a physical distance allows time to think, react and get out of the way","The use of force in self-defence must be reasonable - it should be proportionate and necessary","Following a violent incident, longer-term support may be required. People requiring support may include those directly affected, anyone who witnessed the incident and those who are based or work in the vicinity"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:36:02',
			'modified' => '2024-07-31 11:36:02'
		),
		(int) 67 => array(
			'id' => '2947',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following may cause conflict?',
			'description' => 'Choose one or more options and select Submit',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A patient in a drop-in centre not realising that they need to pick up a ticket before they sit down","A family member expecting an immediate response to a question about a patient\u2019s condition","A drunken person coming in off the street"," A patient being told that a consultant can\u2019t make an arranged appointment due to an emergency"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 68 => array(
			'id' => '2948',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Indicate the normal order of individual's emotions during a conflict escalation?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Violence, anger, frustration, aggression","Frustration, aggression, anger, violence","Frustration, anger, aggression, violence","Anger, violence, frustration, aggression"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 69 => array(
			'id' => '2949',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'An irate visitor comes up to you and demands information on a patient who has just been admitted. How would you use communication skills to diffuse the situation?',
			'description' => 'Choose four options and select Submit.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Speak quickly to get the message across","Maintain eye contact, blinking slowly"," Touch the visitor","Keep a relaxed and open posture when talking to the visitor"," Consider the effect of the words you use","Ensure you have a calm and soft tone of voice"]',
			'field_correct' => '1,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 70 => array(
			'id' => '2950',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'A patient verbally abuses a member of staff. The staff member does not report it as they see this as part of their role. As training is based around reported incidents, this does not get picked up. What action should the staff member take?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Not report verbal abuse as receiving it is part of their role","Report all incidents of abuse including verbal to enable the organisation to learn and better support staff and patients","Verbally retaliate"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 71 => array(
			'id' => '2951',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Non-verbal communication is particularly important when:',
			'description' => 'Choose two options and select Submit.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["You are dealing with emotional issues","You are talking on the telephone","You are in a conflict situation","You are sending a text"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 72 => array(
			'id' => '2952',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the main forms of communication?',
			'description' => 'Choose two options and select Submit.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Visual","Auditory","Verbal","Non-verbal"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 73 => array(
			'id' => '2953',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following may be causes of breakdown in communication?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Emotional state of the patient","Patient feeling hot, in pain or hungry","Language barrier","PPE and face coverings","Noisy environment","Power and authority"]',
			'field_correct' => '0,1,2,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 74 => array(
			'id' => '2954',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What do you need to do to improve communication?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Talk slowly and clearly","Check that you are being understood","Don't talk down to a patient","Adopt an open posture","Repeat information if required"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 75 => array(
			'id' => '2955',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'During a conflict situation, the aggressor looks away but still appears agitated and goes quiet. How might these signs be interpreted?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" You have successfully de-escalated this conflict","A physical attack may be imminent","You have scared the aggressor into submission"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 76 => array(
			'id' => '2956',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Jenny is a health visitor who was physically assaulted by a patient’s father during a home visit. On her report Jenny states that the man was ‘extremely quiet and was showing no outward signs of being angry’. Why should Jenny have been more concerned by this man’s behaviour?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["People who go quiet when they are angry may be more volatile than people who show their anger"," People who go quiet when they are angry usually have emotional issues","People who go quiet when they are angry may be less volatile than people who show their anger"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 77 => array(
			'id' => '2957',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'When working alone what do you need to ensure in order to help protect yourself from potential conflicts?',
			'description' => 'Choose four options and select Submit.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["You work to a specified, agreed appointments list","You undertake a dynamic risk assessment for new situations","You have a mobile phone available to use","You carry an implement you can use as a weapon if required","You keep in contact with colleagues or managers"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 78 => array(
			'id' => '2958',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'How might the procedures relating to the provision of a health service contribute to the escalation of conflict?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Patients may have to repeat information to various staff members"," Patients may have to answer personal questions","Patients may have to wait to receive the service","Patients may have to undergo invasive procedures"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 79 => array(
			'id' => '2959',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following defines the 'reactionary gap'?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The minimum distance between two people to enable a response to a potential threat","The time taken to leave the area where a conflict is taking place","The minimum distance you should be from an exit route"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 80 => array(
			'id' => '2960',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'A community physiotherapist is required to enter a patient's intimate space to manipulate a leg joint. What could they do to minimise the risks of conflict?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Communicate well","Ensure the patient is put at ease","Explain the procedure","Always physically restrain the patient","Approach the patient in a professional manner"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 81 => array(
			'id' => '2961',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What does the phrase 'calming or slowing' mean in a conflict situation?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Slowing down the rate of communication and breaking the flow into manageable sections","Ensuring your movements are not rapid","Breathing more slowly"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 82 => array(
			'id' => '2962',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'single-choice',
			'field_label' => 'Once you have found a strategy for successfully dealing with a conflict situation, the same strategy should then be used for all other conflict situations.',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 83 => array(
			'id' => '2963',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the key elements that define 'reasonable force'?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '16',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Minimum use of force","Proportionate","Necessary"]',
			'field_correct' => '0,1,2',
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 84 => array(
			'id' => '2964',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'single-choice',
			'field_label' => 'An irate patient enters a GP surgery shouting abuse. He pulls out a knife and threatens the receptionist while demanding to see a doctor. As the situation develops it becomes clear that it will be necessary to use reasonable force to protect the surgery staff and patients. Which of the following best describes ‘reasonable force’?',
			'description' => 'An irate patient enters a GP surgery shouting abuse. He pulls out a knife and threatens the receptionist while demanding to see a doctor. As the situation develops it becomes clear that it will be necessary to use reasonable force to protect the surgery staff and patients. Which of the following best describes ‘reasonable force’?',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The use of force for self-defence or to protect others without using more force than is necessary","Using force on a patient that will result in staff being prosecuted","Refusing to treat a patient who is being abusive and violent"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 85 => array(
			'id' => '2965',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What support is offered by the organisation Victim Support?',
			'description' => 'Choose four options and select Submit.',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Emotional support","Payments for victims of violence","Practical support","Telephone support via support line","Confidential support"]',
			'field_correct' => '0,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 86 => array(
			'id' => '2966',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'How might a Trust benefit from offering support to staff following a violent incident?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Staff will take less time to recover","Staff are more committed to the Trust","Staff will be retained longer","The Trust will gain a reputation as a good employer"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 87 => array(
			'id' => '2967',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is the role of the Security Management Specialist within your organisation?',
			'description' => 'Choose the two correct options and select Submit.',
			'field_order' => '20',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To ensure all doors and windows are secure","To check all staff mileage claims at the end of each month","To investigate incidents of physical assault on Trust staff"," To advise the Trust on physical security measures"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 88 => array(
			'id' => '2968',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'The letters of the LEAPS model of communication stands for which of the following?',
			'description' => 'Choose the correct options and select Submit.',
			'field_order' => '21',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Listening, Empathising, Asking, Paraphrasing, Summarising"," Lunging, Engaging, Assisting, Prosecuting, Suspecting"," Learning, Encountering, Advising, Posturing, Succeeding"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 89 => array(
			'id' => '2969',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following describe the PALMS model of communication?',
			'description' => 'Choose two correct options and select Submit.',
			'field_order' => '22',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The use of your palms to prevent an attack","A non-aggressive stance, giving appropriate space","Communicating that you want to help resolve the issue"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		)
	),
	'LessonFieldList' => array(
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			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
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			(int) 3 => array(
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			(int) 4 => array(
				[maximum depth reached]
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			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
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			),
			(int) 7 => array(
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			(int) 8 => array(
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			(int) 9 => array(
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			(int) 10 => array(
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			(int) 11 => array(
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		(int) 468 => array(
			(int) 0 => array(
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			(int) 1 => array(
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			(int) 2 => array(
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			(int) 3 => array(
				[maximum depth reached]
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			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		(int) 469 => array(
			(int) 0 => array(
				[maximum depth reached]
			)
		),
		(int) 470 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
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			(int) 3 => array(
				[maximum depth reached]
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			(int) 4 => array(
				[maximum depth reached]
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		),
		(int) 471 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
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			(int) 2 => array(
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			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 472 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
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		(int) 473 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		(int) 474 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		(int) 475 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
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			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			)
		),
		(int) 476 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		(int) 477 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			)
		),
		(int) 478 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		(int) 479 => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			)
		),
		(int) 480 => array(
			(int) 0 => array(
				[maximum depth reached]
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		),
		(int) 481 => array(
			(int) 0 => array(
				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			)
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	),
	'LessonFieldAll' => array(
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			'id' => '2878',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'In 2015/16, there were 70,555 reported physical assaults against NHS staff in England. Anecdotal evidence shows there has been an increase in attacks on staff including emergency workers.

It is essential that all staff feel safe whilst at work. Violent behaviour can have an adverse personal effect on staff and it can impact negatively on the standards of patient care.

This session describes the impact that violence and aggression can have on an individual and steps that can be taken to avoid conflict.',
			'field_order' => '0',
			'attachment_id' => '1273',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 1 => array(
			'id' => '2879',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Firstly, it is important that we consider the definition of conflict. Conflict is described as:

A disagreement, struggle or fight, to be incompatible.  A common factor is that there are issues with communication between the parties involved.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 2 => array(
			'id' => '2880',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following do you think can cause conflict?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Poor communication","Poor information sharing","Staff attitude","Physical health","Unmet needs","Environmental factors","Religious and cultural differences","Lack of resources"]',
			'field_correct' => '0,1,2,3,4,5,6,7',
			'show_correct' => '1',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 3 => array(
			'id' => '2881',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => 'Assault',
			'description' => 'Assault is an extreme form of conflict. There are two types of assault:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 4 => array(
			'id' => '2882',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'bullet-points',
			'field_label' => 'Physical Assault (also known as Assault and Battery) ',
			'description' => 'The intentional application of force to a person from another, without lawful justification, resulting in physical injury or personal discomfort. 

There are three key phrases in relation to physical assault: ',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Intentional – a person has to have mental capacity and intent for it to be considered as a possible criminal act. Examples of people who may not have capacity include dementia patients, stroke victims, someone in extreme pain ","Lawful justification – sometimes there’s lawful justification in being hands on which prevents it being an assault, for example use of reasonable force, physical interventions within mental health trusts and security staff ","Physical injury or personal discomfort – within Learning Disability services or when working with children there’s a lot of pinching, touching and minor slaps, all, by definition physical assaults as there’s physical contact but they wouldn’t be reported as such unless it affects the victim or breaks an acceptable threshold "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 5 => array(
			'id' => '2883',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'bullet-points',
			'field_label' => 'Non-physical Assault (also known as Verbal Assault) ',
			'description' => 'The use of inappropriate words or behaviour causing distress and/or constituting harassment. Examples include: ',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Threatening behaviour (for example, threatening to hit someone but there is no actual physical contact) ","Abusive behaviour (verbal or by any other means of communication – email, texting, graffiti, via social media, includes swearing or other offensive language) ","Anything racial or sexual in nature (a potential hate crime) ","Harassment ","Stalking "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 6 => array(
			'id' => '2884',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'text-image',
			'field_label' => 'The Assault Cycle [2] is a 5-stage model that helps to identify why an assault has occurred and the most appropriate type of intervention.',
			'description' => '',
			'field_order' => '6',
			'attachment_id' => '1274',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 7 => array(
			'id' => '2885',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'bullet-points',
			'field_label' => 'Trigger Phase',
			'description' => 'The trigger phase is the aggressor’s first behaviours which indicate a movement away from how they usually behave.

Unless you have a detailed understanding of the person, these early warning signs may be missed.

The change in behaviour may well reflect a sense of being psychologically ill at ease. When identified, it is important to try different interventions to prevent further escalation. Consider the following:',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Environment - too hot/too cold/too noisy etc.","Other patients and staff around you","Meetings about their care or mental health","Loss of freedom ","Change in routine or the routine itself","Frustration for any reason","Contact with family, for example a good/bad visit","Loss of contact with family and/or friends"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 8 => array(
			'id' => '2886',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'There may be no obvious triggers.',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 9 => array(
			'id' => '2887',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'bullet-points',
			'field_label' => 'Escalation phase',
			'description' => 'This phase leads directly to assaultive behaviour. The patient deviates more and more from their baseline behaviours.

If there is no intervention, the deviation becomes increasingly obvious and it is more difficult to divert their attention on to other activities.

They become overly focussed on a particular issue and are less likely to respond to any form of rational intervention.

It is therefore necessary to intervene as early as possible in this phase. This can be done by:',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Counselling","Removal from the immediate environment","Anger management techniques"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 10 => array(
			'id' => '2888',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => 'Crisis phase',
			'description' => 'As the patient becomes increasingly physically, emotionally and psychologically aroused, his or her control over aggressive impulses lessens and direct assaultive behaviour becomes likely.

Simultaneously, your physical and psychological responses may be hampering your control and effectiveness.

In this phase, the least effective strategy is to adopt an intervention that presumes the patient can respond rationally.

It is important to focus on the safety of yourself, the patient and anyone else who may be threatened.

Options may be limited - escape from danger.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 11 => array(
			'id' => '2889',
			'course_id' => '110',
			'course_lesson_id' => '467',
			'field_type' => 'paragraph',
			'field_label' => 'Plateau and post crisis depression phases',
			'description' => 'During the recovery phase, the patient may start to relax and decreases any aggressive behaviour. It is important to note that the confrontation may appear to be over but it could be temporary and could easily re-escalate.
 
During the post-crisis phase the patient tries to return to a stable base level and may experience tiredness, depression and guilt.',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:03:37',
			'modified' => '2024-07-31 12:03:37'
		),
		(int) 12 => array(
			'id' => '2893',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'text-image',
			'field_label' => 'You can use verbal communication and body language to minimise the likelihood of conflict. Picking up on body language can give you a better indication of someone's state of anxiety or level of agitation.',
			'description' => 'Please be aware that due to PPE, such as visors and masks, being worn during Covid-19 this may inhibit communication when trying to communicate with someone who is becoming angry.',
			'field_order' => '0',
			'attachment_id' => '1275',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 13 => array(
			'id' => '2891',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Verbal communication',
			'description' => 'There are two elements to verbal communication:

Verbal spoken

For example, you could try the following:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Say something positive","Change the subject","Use humour (sparingly) to lighten the mood (be very careful with this!)","Motivate the other person","Empathise with the other person","Give choices","Set limits"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 14 => array(
			'id' => '2892',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Para-verbal',
			'description' => 'For example, consider the following',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Tone of voice","Pitch","Volume"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 15 => array(
			'id' => '2894',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Non-verbal communication',
			'description' => 'Non-verbal communication includes facial expression, eye contact, proximity and body language such as gestures and posture.

Ways to improve your body language include:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Keep your body relaxed and open","Use open hand language","Breathe deeply and calmly","Respect personal space","Be aware of your facial expressions","Avoid making sudden movements","Don’t stare"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 16 => array(
			'id' => '2895',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'text-image',
			'field_label' => 'Non-matching behaviour is when your body language contradicts what you say. ',
			'description' => ' People pick up on this, even if we think we are not being obvious. You will find being genuine, open and honest reduces the probability of conflict.',
			'field_order' => '4',
			'attachment_id' => '1276',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 17 => array(
			'id' => '2896',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'bullet-points',
			'field_label' => 'Communication impact',
			'description' => 'Communication, as defined by the Mehrabian Model, is:

7% from the spoken word
38% from the tone of voice
55% from non-verbal/body language [3]
In other words:',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["What you say is less important than how you say it","People believe what they see before they believe what they hear","People are persuaded by attitude and appearance"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 18 => array(
			'id' => '2897',
			'course_id' => '110',
			'course_lesson_id' => '468',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Non-verbal communication is particularly important when dealing with emotional issues.',
			'field_order' => '6',
			'attachment_id' => '1277',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:40:03',
			'modified' => '2024-07-31 10:40:03'
		),
		(int) 19 => array(
			'id' => '2898',
			'course_id' => '110',
			'course_lesson_id' => '469',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Communication breakdown can occur for various reasons. Factors that contribute may include:',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The language used (English not a first language, dialect/accent, complexity/jargon used)","The environment - noise levels (too loud or too quiet), temperature (too hot and people may feel sleepy)","Personal emotions - fear, anxiety, stress, anger, confusion","Alcohol or drugs - both prescriptive medication or illicit substances","Disabilities - hard of hearing, speech impediment","Cultural differences - cross-cultural communication is very often hampered by a lack of understanding between the participants and, even when both parties want the same outcome, these differences can lead to conflict. Be aware that what you say and how you say it can be misunderstood as can your body language","Stereotyping or preconceived ideas ","Non-matching behaviour - conflict between what you say and how you say it","Educational background differences - differing education backgrounds may hinder the understanding of the listener and cause confusion or anger","Cognitive difficulties – dementia, learning disabilities","Mental health"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:43:11',
			'modified' => '2024-07-31 10:43:11'
		),
		(int) 20 => array(
			'id' => '2899',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'The attitude and behavioural cycle establish a link between attitude and behaviour. Positive attitude creates a virtuous cycle of positive behaviour.',
			'field_order' => '0',
			'attachment_id' => '1278',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 21 => array(
			'id' => '2900',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'paragraph',
			'field_label' => 'My attitude',
			'description' => 'Health professional: "I'm really angry because I've been put on nights again."',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 22 => array(
			'id' => '2901',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'text-links',
			'field_label' => 'My behaviour',
			'description' => 'Health professional: "I’m ignoring the bell call from one of my patients as they constantly ring it for no reason."',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 23 => array(
			'id' => '2902',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'paragraph',
			'field_label' => 'Your attitude',
			'description' => 'Patient: "No one wants to help me in this hospital. I don’t want to be here anymore."',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 24 => array(
			'id' => '2903',
			'course_id' => '110',
			'course_lesson_id' => '470',
			'field_type' => 'paragraph',
			'field_label' => 'Your behaviour',
			'description' => 'Patient: "I’m going to swear and be unpleasant to the next person who comes to help me as I have been ignored for the last 45 minutes."',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:47:19',
			'modified' => '2024-07-31 10:47:19'
		),
		(int) 25 => array(
			'id' => '2904',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'The basics',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["De-escalate yourself first - remember to breathe","Act calm - neutral facial expression, relaxed body, minimal gestures","Reassure yourself - positive self-talk and project success","Ask for help"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 26 => array(
			'id' => '2905',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Then:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Assess the individual’s emotional state","Identify trigger factors","Reassure them to try to reduce anxiety","Talk/listen","Problem solve, for example risk assess the situation, be aware of your environment or those who might present a threat","Keep a relaxed and alert posture"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 27 => array(
			'id' => '2906',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Personal safety',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Maintain an adequate distance between you and the other person","Allow space and time - back off if they advance towards you","Adopt a stance where hands are open and positioned above the waist as this facilitates the natural flinch response to protect oneself","Move towards a safe place ","Ask for any weapon to be put down (not handed over)","If any object constituting a weapon is produced, staff should immediately evacuate the location"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 28 => array(
			'id' => '2907',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'paragraph',
			'field_label' => 'NEVER attempt to deal with an armed individual. ',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 29 => array(
			'id' => '2908',
			'course_id' => '110',
			'course_lesson_id' => '471',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'The language you use can have a big impact on how the other person reacts. Avoid the following:',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Ordering, e.g. you must...; you have to...","Threatening, e.g. if you don’t, then","Preaching, e.g. you should…","Lecturing, e.g. here’s why you are wrong…","Judging, e.g. you’ll never change","Excusing, e.g. it’s not so bad","Labelling, e.g. you’re being unrealistic "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:54:44',
			'modified' => '2024-07-31 10:54:44'
		),
		(int) 30 => array(
			'id' => '2909',
			'course_id' => '110',
			'course_lesson_id' => '472',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'People who work alone are at increased risk of physical/verbal abuse and harassment from patients, relatives or members of the public. Employers have a duty to protect them from risk of physical and verbal abuse by carrying out risk assessments and providing lone worker devices.',
			'field_order' => '0',
			'attachment_id' => '1279',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:56:07',
			'modified' => '2024-07-31 10:56:07'
		),
		(int) 31 => array(
			'id' => '2910',
			'course_id' => '110',
			'course_lesson_id' => '472',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Employees should take practical steps to improve their personal safety by:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Attending training","Adhering to lone workers' policy and procedures","Reporting near misses and incidents"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:56:07',
			'modified' => '2024-07-31 10:56:07'
		),
		(int) 32 => array(
			'id' => '2911',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'We need to recognise when a situation is escalating so that we respond appropriately.

Conflict can be divided into three different levels. When dealing with each of these levels, it is important to use the right strategy. Dealing with a 'hiccup' in the same way as a crisis would not be productive. This would be like using a hammer to crack a nut.',
			'field_order' => '0',
			'attachment_id' => '1280',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 33 => array(
			'id' => '2912',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => 'Hiccups',
			'description' => 'Hiccups are conflicts that are no more than a minor irritation, are inevitable and part of our daily lives. These are generally easier and quicker to deal with and sort out.',
			'field_order' => '1',
			'attachment_id' => '1281',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 34 => array(
			'id' => '2913',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => 'Clash',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => '1282',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 35 => array(
			'id' => '2914',
			'course_id' => '110',
			'course_lesson_id' => '473',
			'field_type' => 'text-image',
			'field_label' => 'Crisis',
			'description' => 'A crisis can be very traumatic and, in some cases, dangerous. These are infrequent but more severe and more difficult to deal with (named third party intervention) this is when we see Violence and Aggression occur.',
			'field_order' => '3',
			'attachment_id' => '1283',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 10:59:30',
			'modified' => '2024-07-31 10:59:30'
		),
		(int) 36 => array(
			'id' => '2915',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Some non-verbal and verbal warning and danger signs:',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["The face becomes flushed","Breathing becomes shallow","Sweating may be visible on the forehead","Gaze may increase in intensity","Tone in voice hardens and often becomes louder","Sometimes a distinct pulse is visible in the neck","Shoulders rise and arms extend away from the body","Fists clench and the forearms rise","Body weight shifts forward and is taken on toes"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 37 => array(
			'id' => '2918',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'text-image',
			'field_label' => 'Let's take a look at three different models that may help when dealing with different levels of conflict.',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => '1285',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 38 => array(
			'id' => '2922',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => 'LEAPS',
			'description' => 'The LEAPS model (George Thompson) has been designed to help you structure your communication into an easily remembered format. If used effectively, it can help to prevent communication breakdowns before they become a problem. It may be used during a 'hiccup'.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Listen to the other person, it shows you're interested and that you care","Empathise this will help diffuse the situation. Using phrases like 'I can see this has made you angry'","Ask question, this might help you discover facts","Paraphrase, this shows the person that you are listening and trying to understand their problem","Summarise, reach an agreement and a way forward"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 39 => array(
			'id' => '2920',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => '1286',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 40 => array(
			'id' => '2921',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => 'CUDSA',
			'description' => 'The CUDSA model may be used during 'clashes'.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Confront the conflict","Understand the other person's point of view","Define the problem","Search for a solution","Agree a solution applicable to both parties"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 41 => array(
			'id' => '2916',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => '1284',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 42 => array(
			'id' => '2917',
			'course_id' => '110',
			'course_lesson_id' => '474',
			'field_type' => 'bullet-points',
			'field_label' => 'PALMS',
			'description' => 'The PALMS model may be used during a 'crisis'.',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Position yourself - Where are you in relation to escape routes?","Attitude - is your attitude non-inflammatory?","Look and listen - are you aware of minor changes, could they be significant?","Make space - have you thought about your personal space?","Stance - is your stance non-inflammatory?"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:08:11',
			'modified' => '2024-07-31 11:08:11'
		),
		(int) 43 => array(
			'id' => '2923',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'A risk assessment identifies the nature, severity, imminence, frequency, duration and likelihood of harm to self or others.',
			'description' => 'When in a conflict situation, use the SAFER approach to conducting a dynamic risk assessment.


',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 44 => array(
			'id' => '2925',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Step back ',
			'description' => ' physically and mentally.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 45 => array(
			'id' => '2924',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'bullet-points',
			'field_label' => 'Assess the threat',
			'description' => '(people, objects, places).',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["People - sex, age, size, skills, mental state, numbers present, physical or mental tiredness","Objects - alcohol, drugs, potential weapons, items of value, time of the day, animals","Places - excessive noise, safe exits, room layout, public or private premises, slip/trip hazards, imminent danger"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 46 => array(
			'id' => '2926',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Find ',
			'description' => 'help',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 47 => array(
			'id' => '2927',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Evaluate',
			'description' => 'your options',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 48 => array(
			'id' => '2928',
			'course_id' => '110',
			'course_lesson_id' => '475',
			'field_type' => 'paragraph',
			'field_label' => 'Respond',
			'description' => 'in an appropriate manner.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:16:58',
			'modified' => '2024-07-31 11:16:58'
		),
		(int) 49 => array(
			'id' => '2929',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Personal space is culturally defined but is usually:',
			'field_order' => '0',
			'attachment_id' => '1288',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 50 => array(
			'id' => '2930',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Intimate',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Up to 0.5m","People we feel very close to"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 51 => array(
			'id' => '2931',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Personal',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["About 1.2m","Friends and associates"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 52 => array(
			'id' => '2932',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Social',
			'description' => '',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["About 2.4m","New acquaintances"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 53 => array(
			'id' => '2933',
			'course_id' => '110',
			'course_lesson_id' => '476',
			'field_type' => 'numbered-points',
			'field_label' => 'Public',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["2.4m plus","Larger audiences"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:20:13',
			'modified' => '2024-07-31 11:20:13'
		),
		(int) 54 => array(
			'id' => '2934',
			'course_id' => '110',
			'course_lesson_id' => '477',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'You should always have an awareness of your environment and surroundings. Keeping a physical distance allows time to think, react and get out of the way.

Ensure you have an appropriate and comfortable space between you and an aggressive person and, if necessary, place a barrier between yourself and the aggressor.

Have an escape route/plan ready to be put into use. Get away if communication has not resolved the situation. Use passive compliance if you can’t get away.

Only use force when absolutely necessary (reasonable, appropriate and necessary) to protect yourself and others.',
			'field_order' => '0',
			'attachment_id' => '1289',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:23:36',
			'modified' => '2024-07-31 11:23:36'
		),
		(int) 55 => array(
			'id' => '2935',
			'course_id' => '110',
			'course_lesson_id' => '477',
			'field_type' => 'paragraph',
			'field_label' => 'The use of force in self-defence must be reasonable:',
			'description' => '"A person may use such force as is reasonable in the circumstances in the prevention of crime, or in the effecting or assisting in the lawful arrest of offenders or suspected offenders or persons unlawfully at large"

',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:23:36',
			'modified' => '2024-07-31 11:23:36'
		),
		(int) 56 => array(
			'id' => '2936',
			'course_id' => '110',
			'course_lesson_id' => '477',
			'field_type' => 'bullet-points',
			'field_label' => 'Reasonable force is force that is deemed as:',
			'description' => '',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Proportionate - Is the amount of harm to be suffered correct or suitable in size, amount, or degree when considered in relation to something else? For example, if a patient attacks another patient and staff requests to stop are ignored, then staff may have to physically intervene by using a degree of force. ","Necessary - Is the action necessary and would a failure to carry it out result in a greater degree of damage to self or others? For example, on an acute admission ward a patient has been telling a nurse that they are angry with a doctor and is going to assault them. The nurse sees that the doctor the patient is angry with arrives on shift, the patient approaches them and the nurse has to physically intervene."]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:23:36',
			'modified' => '2024-07-31 11:23:36'
		),
		(int) 57 => array(
			'id' => '2937',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'paragraph',
			'field_label' => '',
			'description' => 'Immediately after a violent incident a number of actions need to be taken.',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 58 => array(
			'id' => '2938',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'Questions to ask',
			'description' => 'The following questions provide a useful guide:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Has anyone been injured?","Do they need medical or any other assistance?","Have the individuals affected been moved to a place of safety?","Does the cause of the incident remain and is there risk of further incidents?","Has the incident been reported or the alarm raised?","Have the police been called?","Has an incident report form been completed?"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 59 => array(
			'id' => '2940',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'paragraph',
			'field_label' => 'Reporting',
			'description' => 'If the incident is not reported, it is as if it did not happen. Without reporting it, steps can’t be taken to prevent it happening again.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 60 => array(
			'id' => '2939',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'Support',
			'description' => 'Following a violent incident, longer-term support may be required. People requiring support may include those directly affected, anyone who witnessed the incident and those who are based or work in the vicinity.

Post-incident support may come from:',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Colleagues","Trade union","An individual’s line manager","Occupational Health services","Human Resources (for example, in relation to a phased return to work)","Employee counselling services","Victim Support","Criminal Injuries Compensation Authority"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 61 => array(
			'id' => '2941',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'An organisation needs to fully support its employees:',
			'description' => '',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["It has a legal duty for their safety","No one should be placed needlessly at risk","It needs to reduce the potential impact of an incident","All incidents need to be fully investigated","Appropriate training needs to be provided"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 62 => array(
			'id' => '2942',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'bullet-points',
			'field_label' => 'The benefits include:',
			'description' => '',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Employees feel valued and respected","Preventative measures provide assurance and security","Employee welfare is supported","Lessons learnt can prevent future incidents from occurring","Employees feel empowered ","The financial and reputational cost or impact is reduced"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 63 => array(
			'id' => '2943',
			'course_id' => '110',
			'course_lesson_id' => '478',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'In addition to support channels outlined above, it is important that you are aware of the security management roles in your organisation.

Director with Responsibility for Security
The role of the Director with responsibility for security (or equivalent) in your organisation is to be the named responsible board member for security management within the Trust.

Security Management Specialist (SMS)
Operationally responsible for the implementation of the national strategy for managing security and tailoring it to local requirements.',
			'field_order' => '6',
			'attachment_id' => '1290',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:31:36',
			'modified' => '2024-07-31 11:31:36'
		),
		(int) 64 => array(
			'id' => '2944',
			'course_id' => '110',
			'course_lesson_id' => '479',
			'field_type' => 'bullet-points',
			'field_label' => 'As an employee, you also have a responsibility to ensure your own personal safety.',
			'description' => 'Do not:',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Show hostility","Use provocative language ","Raise your voice","Show signs of irritation","Behave in an overly authoritative manner","Give an ultimatum - unless you are prepared, and able, to follow it through "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:34:14',
			'modified' => '2024-07-31 11:34:14'
		),
		(int) 65 => array(
			'id' => '2945',
			'course_id' => '110',
			'course_lesson_id' => '479',
			'field_type' => 'bullet-points',
			'field_label' => '',
			'description' => 'Do:',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Be prepared for problems","Avoid behaviour that is likely to provoke patients","Keep calm","Be respectful and tolerant","Remember that silence can be helpful","Listen and try to understand","Get help if you fear that violence is likely"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:34:14',
			'modified' => '2024-07-31 11:34:14'
		),
		(int) 66 => array(
			'id' => '2946',
			'course_id' => '110',
			'course_lesson_id' => '480',
			'field_type' => 'bullet-points',
			'field_label' => 'Key Points',
			'description' => '',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Violent behaviour can have an adverse personal effect on staff and it can impact negatively on the standards of patient care","Common causes of conflict include poor communication, poor physical health, religion and cultural differences and environmental factors","You can use verbal communication and body language to minimise the likelihood of conflict. Picking up on body language can give you a better indication of someone's state of anxiety or level of agitation","The attitude and behavioural cycle establishes a link between attitude and behaviour. Positive attitude creates a virtuous cycle of positive behaviour","People who work alone are at increased risk of physical/verbal abuse and harassment from patients, relatives or members of the public","You should always have an awareness of your environment and surroundings. Keeping a physical distance allows time to think, react and get out of the way","The use of force in self-defence must be reasonable - it should be proportionate and necessary","Following a violent incident, longer-term support may be required. People requiring support may include those directly affected, anyone who witnessed the incident and those who are based or work in the vicinity"]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 11:36:02',
			'modified' => '2024-07-31 11:36:02'
		),
		(int) 67 => array(
			'id' => '2947',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following may cause conflict?',
			'description' => 'Choose one or more options and select Submit',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["A patient in a drop-in centre not realising that they need to pick up a ticket before they sit down","A family member expecting an immediate response to a question about a patient\u2019s condition","A drunken person coming in off the street"," A patient being told that a consultant can\u2019t make an arranged appointment due to an emergency"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 68 => array(
			'id' => '2948',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Indicate the normal order of individual's emotions during a conflict escalation?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Violence, anger, frustration, aggression","Frustration, aggression, anger, violence","Frustration, anger, aggression, violence","Anger, violence, frustration, aggression"]',
			'field_correct' => '2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 69 => array(
			'id' => '2949',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'An irate visitor comes up to you and demands information on a patient who has just been admitted. How would you use communication skills to diffuse the situation?',
			'description' => 'Choose four options and select Submit.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Speak quickly to get the message across","Maintain eye contact, blinking slowly"," Touch the visitor","Keep a relaxed and open posture when talking to the visitor"," Consider the effect of the words you use","Ensure you have a calm and soft tone of voice"]',
			'field_correct' => '1,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 70 => array(
			'id' => '2950',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'A patient verbally abuses a member of staff. The staff member does not report it as they see this as part of their role. As training is based around reported incidents, this does not get picked up. What action should the staff member take?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Not report verbal abuse as receiving it is part of their role","Report all incidents of abuse including verbal to enable the organisation to learn and better support staff and patients","Verbally retaliate"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 71 => array(
			'id' => '2951',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Non-verbal communication is particularly important when:',
			'description' => 'Choose two options and select Submit.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["You are dealing with emotional issues","You are talking on the telephone","You are in a conflict situation","You are sending a text"]',
			'field_correct' => '0,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 72 => array(
			'id' => '2952',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the main forms of communication?',
			'description' => 'Choose two options and select Submit.',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Visual","Auditory","Verbal","Non-verbal"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 73 => array(
			'id' => '2953',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following may be causes of breakdown in communication?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '6',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Emotional state of the patient","Patient feeling hot, in pain or hungry","Language barrier","PPE and face coverings","Noisy environment","Power and authority"]',
			'field_correct' => '0,1,2,3,4,5',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 74 => array(
			'id' => '2954',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What do you need to do to improve communication?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '7',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Talk slowly and clearly","Check that you are being understood","Don't talk down to a patient","Adopt an open posture","Repeat information if required"]',
			'field_correct' => '0,1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 75 => array(
			'id' => '2955',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'During a conflict situation, the aggressor looks away but still appears agitated and goes quiet. How might these signs be interpreted?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '8',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" You have successfully de-escalated this conflict","A physical attack may be imminent","You have scared the aggressor into submission"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 76 => array(
			'id' => '2956',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Jenny is a health visitor who was physically assaulted by a patient’s father during a home visit. On her report Jenny states that the man was ‘extremely quiet and was showing no outward signs of being angry’. Why should Jenny have been more concerned by this man’s behaviour?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '9',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["People who go quiet when they are angry may be more volatile than people who show their anger"," People who go quiet when they are angry usually have emotional issues","People who go quiet when they are angry may be less volatile than people who show their anger"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 77 => array(
			'id' => '2957',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'When working alone what do you need to ensure in order to help protect yourself from potential conflicts?',
			'description' => 'Choose four options and select Submit.',
			'field_order' => '10',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["You work to a specified, agreed appointments list","You undertake a dynamic risk assessment for new situations","You have a mobile phone available to use","You carry an implement you can use as a weapon if required","You keep in contact with colleagues or managers"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 78 => array(
			'id' => '2958',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'How might the procedures relating to the provision of a health service contribute to the escalation of conflict?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '11',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Patients may have to repeat information to various staff members"," Patients may have to answer personal questions","Patients may have to wait to receive the service","Patients may have to undergo invasive procedures"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 79 => array(
			'id' => '2959',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following defines the 'reactionary gap'?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '12',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The minimum distance between two people to enable a response to a potential threat","The time taken to leave the area where a conflict is taking place","The minimum distance you should be from an exit route"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 80 => array(
			'id' => '2960',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'A community physiotherapist is required to enter a patient's intimate space to manipulate a leg joint. What could they do to minimise the risks of conflict?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '13',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Communicate well","Ensure the patient is put at ease","Explain the procedure","Always physically restrain the patient","Approach the patient in a professional manner"]',
			'field_correct' => '0,1,2,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 81 => array(
			'id' => '2961',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What does the phrase 'calming or slowing' mean in a conflict situation?',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '14',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Slowing down the rate of communication and breaking the flow into manageable sections","Ensuring your movements are not rapid","Breathing more slowly"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 82 => array(
			'id' => '2962',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'single-choice',
			'field_label' => 'Once you have found a strategy for successfully dealing with a conflict situation, the same strategy should then be used for all other conflict situations.',
			'description' => 'Choose the correct option and select Submit.',
			'field_order' => '15',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 83 => array(
			'id' => '2963',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What are the key elements that define 'reasonable force'?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '16',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Minimum use of force","Proportionate","Necessary"]',
			'field_correct' => '0,1,2',
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 84 => array(
			'id' => '2964',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'single-choice',
			'field_label' => 'An irate patient enters a GP surgery shouting abuse. He pulls out a knife and threatens the receptionist while demanding to see a doctor. As the situation develops it becomes clear that it will be necessary to use reasonable force to protect the surgery staff and patients. Which of the following best describes ‘reasonable force’?',
			'description' => 'An irate patient enters a GP surgery shouting abuse. He pulls out a knife and threatens the receptionist while demanding to see a doctor. As the situation develops it becomes clear that it will be necessary to use reasonable force to protect the surgery staff and patients. Which of the following best describes ‘reasonable force’?',
			'field_order' => '17',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The use of force for self-defence or to protect others without using more force than is necessary","Using force on a patient that will result in staff being prosecuted","Refusing to treat a patient who is being abusive and violent"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 85 => array(
			'id' => '2965',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What support is offered by the organisation Victim Support?',
			'description' => 'Choose four options and select Submit.',
			'field_order' => '18',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Emotional support","Payments for victims of violence","Practical support","Telephone support via support line","Confidential support"]',
			'field_correct' => '0,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 86 => array(
			'id' => '2966',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'How might a Trust benefit from offering support to staff following a violent incident?',
			'description' => 'Choose one or more options and select Submit.',
			'field_order' => '19',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Staff will take less time to recover","Staff are more committed to the Trust","Staff will be retained longer","The Trust will gain a reputation as a good employer"]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 87 => array(
			'id' => '2967',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'What is the role of the Security Management Specialist within your organisation?',
			'description' => 'Choose the two correct options and select Submit.',
			'field_order' => '20',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["To ensure all doors and windows are secure","To check all staff mileage claims at the end of each month","To investigate incidents of physical assault on Trust staff"," To advise the Trust on physical security measures"]',
			'field_correct' => '2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 88 => array(
			'id' => '2968',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'The letters of the LEAPS model of communication stands for which of the following?',
			'description' => 'Choose the correct options and select Submit.',
			'field_order' => '21',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '[" Listening, Empathising, Asking, Paraphrasing, Summarising"," Lunging, Engaging, Assisting, Prosecuting, Suspecting"," Learning, Encountering, Advising, Posturing, Succeeding"]',
			'field_correct' => '0',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		),
		(int) 89 => array(
			'id' => '2969',
			'course_id' => '110',
			'course_lesson_id' => '481',
			'field_type' => 'multiple-choice',
			'field_label' => 'Which of the following describe the PALMS model of communication?',
			'description' => 'Choose two correct options and select Submit.',
			'field_order' => '22',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["The use of your palms to prevent an attack","A non-aggressive stance, giving appropriate space","Communicating that you want to help resolve the issue"]',
			'field_correct' => '1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 12:02:42',
			'modified' => '2024-07-31 12:02:42'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '2878',
		(int) 1 => '2879',
		(int) 2 => '2880',
		(int) 3 => '2881',
		(int) 4 => '2882',
		(int) 5 => '2883',
		(int) 6 => '2884',
		(int) 7 => '2885',
		(int) 8 => '2886',
		(int) 9 => '2887',
		(int) 10 => '2888',
		(int) 11 => '2889',
		(int) 12 => '2893',
		(int) 13 => '2891',
		(int) 14 => '2892',
		(int) 15 => '2894',
		(int) 16 => '2895',
		(int) 17 => '2896',
		(int) 18 => '2897',
		(int) 19 => '2898',
		(int) 20 => '2899',
		(int) 21 => '2900',
		(int) 22 => '2901',
		(int) 23 => '2902',
		(int) 24 => '2903',
		(int) 25 => '2904',
		(int) 26 => '2905',
		(int) 27 => '2906',
		(int) 28 => '2907',
		(int) 29 => '2908',
		(int) 30 => '2909',
		(int) 31 => '2910',
		(int) 32 => '2911',
		(int) 33 => '2912',
		(int) 34 => '2913',
		(int) 35 => '2914',
		(int) 36 => '2915',
		(int) 37 => '2918',
		(int) 38 => '2922',
		(int) 39 => '2920',
		(int) 40 => '2921',
		(int) 41 => '2916',
		(int) 42 => '2917',
		(int) 43 => '2923',
		(int) 44 => '2925',
		(int) 45 => '2924',
		(int) 46 => '2926',
		(int) 47 => '2927',
		(int) 48 => '2928',
		(int) 49 => '2929',
		(int) 50 => '2930',
		(int) 51 => '2931',
		(int) 52 => '2932',
		(int) 53 => '2933',
		(int) 54 => '2934',
		(int) 55 => '2935',
		(int) 56 => '2936',
		(int) 57 => '2937',
		(int) 58 => '2938',
		(int) 59 => '2940',
		(int) 60 => '2939',
		(int) 61 => '2941',
		(int) 62 => '2942',
		(int) 63 => '2943',
		(int) 64 => '2944',
		(int) 65 => '2945',
		(int) 66 => '2946',
		(int) 67 => '2947',
		(int) 68 => '2948',
		(int) 69 => '2949',
		(int) 70 => '2950',
		(int) 71 => '2951',
		(int) 72 => '2952',
		(int) 73 => '2953',
		(int) 74 => '2954',
		(int) 75 => '2955',
		(int) 76 => '2956',
		(int) 77 => '2957',
		(int) 78 => '2958',
		(int) 79 => '2959',
		(int) 80 => '2960',
		(int) 81 => '2961',
		(int) 82 => '2962',
		(int) 83 => '2963',
		(int) 84 => '2964',
		(int) 85 => '2965',
		(int) 86 => '2966',
		(int) 87 => '2967',
		(int) 88 => '2968',
		(int) 89 => '2969'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '110'
$k = (int) 14
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Notice (8): Undefined variable: answers [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
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		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 113 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
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	(int) 112 => array(
		(int) 0 => '13',
		(int) 1 => '64',
		(int) 2 => '62',
		(int) 3 => '63',
		(int) 4 => '61',
		(int) 5 => '60',
		(int) 6 => '7',
		(int) 7 => '6'
	),
	(int) 114 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '59',
		(int) 9 => '12',
		(int) 10 => '7',
		(int) 11 => '6'
	),
	(int) 115 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 118 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 119 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 117 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 120 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 116 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '12',
		(int) 9 => '7',
		(int) 10 => '6'
	),
	(int) 123 => array(
		(int) 0 => '13',
		(int) 1 => '5',
		(int) 2 => '18',
		(int) 3 => '20',
		(int) 4 => '64',
		(int) 5 => '62',
		(int) 6 => '63',
		(int) 7 => '61',
		(int) 8 => '7',
		(int) 9 => '6'
	)
)
$mainTermData = array(
	'Term' => array(
		'id' => '64',
		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
		'taxonomy_name' => 'Qualification',
		'taxonomy_slug' => 'qualification',
		'parent_id' => '0',
		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
	)
)
$layoutTitle = 'T-Level - All Courses'
$i = (int) 0
$key = 'TermLink1'
$courses = array(
	(int) 0 => array(
		'Course' => array(
			'id' => '124',
			'course_title' => 'Safeguarding Children - Level 2 eLearning',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Children Level 2 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1814',
			'thumbnail_media_id' => '1813',
			'logo_media_id' => null,
			'banner_align_id' => '2',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '35 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 14:44:58',
			'modified' => '2024-08-07 16:18:54',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg',
			'field_count' => (int) 61,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3658',
			(int) 1 => '3659',
			(int) 2 => '3660',
			(int) 3 => '3661',
			(int) 4 => '3662',
			(int) 5 => '3663',
			(int) 6 => '3664',
			(int) 7 => '3665',
			(int) 8 => '3674',
			(int) 9 => '3673',
			(int) 10 => '3672',
			(int) 11 => '3671',
			(int) 12 => '3670',
			(int) 13 => '3669',
			(int) 14 => '3668',
			(int) 15 => '3667',
			(int) 16 => '3666',
			(int) 17 => '3677',
			(int) 18 => '3676',
			(int) 19 => '3675',
			(int) 20 => '3681',
			(int) 21 => '3680',
			(int) 22 => '3679',
			(int) 23 => '3678',
			(int) 24 => '3683',
			(int) 25 => '3682',
			(int) 26 => '3686',
			(int) 27 => '3685',
			(int) 28 => '3684',
			(int) 29 => '3690',
			(int) 30 => '3689',
			(int) 31 => '3688',
			(int) 32 => '3687',
			(int) 33 => '3694',
			(int) 34 => '3695',
			(int) 35 => '3693',
			(int) 36 => '3692',
			(int) 37 => '3691',
			(int) 38 => '3696',
			(int) 39 => '3697',
			(int) 40 => '3698',
			(int) 41 => '3699',
			(int) 42 => '3700',
			(int) 43 => '3701',
			(int) 44 => '3702',
			(int) 45 => '3703',
			(int) 46 => '3704',
			(int) 47 => '3705',
			(int) 48 => '3706',
			(int) 49 => '3708',
			(int) 50 => '3707',
			(int) 51 => '3709',
			(int) 52 => '3710',
			(int) 53 => '3711',
			(int) 54 => '3712',
			(int) 55 => '3713',
			(int) 56 => '3714',
			(int) 57 => '3715',
			(int) 58 => '3716',
			(int) 59 => '3717',
			(int) 60 => '3718'
		)
	),
	(int) 1 => array(
		'Course' => array(
			'id' => '123',
			'course_title' => 'Learning Disability Awareness',
			'description' => 'Learn the differences between a 'learning disability' and a 'learning difficulty'. We will consider how to communicate better, and how everyone can help to make a visit or stay in hospital a better experience for patients with Learning Disabilities.',
			'banner_media_id' => '1785',
			'thumbnail_media_id' => '1783',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 13:51:17',
			'modified' => '2024-08-07 14:21:45',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
			'field_count' => (int) 18,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
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			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
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			'logo_media_id' => null,
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			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
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				[maximum depth reached]
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			(int) 31 => array(
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			(int) 32 => array(
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			),
			(int) 33 => array(
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			(int) 35 => array(
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			),
			(int) 36 => array(
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			),
			(int) 37 => array(
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			(int) 38 => array(
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
			'banner_media_id' => '1616',
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			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-06 14:59:06',
			'modified' => '2024-08-07 14:26:42',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
			'field_count' => (int) 52,
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				[maximum depth reached]
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			(int) 17 => array(
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			(int) 20 => array(
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			(int) 23 => array(
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			(int) 24 => array(
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			(int) 25 => array(
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			(int) 26 => array(
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			(int) 27 => array(
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			(int) 28 => array(
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			(int) 29 => array(
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			(int) 30 => array(
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			(int) 31 => array(
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			(int) 32 => array(
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				[maximum depth reached]
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			(int) 40 => array(
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			(int) 41 => array(
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			(int) 43 => array(
				[maximum depth reached]
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			(int) 44 => array(
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			(int) 45 => array(
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			(int) 46 => array(
				[maximum depth reached]
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				[maximum depth reached]
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			(int) 25 => '3435',
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			(int) 27 => '3437',
			(int) 28 => '3438',
			(int) 29 => '3439',
			(int) 30 => '3440',
			(int) 31 => '3441',
			(int) 32 => '3442',
			(int) 33 => '3443',
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			),
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			),
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			),
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			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3166',
			(int) 1 => '3243',
			(int) 2 => '3244',
			(int) 3 => '3169',
			(int) 4 => '3170',
			(int) 5 => '3171',
			(int) 6 => '3245',
			(int) 7 => '3173',
			(int) 8 => '3174',
			(int) 9 => '3175',
			(int) 10 => '3246',
			(int) 11 => '3247',
			(int) 12 => '3178',
			(int) 13 => '3179',
			(int) 14 => '3248',
			(int) 15 => '3181',
			(int) 16 => '3182',
			(int) 17 => '3183',
			(int) 18 => '3249',
			(int) 19 => '3185',
			(int) 20 => '3186',
			(int) 21 => '3187',
			(int) 22 => '3188',
			(int) 23 => '3189',
			(int) 24 => '3190',
			(int) 25 => '3191',
			(int) 26 => '3192',
			(int) 27 => '3193',
			(int) 28 => '3195',
			(int) 29 => '3196',
			(int) 30 => '3197',
			(int) 31 => '3198',
			(int) 32 => '3250',
			(int) 33 => '3200',
			(int) 34 => '3251',
			(int) 35 => '3203',
			(int) 36 => '3204',
			(int) 37 => '3205',
			(int) 38 => '3208',
			(int) 39 => '3206',
			(int) 40 => '3207',
			(int) 41 => '3209',
			(int) 42 => '3210',
			(int) 43 => '3211',
			(int) 44 => '3212',
			(int) 45 => '3213',
			(int) 46 => '3214',
			(int) 47 => '3215',
			(int) 48 => '3216',
			(int) 49 => '3217',
			(int) 50 => '3219',
			(int) 51 => '3218',
			(int) 52 => '3220',
			(int) 53 => '3221',
			(int) 54 => '3222',
			(int) 55 => '3223',
			(int) 56 => '3224',
			(int) 57 => '3225',
			(int) 58 => '3226',
			(int) 59 => '3227',
			(int) 60 => '3228',
			(int) 61 => '3229',
			(int) 62 => '3230',
			(int) 63 => '3231',
			(int) 64 => '3232',
			(int) 65 => '3233',
			(int) 66 => '3234',
			(int) 67 => '3235',
			(int) 68 => '3237',
			(int) 69 => '3238',
			(int) 70 => '3239',
			(int) 71 => '3240',
			(int) 72 => '3241',
			(int) 73 => '3242'
		)
	),
	(int) 11 => array(
		'Course' => array(
			'id' => '113',
			'course_title' => 'Health & Safety (NHS Core Skills)',
			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
			'banner_media_id' => '1418',
			'thumbnail_media_id' => '1419',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'field_count' => (int) 107,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 498 => array(
				[maximum depth reached]
			),
			(int) 499 => array(
				[maximum depth reached]
			),
			(int) 500 => array(
				[maximum depth reached]
			),
			(int) 501 => array(
				[maximum depth reached]
			),
			(int) 502 => array(
				[maximum depth reached]
			),
			(int) 503 => array(
				[maximum depth reached]
			),
			(int) 504 => array(
				[maximum depth reached]
			),
			(int) 505 => array(
				[maximum depth reached]
			),
			(int) 506 => array(
				[maximum depth reached]
			),
			(int) 507 => array(
				[maximum depth reached]
			),
			(int) 508 => array(
				[maximum depth reached]
			),
			(int) 509 => array(
				[maximum depth reached]
			),
			(int) 510 => array(
				[maximum depth reached]
			),
			(int) 511 => array(
				[maximum depth reached]
			),
			(int) 512 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3058',
			(int) 1 => '3059',
			(int) 2 => '3060',
			(int) 3 => '3061',
			(int) 4 => '3062',
			(int) 5 => '3063',
			(int) 6 => '3064',
			(int) 7 => '3065',
			(int) 8 => '3066',
			(int) 9 => '3067',
			(int) 10 => '3068',
			(int) 11 => '3069',
			(int) 12 => '3070',
			(int) 13 => '3071',
			(int) 14 => '3072',
			(int) 15 => '3252',
			(int) 16 => '3253',
			(int) 17 => '3075',
			(int) 18 => '3077',
			(int) 19 => '3076',
			(int) 20 => '3078',
			(int) 21 => '3254',
			(int) 22 => '3080',
			(int) 23 => '3081',
			(int) 24 => '3082',
			(int) 25 => '3083',
			(int) 26 => '3084',
			(int) 27 => '3085',
			(int) 28 => '3086',
			(int) 29 => '3087',
			(int) 30 => '3088',
			(int) 31 => '3089',
			(int) 32 => '3090',
			(int) 33 => '3091',
			(int) 34 => '3092',
			(int) 35 => '3093',
			(int) 36 => '3094',
			(int) 37 => '3095',
			(int) 38 => '3096',
			(int) 39 => '3097',
			(int) 40 => '3098',
			(int) 41 => '3099',
			(int) 42 => '3100',
			(int) 43 => '3101',
			(int) 44 => '3255',
			(int) 45 => '3103',
			(int) 46 => '3104',
			(int) 47 => '3105',
			(int) 48 => '3106',
			(int) 49 => '3107',
			(int) 50 => '3108',
			(int) 51 => '3109',
			(int) 52 => '3110',
			(int) 53 => '3111',
			(int) 54 => '3112',
			(int) 55 => '3113',
			(int) 56 => '3114',
			(int) 57 => '3116',
			(int) 58 => '3117',
			(int) 59 => '3118',
			(int) 60 => '3119',
			(int) 61 => '3120',
			(int) 62 => '3121',
			(int) 63 => '3122',
			(int) 64 => '3123',
			(int) 65 => '3124',
			(int) 66 => '3125',
			(int) 67 => '3126',
			(int) 68 => '3127',
			(int) 69 => '3128',
			(int) 70 => '3129',
			(int) 71 => '3130',
			(int) 72 => '3131',
			(int) 73 => '3132',
			(int) 74 => '3133',
			(int) 75 => '3134',
			(int) 76 => '3135',
			(int) 77 => '3136',
			(int) 78 => '3137',
			(int) 79 => '3138',
			(int) 80 => '3139',
			(int) 81 => '3140',
			(int) 82 => '3141',
			(int) 83 => '3142',
			(int) 84 => '3143',
			(int) 85 => '3144',
			(int) 86 => '3145',
			(int) 87 => '3146',
			(int) 88 => '3147',
			(int) 89 => '3148',
			(int) 90 => '3149',
			(int) 91 => '3150',
			(int) 92 => '3151',
			(int) 93 => '3152',
			(int) 94 => '3153',
			(int) 95 => '3154',
			(int) 96 => '3155',
			(int) 97 => '3156',
			(int) 98 => '3157',
			(int) 99 => '3158',
			(int) 100 => '3159',
			(int) 101 => '3160',
			(int) 102 => '3161',
			(int) 103 => '3162',
			(int) 104 => '3163',
			(int) 105 => '3164',
			(int) 106 => '3165'
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	),
	(int) 12 => array(
		'Course' => array(
			'id' => '112',
			'course_title' => 'Equality Diversity And Inclusion E-Learning',
			'description' => 'Welcome to this e-Learning package on Equality, Diversity and Human Rights. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1323',
			'thumbnail_media_id' => '1320',
			'logo_media_id' => null,
			'banner_align_id' => '4',
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			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 09:12:40',
			'modified' => '2024-08-07 14:24:36',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'field_count' => (int) 42,
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			'percent_complete' => (int) 0
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		'CourseLesson' => array(
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				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 490 => array(
				[maximum depth reached]
			),
			(int) 491 => array(
				[maximum depth reached]
			),
			(int) 492 => array(
				[maximum depth reached]
			),
			(int) 493 => array(
				[maximum depth reached]
			),
			(int) 494 => array(
				[maximum depth reached]
			),
			(int) 495 => array(
				[maximum depth reached]
			),
			(int) 496 => array(
				[maximum depth reached]
			),
			(int) 497 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
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			(int) 1 => '3017',
			(int) 2 => '3018',
			(int) 3 => '3019',
			(int) 4 => '3020',
			(int) 5 => '3021',
			(int) 6 => '3022',
			(int) 7 => '3023',
			(int) 8 => '3024',
			(int) 9 => '3025',
			(int) 10 => '3026',
			(int) 11 => '3027',
			(int) 12 => '3028',
			(int) 13 => '3029',
			(int) 14 => '3030',
			(int) 15 => '3031',
			(int) 16 => '3032',
			(int) 17 => '3033',
			(int) 18 => '3034',
			(int) 19 => '3035',
			(int) 20 => '3036',
			(int) 21 => '3037',
			(int) 22 => '3038',
			(int) 23 => '3039',
			(int) 24 => '3040',
			(int) 25 => '3041',
			(int) 26 => '3042',
			(int) 27 => '3043',
			(int) 28 => '3044',
			(int) 29 => '3045',
			(int) 30 => '3046',
			(int) 31 => '3047',
			(int) 32 => '3048',
			(int) 33 => '3049',
			(int) 34 => '3050',
			(int) 35 => '3051',
			(int) 36 => '3052',
			(int) 37 => '3053',
			(int) 38 => '3054',
			(int) 39 => '3055',
			(int) 40 => '3056',
			(int) 41 => '3057'
		)
	),
	(int) 13 => array(
		'Course' => array(
			'id' => '111',
			'course_title' => 'Fire General Safety Awareness Transcript ',
			'description' => 'Welcome to this e-Learning package on Fire Safety &ndash; Level 1. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1647',
			'thumbnail_media_id' => '1648',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 13:04:44',
			'modified' => '2024-08-07 14:24:24',
			'term_ids' => array(
				[maximum depth reached]
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'field_count' => (int) 42,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
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				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 482 => array(
				[maximum depth reached]
			),
			(int) 483 => array(
				[maximum depth reached]
			),
			(int) 484 => array(
				[maximum depth reached]
			),
			(int) 485 => array(
				[maximum depth reached]
			),
			(int) 486 => array(
				[maximum depth reached]
			),
			(int) 487 => array(
				[maximum depth reached]
			),
			(int) 488 => array(
				[maximum depth reached]
			),
			(int) 489 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '2970',
			(int) 1 => '2971',
			(int) 2 => '2972',
			(int) 3 => '2973',
			(int) 4 => '2974',
			(int) 5 => '2975',
			(int) 6 => '2976',
			(int) 7 => '2977',
			(int) 8 => '2978',
			(int) 9 => '2979',
			(int) 10 => '2980',
			(int) 11 => '2981',
			(int) 12 => '2982',
			(int) 13 => '2983',
			(int) 14 => '2984',
			(int) 15 => '2985',
			(int) 16 => '2986',
			(int) 17 => '2987',
			(int) 18 => '2988',
			(int) 19 => '2989',
			(int) 20 => '2990',
			(int) 21 => '2991',
			(int) 22 => '2992',
			(int) 23 => '2993',
			(int) 24 => '2994',
			(int) 25 => '2995',
			(int) 26 => '2996',
			(int) 27 => '2997',
			(int) 28 => '2998',
			(int) 29 => '2999',
			(int) 30 => '3000',
			(int) 31 => '3001',
			(int) 32 => '3002',
			(int) 33 => '3012',
			(int) 34 => '3004',
			(int) 35 => '3005',
			(int) 36 => '3014',
			(int) 37 => '3015',
			(int) 38 => '3008',
			(int) 39 => '3009',
			(int) 40 => '3010',
			(int) 41 => '3011'
		)
	),
	(int) 14 => array(
		'Course' => array(
			'id' => '110',
			'course_title' => 'Conflict Resolution (Core Skill) Training',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Conflict Resolution Level 1&nbsp;in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1651',
			'thumbnail_media_id' => '1650',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 Minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 10:15:23',
			'modified' => '2024-08-07 14:23:51',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'field_count' => (int) 90,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 467 => array(
				[maximum depth reached]
			),
			(int) 468 => array(
				[maximum depth reached]
			),
			(int) 469 => array(
				[maximum depth reached]
			),
			(int) 470 => array(
				[maximum depth reached]
			),
			(int) 471 => array(
				[maximum depth reached]
			),
			(int) 472 => array(
				[maximum depth reached]
			),
			(int) 473 => array(
				[maximum depth reached]
			),
			(int) 474 => array(
				[maximum depth reached]
			),
			(int) 475 => array(
				[maximum depth reached]
			),
			(int) 476 => array(
				[maximum depth reached]
			),
			(int) 477 => array(
				[maximum depth reached]
			),
			(int) 478 => array(
				[maximum depth reached]
			),
			(int) 479 => array(
				[maximum depth reached]
			),
			(int) 480 => array(
				[maximum depth reached]
			),
			(int) 481 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
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			'created_user_id' => '8779',
			'session_length' => '2 Minutes',
			'character_id' => '',
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			'modified' => '2024-07-31 09:54:09'
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			'created_user_id' => '8779',
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			'character_id' => '',
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			'created_user_id' => '8779',
			'session_length' => '4 Minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 09:13:39',
			'modified' => '2024-07-31 09:54:09'
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			'description' => 'An insight into the rigidity of thought people with autism can experience.',
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			'created_user_id' => '8779',
			'session_length' => '2 Minutes',
			'character_id' => '',
			'active' => '1',
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			'description' => 'An insight in to sensory difficulties.',
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			'created_user_id' => '8779',
			'session_length' => '3 Minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 09:21:47',
			'modified' => '2024-07-31 09:54:09'
		),
		(int) 9 => array(
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			'course_id' => '109',
			'lesson_title' => 'Sensory Sensitivity ',
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			'created_user_id' => '8779',
			'session_length' => '2 Minutes',
			'character_id' => '',
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			'modified' => '2024-07-31 09:54:09'
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			'lesson_title' => 'Parallel Universe',
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			'created_user_id' => '8779',
			'session_length' => '1 Minute',
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			'created' => '2024-07-31 09:28:01',
			'modified' => '2024-07-31 09:54:09'
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			'course_id' => '109',
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			'created_user_id' => '8779',
			'session_length' => '6 Minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 09:30:42',
			'modified' => '2024-07-31 09:54:09'
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			'description' => 'The Autistic Spectrum (AS), Autistic Spectrum Disorder (ASD) or Autistic Spectrum Condition (ASC) is a range of neurodevelopmental disorders that affects the way in which a group of people see, understand, and react to the world around them.   

It’s an umbrella term that includes autism, Asperger Syndrome, Pervasive Developmental Disorders (PDD) and Pathological Demand Avoidance (PDA).  

People with autism see, hear, and feel the world differently to others.  

Autism is not an illness or disease and cannot be ‘cured’. Often people feel being autistic is a fundamental aspect of their identity.  

There are more than 700,000 autistic people in the UK - that’s more than 1 in 100.   

It appears to affect men more than women. ',
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			'description' => 'Hospital Passports are designed to provide healthcare staff with important information about the individual’s health, daily activities, communication needs, likes and dislikes, as well as identifying any reasonable adjustments that need to be made to ensure care and treatment is person-centred and anti-discriminatory.  

Passports are provided to and completed by each individual, their family members, and/or Health Care Professionals. They can be completed in readiness for hospital appointments/stays or on admission to hospital to ensure the patient’s needs are provided for.  

  

Completed Autism Passports are uploaded to Lorenzo to ensure professionals have access to the information whether the individual has brought their paper copy or not. ',
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			'created' => '2024-07-31 09:00:57',
			'modified' => '2024-07-31 09:00:57'
		),
		(int) 2 => array(
			'id' => '2854',
			'course_id' => '109',
			'course_lesson_id' => '457',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => 'If a patient doesn’t have a passport, you can encourage them to complete one.  <br><br>You can download or print passports from the UHMB Intranet:   <br><br>Corporate Services &gt; Safeguarding Children and Adults &gt; Learning Disability page <br><br>(or search for ‘passport’).   <br><br>https://www.uhmb.nhs.uk/visiting-our-hospitals/supporting-people-learning-disabilities-autism-and-hidden-disabilities <br><br><a href="https://www.uhmb.nhs.uk/visiting-our-hospitals/supporting-people-learning-disabilities-autism-and-hidden-disabilities">Autism Passports can also be downloaded from the Trust internet site.</a> ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:00:57',
			'modified' => '2024-07-31 09:00:57'
		),
		(int) 3 => array(
			'id' => '2855',
			'course_id' => '109',
			'course_lesson_id' => '458',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["sensory difficulties   they may struggle with hypo (under) or hyper (over) sensitivity of any of the 7 senses. ","social interaction   they may struggle to make eye contact; be unable to engage in chit chat; see no point in engaging in social activities. ","rigidity of thought   they may take things very literally (for example, if you use the phrase ‘raining cats and dogs’ they might think it really is) – social imagination is filling in the gaps (an awareness of other people’s emotions and seeing social cues). ","communication   they may engage in repetitive speech; speak with a strange pitch or intonation; struggle to listen to what you’re saying. "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:03:57',
			'modified' => '2024-07-31 09:03:57'
		),
		(int) 4 => array(
			'id' => '2856',
			'course_id' => '109',
			'course_lesson_id' => '458',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'For a formal diagnosis of autism, a  person must have some deficit in all 4 areas of what is termed the ‘quadrant of impairment’.  ',
			'field_order' => '0',
			'attachment_id' => '1259',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:03:57',
			'modified' => '2024-07-31 09:03:57'
		),
		(int) 5 => array(
			'id' => '2857',
			'course_id' => '109',
			'course_lesson_id' => '459',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Some people with autism may find it hard to instinctively understand or recognise how other people are feeling. They may also find it hard to express their own emotions.   

This can make building and maintaining relationships problematic and highly stressful. Some people may not be aware of what's socially appropriate.   

Some may appear uninterested in people, whilst others are more likely to enjoy or want to develop social contacts, but, for example, may find mixing difficult.   

The ways and degrees to which people with autism find social interaction problematic vary by individual, but some degree of difficulty is characteristic. ',
			'field_order' => '0',
			'attachment_id' => '1261',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:12:10',
			'modified' => '2024-07-31 09:12:10'
		),
		(int) 6 => array(
			'id' => '2858',
			'course_id' => '109',
			'course_lesson_id' => '459',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Non-verbal social communication ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Struggle with eye contact ","Difficulties interpreting people’s body language ","Difficulties interpreting peoples facial expressions  ","Difficulties interpreting subtle gestures  ","Invade people’s personal space  ","Social struggle with other’s non-verbal receptive and expressive communication "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:12:10',
			'modified' => '2024-07-31 09:12:10'
		),
		(int) 7 => array(
			'id' => '2860',
			'course_id' => '109',
			'course_lesson_id' => '459',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Verbal social communication ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Impairment of receptive and expressive language skills  ","Delay or difficulty in processing and interpreting information  ","Literal/concrete thinking and understanding  ","Interrupt other people’s conversation  ","Lack understanding of humour and sarcasm","Lack understanding of social uses and pleasures of communication  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:12:10',
			'modified' => '2024-07-31 09:12:10'
		),
		(int) 8 => array(
			'id' => '2861',
			'course_id' => '109',
			'course_lesson_id' => '460',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'People with autism may struggle with receptive communication. Difficulties may arise:  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["if the language used is too complex  ","if they take things very literally  ","if the context of the conversation changes (for example, communicating one on one and then moving to a group)  ","if the topic of conversation changes  ","if they have poor short-term memory or a low attention span  ","If they have sensory difficulties that mean distractions make it hard for them to focus and concentrate  ","If the conversation is uninteresting, they may appear aloof "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:17:31',
			'modified' => '2024-07-31 09:17:31'
		),
		(int) 9 => array(
			'id' => '2862',
			'course_id' => '109',
			'course_lesson_id' => '460',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Difficulties with expressive communication may include;   ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["limited language skills  ","speech too low, too loud, too slow, or too fast  ","an over-formal manner  ","echolalia (repeating what they hear)  ","vocalising thoughts (saying hurtful or truthful things e.g., ‘you’re fat, you smell’)  ","one-sided conversation – talking at length about their own interests, not acknowledging a lack of interest and missing social cues  ","interrupting other peoples’ conversations  ","conversations being out of proportion (e.g., interpreting things literally, fixation on a subject, being overly expressive etc.)  ","not understanding humour or sarcasm   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:17:31',
			'modified' => '2024-07-31 09:17:31'
		),
		(int) 10 => array(
			'id' => '2863',
			'course_id' => '109',
			'course_lesson_id' => '460',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Because of this, some people with autism may appear aloof, unfriendly, or unwilling to see things from others point of view.  

Remember, everybody is unique, so take the time to find out what works best for them.  

Ask if the person has an Autism Passport, Communication Passport, or any specific communication aids.  

It is important to read the information provided by the patient in order to ensure that communication with them is consistent and specific to their individual needs.  ',
			'field_order' => '2',
			'attachment_id' => '1263',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:17:31',
			'modified' => '2024-07-31 09:17:31'
		),
		(int) 11 => array(
			'id' => '2864',
			'course_id' => '109',
			'course_lesson_id' => '461',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'People with autism may have inflexible or rigid thinking.  

Changes to a predictable daily routines or rituals can be extremely problematic and distressing for some. Their lack of imagination can cause resistance to change – for example, the same activity in a different place, different sequence, or with different people and equipment can seem like a totally new experience.  

Some people with autism find it hard to interpret what others may be thinking, or believe they have the same thoughts and feelings as they do. It may be difficult for them to engage in imaginative activities when they see facts, not fiction.  

Some may have obsessional interests and find it difficult to understand that others don’t have the same interests, this can be problematic if the person is unable to stop this obsession.   

Some may have excellent long-term memory but struggle with short term memory. ',
			'field_order' => '0',
			'attachment_id' => '1264',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:21:17',
			'modified' => '2024-07-31 09:21:17'
		),
		(int) 12 => array(
			'id' => '2865',
			'course_id' => '109',
			'course_lesson_id' => '461',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Rigidity of thoughts and social imagination may result in;  ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Difficulty in using own experiences to understand new situations  ","Difficulty coping with change no matter how small (that’s why routine, familiarity and predictability are so important to people with autism)  ","Inability to predict what's happening next and the consequences of their actions   ","Special interests and obsessions  ","Difficulty with abstract thoughts and concepts  ","Strictly adhering to rules and instructions "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:21:17',
			'modified' => '2024-07-31 09:21:17'
		),
		(int) 13 => array(
			'id' => '2866',
			'course_id' => '109',
			'course_lesson_id' => '462',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Understanding sensory differences can help us to meet a persons’ sensory needs.   

People with autism can experience over-sensitivity (hyper) or under-sensitivity (hypo) in their sense of;  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Touch  ","Taste  ","Smell  ","Sight  ","Hearing  ","Body awareness and balance (e.g. difficulty with awareness of where your body is in space and how your different body parts are moving, trouble with going up and down steps, need to spin or rock your body, bumping into things, falling over)  ","Awareness of your internal state of your internal body (e.g. not feel when you’re hungry or thirsty, feeling hot or fatigued, not feel when you have a full bladder etc. may struggle to map and gauge severity of internal pain, emotions may not be felt e.g. fear because you don’t recognise when your muscles are tense, breathing is shallow and heart is racing that means you are frightened "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:23:49',
			'modified' => '2024-07-31 09:23:49'
		),
		(int) 14 => array(
			'id' => '2867',
			'course_id' => '109',
			'course_lesson_id' => '463',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'If you have access to speakers or headphones, watch this short video about autism and sensory sensitivity.  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/ycCN3qTYVyo?autohide=1&amp;showinfo=0&amp;controls=1&amp;enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/ycCN3qTYVyo/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:25:14',
			'modified' => '2024-07-31 09:25:14'
		),
		(int) 15 => array(
			'id' => '2868',
			'course_id' => '109',
			'course_lesson_id' => '464',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'If you have access to speakers or headphones, watch this short video about a psychological test used to investigate Theory of Mind in children with autism.   ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/O24Qx9Ezvbs?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/O24Qx9Ezvbs/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:26:57',
			'modified' => '2024-07-31 09:26:57'
		),
		(int) 16 => array(
			'id' => '2869',
			'course_id' => '109',
			'course_lesson_id' => '465',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Lions: Sociable and live in packs 

Cheetahs: Relative loners 

They are both cats – they just see the world differently. ',
			'field_order' => '0',
			'attachment_id' => '1267',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:52:43',
			'modified' => '2024-07-31 09:52:43'
		),
		(int) 17 => array(
			'id' => '2870',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'Answer the following 6 questions correctly to complete this E-Learning.   

If you do not pass you can retake the quiz or revisit the learning materials.  

Which of the following statements are true?',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["People with autism see and hear the word differently to other people ","People with autism can develop meaningful relationships and friendships ","Autism affects more men than women ","Autism can be cured ","All people with autism are intellectually disabled ","Autism is caused by bad parenting when very young "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 18 => array(
			'id' => '2871',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'Which are the 4 elements of the ‘quadrant of impairment’?',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Cognitive difficulties ","Social interaction difficulties ","Communication difficulties ","Rigidity of Thought ","Sensory difficulties ","Physical impairment "]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 19 => array(
			'id' => '2872',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'All people with autism also have amazing skills or a gift.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 20 => array(
			'id' => '2873',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'People with autism should be able to adapt to a new environment and have the flexibility to take in new sensory experiences.',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 21 => array(
			'id' => '2874',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'All people with autism have a high pain threshold; they can tolerate extreme pain and have no fear of medical intervention.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 22 => array(
			'id' => '2875',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'John has an Autism Passport. It identifies that he struggles in noisy and busy environments and struggles with having to wait as it makes him anxious.  He comes to the emergency department after having a fall and thinks he may have broken a bone in his wrist. The department is extremely busy and there is at least a 2 hour wait to be seen. His Passport says if he becomes anxious and has a sensory overload he goes into meltdown. What do you do?',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Find John somewhere quiet to wait ","Attempt to get him seen quickly if possible ","Ask John if there is anything you can do to help him ","Print out his Hospital Passport and ensure the medical team read it before meeting John ","Tell the staff and other patients waiting that John has autism and they need to be careful ","Ask John if he has a carer and tell him they must be with him at all times "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 23 => array(
			'id' => '2876',
			'course_id' => '109',
			'course_lesson_id' => '455',
			'field_type' => 'image-hotspot',
			'field_label' => '',
			'description' => 'Some of the things you may have heard about autism just aren’t true! Here are some common myths. ',
			'field_order' => '0',
			'attachment_id' => '1269',
			'external_media_src' => null,
			'external_thumb_src' => null,
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			'description' => 'The characteristics of autism include; ',
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			'description' => 'The Autistic Spectrum (AS), Autistic Spectrum Disorder (ASD) or Autistic Spectrum Condition (ASC) is a range of neurodevelopmental disorders that affects the way in which a group of people see, understand, and react to the world around them.   

It’s an umbrella term that includes autism, Asperger Syndrome, Pervasive Developmental Disorders (PDD) and Pathological Demand Avoidance (PDA).  

People with autism see, hear, and feel the world differently to others.  

Autism is not an illness or disease and cannot be ‘cured’. Often people feel being autistic is a fundamental aspect of their identity.  

There are more than 700,000 autistic people in the UK - that’s more than 1 in 100.   

It appears to affect men more than women. ',
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			'description' => 'Some of the things you may have heard about autism just aren’t true! Here are some common myths. ',
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			'description' => 'The characteristics of autism include; ',
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			'description' => 'Hospital Passports are designed to provide healthcare staff with important information about the individual’s health, daily activities, communication needs, likes and dislikes, as well as identifying any reasonable adjustments that need to be made to ensure care and treatment is person-centred and anti-discriminatory.  

Passports are provided to and completed by each individual, their family members, and/or Health Care Professionals. They can be completed in readiness for hospital appointments/stays or on admission to hospital to ensure the patient’s needs are provided for.  

  

Completed Autism Passports are uploaded to Lorenzo to ensure professionals have access to the information whether the individual has brought their paper copy or not. ',
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			'description' => 'If a patient doesn’t have a passport, you can encourage them to complete one.  <br><br>You can download or print passports from the UHMB Intranet:   <br><br>Corporate Services &gt; Safeguarding Children and Adults &gt; Learning Disability page <br><br>(or search for ‘passport’).   <br><br>https://www.uhmb.nhs.uk/visiting-our-hospitals/supporting-people-learning-disabilities-autism-and-hidden-disabilities <br><br><a href="https://www.uhmb.nhs.uk/visiting-our-hospitals/supporting-people-learning-disabilities-autism-and-hidden-disabilities">Autism Passports can also be downloaded from the Trust internet site.</a> ',
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			'description' => 'For a formal diagnosis of autism, a  person must have some deficit in all 4 areas of what is termed the ‘quadrant of impairment’.  ',
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			'description' => '',
			'field_order' => '1',
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			'field_choices' => '["sensory difficulties   they may struggle with hypo (under) or hyper (over) sensitivity of any of the 7 senses. ","social interaction   they may struggle to make eye contact; be unable to engage in chit chat; see no point in engaging in social activities. ","rigidity of thought   they may take things very literally (for example, if you use the phrase ‘raining cats and dogs’ they might think it really is) – social imagination is filling in the gaps (an awareness of other people’s emotions and seeing social cues). ","communication   they may engage in repetitive speech; speak with a strange pitch or intonation; struggle to listen to what you’re saying. "]',
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			'description' => 'Some people with autism may find it hard to instinctively understand or recognise how other people are feeling. They may also find it hard to express their own emotions.   

This can make building and maintaining relationships problematic and highly stressful. Some people may not be aware of what's socially appropriate.   

Some may appear uninterested in people, whilst others are more likely to enjoy or want to develop social contacts, but, for example, may find mixing difficult.   

The ways and degrees to which people with autism find social interaction problematic vary by individual, but some degree of difficulty is characteristic. ',
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			'description' => 'Non-verbal social communication ',
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			'field_choices' => '["Struggle with eye contact ","Difficulties interpreting people’s body language ","Difficulties interpreting peoples facial expressions  ","Difficulties interpreting subtle gestures  ","Invade people’s personal space  ","Social struggle with other’s non-verbal receptive and expressive communication "]',
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			'description' => 'Verbal social communication ',
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			'field_choices' => '["Impairment of receptive and expressive language skills  ","Delay or difficulty in processing and interpreting information  ","Literal/concrete thinking and understanding  ","Interrupt other people’s conversation  ","Lack understanding of humour and sarcasm","Lack understanding of social uses and pleasures of communication  "]',
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			'description' => 'People with autism may struggle with receptive communication. Difficulties may arise:  ',
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			'description' => 'Difficulties with expressive communication may include;   ',
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			'field_choices' => '["limited language skills  ","speech too low, too loud, too slow, or too fast  ","an over-formal manner  ","echolalia (repeating what they hear)  ","vocalising thoughts (saying hurtful or truthful things e.g., ‘you’re fat, you smell’)  ","one-sided conversation – talking at length about their own interests, not acknowledging a lack of interest and missing social cues  ","interrupting other peoples’ conversations  ","conversations being out of proportion (e.g., interpreting things literally, fixation on a subject, being overly expressive etc.)  ","not understanding humour or sarcasm   "]',
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			'description' => 'Because of this, some people with autism may appear aloof, unfriendly, or unwilling to see things from others point of view.  

Remember, everybody is unique, so take the time to find out what works best for them.  

Ask if the person has an Autism Passport, Communication Passport, or any specific communication aids.  

It is important to read the information provided by the patient in order to ensure that communication with them is consistent and specific to their individual needs.  ',
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			'course_id' => '109',
			'course_lesson_id' => '461',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'People with autism may have inflexible or rigid thinking.  

Changes to a predictable daily routines or rituals can be extremely problematic and distressing for some. Their lack of imagination can cause resistance to change – for example, the same activity in a different place, different sequence, or with different people and equipment can seem like a totally new experience.  

Some people with autism find it hard to interpret what others may be thinking, or believe they have the same thoughts and feelings as they do. It may be difficult for them to engage in imaginative activities when they see facts, not fiction.  

Some may have obsessional interests and find it difficult to understand that others don’t have the same interests, this can be problematic if the person is unable to stop this obsession.   

Some may have excellent long-term memory but struggle with short term memory. ',
			'field_order' => '0',
			'attachment_id' => '1264',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:21:17',
			'modified' => '2024-07-31 09:21:17'
		),
		(int) 14 => array(
			'id' => '2865',
			'course_id' => '109',
			'course_lesson_id' => '461',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Rigidity of thoughts and social imagination may result in;  ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Difficulty in using own experiences to understand new situations  ","Difficulty coping with change no matter how small (that’s why routine, familiarity and predictability are so important to people with autism)  ","Inability to predict what's happening next and the consequences of their actions   ","Special interests and obsessions  ","Difficulty with abstract thoughts and concepts  ","Strictly adhering to rules and instructions "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:21:17',
			'modified' => '2024-07-31 09:21:17'
		),
		(int) 15 => array(
			'id' => '2866',
			'course_id' => '109',
			'course_lesson_id' => '462',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Understanding sensory differences can help us to meet a persons’ sensory needs.   

People with autism can experience over-sensitivity (hyper) or under-sensitivity (hypo) in their sense of;  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Touch  ","Taste  ","Smell  ","Sight  ","Hearing  ","Body awareness and balance (e.g. difficulty with awareness of where your body is in space and how your different body parts are moving, trouble with going up and down steps, need to spin or rock your body, bumping into things, falling over)  ","Awareness of your internal state of your internal body (e.g. not feel when you’re hungry or thirsty, feeling hot or fatigued, not feel when you have a full bladder etc. may struggle to map and gauge severity of internal pain, emotions may not be felt e.g. fear because you don’t recognise when your muscles are tense, breathing is shallow and heart is racing that means you are frightened "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:23:49',
			'modified' => '2024-07-31 09:23:49'
		),
		(int) 16 => array(
			'id' => '2867',
			'course_id' => '109',
			'course_lesson_id' => '463',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'If you have access to speakers or headphones, watch this short video about autism and sensory sensitivity.  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/ycCN3qTYVyo?autohide=1&amp;showinfo=0&amp;controls=1&amp;enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/ycCN3qTYVyo/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:25:14',
			'modified' => '2024-07-31 09:25:14'
		),
		(int) 17 => array(
			'id' => '2868',
			'course_id' => '109',
			'course_lesson_id' => '464',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'If you have access to speakers or headphones, watch this short video about a psychological test used to investigate Theory of Mind in children with autism.   ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/O24Qx9Ezvbs?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/O24Qx9Ezvbs/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:26:57',
			'modified' => '2024-07-31 09:26:57'
		),
		(int) 18 => array(
			'id' => '2869',
			'course_id' => '109',
			'course_lesson_id' => '465',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Lions: Sociable and live in packs 

Cheetahs: Relative loners 

They are both cats – they just see the world differently. ',
			'field_order' => '0',
			'attachment_id' => '1267',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:52:43',
			'modified' => '2024-07-31 09:52:43'
		),
		(int) 19 => array(
			'id' => '2870',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'Answer the following 6 questions correctly to complete this E-Learning.   

If you do not pass you can retake the quiz or revisit the learning materials.  

Which of the following statements are true?',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["People with autism see and hear the word differently to other people ","People with autism can develop meaningful relationships and friendships ","Autism affects more men than women ","Autism can be cured ","All people with autism are intellectually disabled ","Autism is caused by bad parenting when very young "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 20 => array(
			'id' => '2871',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'Which are the 4 elements of the ‘quadrant of impairment’?',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Cognitive difficulties ","Social interaction difficulties ","Communication difficulties ","Rigidity of Thought ","Sensory difficulties ","Physical impairment "]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 21 => array(
			'id' => '2872',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'All people with autism also have amazing skills or a gift.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 22 => array(
			'id' => '2873',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'People with autism should be able to adapt to a new environment and have the flexibility to take in new sensory experiences.',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 23 => array(
			'id' => '2874',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'All people with autism have a high pain threshold; they can tolerate extreme pain and have no fear of medical intervention.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 24 => array(
			'id' => '2875',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'John has an Autism Passport. It identifies that he struggles in noisy and busy environments and struggles with having to wait as it makes him anxious.  He comes to the emergency department after having a fall and thinks he may have broken a bone in his wrist. The department is extremely busy and there is at least a 2 hour wait to be seen. His Passport says if he becomes anxious and has a sensory overload he goes into meltdown. What do you do?',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Find John somewhere quiet to wait ","Attempt to get him seen quickly if possible ","Ask John if there is anything you can do to help him ","Print out his Hospital Passport and ensure the medical team read it before meeting John ","Tell the staff and other patients waiting that John has autism and they need to be careful ","Ask John if he has a carer and tell him they must be with him at all times "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		)
	),
	'LessonFieldIds' => array(
		(int) 0 => '2849',
		(int) 1 => '2876',
		(int) 2 => '2877',
		(int) 3 => '2852',
		(int) 4 => '2854',
		(int) 5 => '2856',
		(int) 6 => '2855',
		(int) 7 => '2857',
		(int) 8 => '2858',
		(int) 9 => '2860',
		(int) 10 => '2861',
		(int) 11 => '2862',
		(int) 12 => '2863',
		(int) 13 => '2864',
		(int) 14 => '2865',
		(int) 15 => '2866',
		(int) 16 => '2867',
		(int) 17 => '2868',
		(int) 18 => '2869',
		(int) 19 => '2870',
		(int) 20 => '2871',
		(int) 21 => '2872',
		(int) 22 => '2873',
		(int) 23 => '2874',
		(int) 24 => '2875'
	)
)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '109'
$k = (int) 15
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

Warning (2): Invalid argument supplied for foreach() [ROOT/Controller/CourseController.php, line 564]
Code Context


            // If fields have been deleted since remove the answers

            foreach ( $answers as $k2 => $answer ) {
$mainTermId = '64'
$thumbnailIds = array(
	(int) 0 => '1813',
	(int) 1 => '1783',
	(int) 2 => '1722',
	(int) 3 => '1715',
	(int) 4 => '1688',
	(int) 5 => '1617',
	(int) 6 => '1594',
	(int) 7 => '1598',
	(int) 8 => '1532',
	(int) 9 => '1482',
	(int) 10 => '1419',
	(int) 11 => '1320',
	(int) 12 => '1648',
	(int) 13 => '1650',
	(int) 14 => '1254'
)
$thumbnailSrcs = array(
	(int) 1254 => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
	(int) 1320 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
	(int) 1419 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
	(int) 1482 => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
	(int) 1532 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
	(int) 1594 => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
	(int) 1598 => 'https://vault.ecloud.co.uk/elearning/2024/08/63f8d93d037ef170525bcc4b_2.png',
	(int) 1617 => 'https://vault.ecloud.co.uk/elearning/2024/08/0e7826795bb9fae02697582cd2d56c8a860bd124_2_x600.jpg',
	(int) 1648 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
	(int) 1650 => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
	(int) 1688 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
	(int) 1715 => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
	(int) 1722 => 'https://vault.ecloud.co.uk/elearning/2024/08/363adb5de96917647f08030ff931e80a73114f8c_2.jpg',
	(int) 1783 => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1768244338-612x612-(1)_x600.jpg',
	(int) 1813 => 'https://vault.ecloud.co.uk/elearning/2024/08/12a4702bda01604a719abd193672d0147fc0f3f8-(1)_3_x600.jpg'
)
$thumbnails = array(
	(int) 0 => array(
		'Attachment' => array(
			'id' => '1254',
			'record_id' => '109',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/07/Thumbnail_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/07\/Thumbnail_x600.jpg"}',
			'active' => '1',
			'created' => '2024-07-31 08:43:43'
		)
	),
	(int) 1 => array(
		'Attachment' => array(
			'id' => '1320',
			'record_id' => '112',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1312076111-612x612_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 09:14:49'
		)
	),
	(int) 2 => array(
		'Attachment' => array(
			'id' => '1419',
			'record_id' => '113',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-1487883197-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-05 14:30:30'
		)
	),
	(int) 3 => array(
		'Attachment' => array(
			'id' => '1482',
			'record_id' => '114',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2.png","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/Screenshot-2024-08-05-151128_2_x600.png"}',
			'active' => '1',
			'created' => '2024-08-06 08:47:17'
		)
	),
	(int) 4 => array(
		'Attachment' => array(
			'id' => '1532',
			'record_id' => '115',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2.jpg',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-679486672-612x612_2_x600.jpg',
			'mime_type' => 'image/jpeg',
			'title' => '',
			'alt_text' => '',
			'description' => '',
			'thumbnail_data' => '{"2500":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","1200":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2.jpg","600":"https:\/\/vault.ecloud.co.uk\/elearning\/2024\/08\/istockphoto-679486672-612x612_2_x600.jpg"}',
			'active' => '1',
			'created' => '2024-08-06 11:41:44'
		)
	),
	(int) 5 => array(
		'Attachment' => array(
			'id' => '1594',
			'record_id' => '118',
			'type' => 'course',
			'created_user_id' => '8779',
			'file' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'file_preview' => 'https://vault.ecloud.co.uk/elearning/2024/08/249cc744460a4fc2ee850d33a533bd044600f0b9_3.png',
			'mime_type' => 'image/png',
			'title' => '',
			'alt_text' => '',
			'description' => '',
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)
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)
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$name = '18+'
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)
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		'name' => 'T-Level',
		'slug' => 't-level',
		'description' => '',
		'main_taxonomy' => 'course',
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		'taxonomy_slug' => 'qualification',
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		'banner_media_id' => null,
		'thumbnail_media_id' => null,
		'banner_align_id' => '0',
		'main_order' => '0',
		'term_order' => '8',
		'active' => '1',
		'created' => '2024-07-31 08:44:33',
		'modified' => '2024-07-31 08:44:33'
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)
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$key = 'TermLink1'
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			'created' => '2024-08-07 14:44:58',
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			(int) 55 => array(
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			(int) 59 => array(
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			),
			(int) 59 => array(
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			(int) 60 => '3718'
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			'course_title' => 'Learning Disability Awareness',
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			'created' => '2024-08-07 13:51:17',
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				[maximum depth reached]
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			(int) 23 => array(
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			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3561',
			(int) 1 => '3562',
			(int) 2 => '3563',
			(int) 3 => '3564',
			(int) 4 => '3565',
			(int) 5 => '3566',
			(int) 6 => '3567',
			(int) 7 => '3568',
			(int) 8 => '3569',
			(int) 9 => '3570',
			(int) 10 => '3571',
			(int) 11 => '3572',
			(int) 12 => '3573',
			(int) 13 => '3574',
			(int) 14 => '3575',
			(int) 15 => '3576',
			(int) 16 => '3577',
			(int) 17 => '3578',
			(int) 18 => '3580',
			(int) 19 => '3581',
			(int) 20 => '3582',
			(int) 21 => '3583',
			(int) 22 => '3585',
			(int) 23 => '3586',
			(int) 24 => '3584',
			(int) 25 => '3587',
			(int) 26 => '3588',
			(int) 27 => '3589',
			(int) 28 => '3590',
			(int) 29 => '3591',
			(int) 30 => '3592',
			(int) 31 => '3593',
			(int) 32 => '3594',
			(int) 33 => '3595',
			(int) 34 => '3596',
			(int) 35 => '3597',
			(int) 36 => '3598',
			(int) 37 => '3599',
			(int) 38 => '3600',
			(int) 39 => '3601',
			(int) 40 => '3602',
			(int) 41 => '3603',
			(int) 42 => '3604',
			(int) 43 => '3605',
			(int) 44 => '3606',
			(int) 45 => '3607',
			(int) 46 => '3608',
			(int) 47 => '3609',
			(int) 48 => '3610',
			(int) 49 => '3611',
			(int) 50 => '3612',
			(int) 51 => '3613',
			(int) 52 => '3614',
			(int) 53 => '3615',
			(int) 54 => '3619',
			(int) 55 => '3618',
			(int) 56 => '3617',
			(int) 57 => '3616',
			(int) 58 => '3622',
			(int) 59 => '3621',
			(int) 60 => '3620',
			(int) 61 => '3623',
			(int) 62 => '3624',
			(int) 63 => '3625',
			(int) 64 => '3626',
			(int) 65 => '3627',
			(int) 66 => '3628',
			(int) 67 => '3629',
			(int) 68 => '3630',
			(int) 69 => '3631',
			(int) 70 => '3632',
			(int) 71 => '3633',
			(int) 72 => '3634',
			(int) 73 => '3635',
			(int) 74 => '3636',
			(int) 75 => '3637',
			(int) 76 => '3638',
			(int) 77 => '3639'
		)
	),
	(int) 3 => array(
		'Course' => array(
			'id' => '121',
			'course_title' => 'Infection Prevention and Control Level 1',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 1 in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1714',
			'thumbnail_media_id' => '1715',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 10:48:35',
			'modified' => '2024-08-07 14:23:01',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/fedd211cd8366311d2ecb61ce5a08e5d6294de6f_6_x600.jpg',
			'field_count' => (int) 30,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 556 => array(
				[maximum depth reached]
			),
			(int) 557 => array(
				[maximum depth reached]
			),
			(int) 558 => array(
				[maximum depth reached]
			),
			(int) 559 => array(
				[maximum depth reached]
			),
			(int) 560 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3531',
			(int) 1 => '3532',
			(int) 2 => '3533',
			(int) 3 => '3534',
			(int) 4 => '3535',
			(int) 5 => '3536',
			(int) 6 => '3537',
			(int) 7 => '3538',
			(int) 8 => '3539',
			(int) 9 => '3540',
			(int) 10 => '3541',
			(int) 11 => '3542',
			(int) 12 => '3543',
			(int) 13 => '3544',
			(int) 14 => '3545',
			(int) 15 => '3546',
			(int) 16 => '3547',
			(int) 17 => '3548',
			(int) 18 => '3549',
			(int) 19 => '3550',
			(int) 20 => '3551',
			(int) 21 => '3552',
			(int) 22 => '3553',
			(int) 23 => '3554',
			(int) 24 => '3555',
			(int) 25 => '3556',
			(int) 26 => '3557',
			(int) 27 => '3558',
			(int) 28 => '3559',
			(int) 29 => '3560'
		)
	),
	(int) 4 => array(
		'Course' => array(
			'id' => '120',
			'course_title' => 'Safeguarding Adults & Children - Level 1',
			'description' => 'It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.<br /><br />The e-learning covers the key points realting to the subjesct. To complete the package you will need to pass the quiz.<br /><br />All non-clinical and clinical staff who have any contact with patients whether adult ot child just be taking this training.<br /><br />The course in mandatory and should be updated every 3 years.',
			'banner_media_id' => '1689',
			'thumbnail_media_id' => '1688',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-07 09:50:04',
			'modified' => '2024-08-07 14:22:40',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-177092421-612x612.jpg',
			'field_count' => (int) 39,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
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			'course_title' => 'Safeguarding Adults Level 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Safeguarding Adults Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />Learning Objectives<br />List the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway<br />Describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019<br />Use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs<br />Describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously',
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
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				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
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			),
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			'course_title' => 'Manual Handling Module A&B',
			'description' => 'Welcome to this e-Learning package, Manual Handling.&nbsp;&nbsp;<br />This is for all staff including contractors, unpaid and voluntary.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
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			'created' => '2024-08-06 09:47:13',
			'modified' => '2024-08-07 14:25:44',
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			'course_title' => 'Infection Prevention & Control (Core Skills) 2',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Infection Prevention and Control Level 2 in the UK Core Skills Training Framework (UK CSTF).<br /><br />This session has been updated with infection, prevention and control guidance in light of the Coronavirus (COVID-19) pandemic. We recommend that you visit the Personal Protective Equipment (PPE) chapter for new guidance.<br /><br />For up-to-date guidance search:<br /><br />COVID-19: infection prevention and control<br />COVID-19: guidance for Ambulance Trusts<br /><br />Your health and safety and that of others is very important. During this pandemic you must take care of yourself and stay at home if you exhibit any symptoms of the Coronavirus or if those you live with are unwell. you must stay at home if you are an individual who is &lsquo;shielded&rsquo;.<br /><br />If you are working in a health and care environment and if you are well, you can attend your work but must follow the guidance given to you by your organisation.',
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			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 14:33:41',
			'modified' => '2024-08-07 14:25:02',
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/Screenshot-2024-08-05-151128_2_x600.png',
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			),
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			),
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			(int) 13 => array(
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			),
			(int) 14 => array(
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			),
			(int) 15 => array(
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			),
			(int) 16 => array(
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			),
			(int) 17 => array(
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			(int) 18 => array(
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			),
			(int) 19 => array(
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			),
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				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3166',
			(int) 1 => '3243',
			(int) 2 => '3244',
			(int) 3 => '3169',
			(int) 4 => '3170',
			(int) 5 => '3171',
			(int) 6 => '3245',
			(int) 7 => '3173',
			(int) 8 => '3174',
			(int) 9 => '3175',
			(int) 10 => '3246',
			(int) 11 => '3247',
			(int) 12 => '3178',
			(int) 13 => '3179',
			(int) 14 => '3248',
			(int) 15 => '3181',
			(int) 16 => '3182',
			(int) 17 => '3183',
			(int) 18 => '3249',
			(int) 19 => '3185',
			(int) 20 => '3186',
			(int) 21 => '3187',
			(int) 22 => '3188',
			(int) 23 => '3189',
			(int) 24 => '3190',
			(int) 25 => '3191',
			(int) 26 => '3192',
			(int) 27 => '3193',
			(int) 28 => '3195',
			(int) 29 => '3196',
			(int) 30 => '3197',
			(int) 31 => '3198',
			(int) 32 => '3250',
			(int) 33 => '3200',
			(int) 34 => '3251',
			(int) 35 => '3203',
			(int) 36 => '3204',
			(int) 37 => '3205',
			(int) 38 => '3208',
			(int) 39 => '3206',
			(int) 40 => '3207',
			(int) 41 => '3209',
			(int) 42 => '3210',
			(int) 43 => '3211',
			(int) 44 => '3212',
			(int) 45 => '3213',
			(int) 46 => '3214',
			(int) 47 => '3215',
			(int) 48 => '3216',
			(int) 49 => '3217',
			(int) 50 => '3219',
			(int) 51 => '3218',
			(int) 52 => '3220',
			(int) 53 => '3221',
			(int) 54 => '3222',
			(int) 55 => '3223',
			(int) 56 => '3224',
			(int) 57 => '3225',
			(int) 58 => '3226',
			(int) 59 => '3227',
			(int) 60 => '3228',
			(int) 61 => '3229',
			(int) 62 => '3230',
			(int) 63 => '3231',
			(int) 64 => '3232',
			(int) 65 => '3233',
			(int) 66 => '3234',
			(int) 67 => '3235',
			(int) 68 => '3237',
			(int) 69 => '3238',
			(int) 70 => '3239',
			(int) 71 => '3240',
			(int) 72 => '3241',
			(int) 73 => '3242'
		)
	),
	(int) 11 => array(
		'Course' => array(
			'id' => '113',
			'course_title' => 'Health & Safety (NHS Core Skills)',
			'description' => 'Welcome to this e-Learning package, Health &amp; Safety.&nbsp;&nbsp;<br />It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.',
			'banner_media_id' => '1418',
			'thumbnail_media_id' => '1419',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '120 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 10:38:25',
			'modified' => '2024-08-07 14:25:23',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1487883197-612x612_2_x600.jpg',
			'field_count' => (int) 107,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 498 => array(
				[maximum depth reached]
			),
			(int) 499 => array(
				[maximum depth reached]
			),
			(int) 500 => array(
				[maximum depth reached]
			),
			(int) 501 => array(
				[maximum depth reached]
			),
			(int) 502 => array(
				[maximum depth reached]
			),
			(int) 503 => array(
				[maximum depth reached]
			),
			(int) 504 => array(
				[maximum depth reached]
			),
			(int) 505 => array(
				[maximum depth reached]
			),
			(int) 506 => array(
				[maximum depth reached]
			),
			(int) 507 => array(
				[maximum depth reached]
			),
			(int) 508 => array(
				[maximum depth reached]
			),
			(int) 509 => array(
				[maximum depth reached]
			),
			(int) 510 => array(
				[maximum depth reached]
			),
			(int) 511 => array(
				[maximum depth reached]
			),
			(int) 512 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			),
			(int) 90 => array(
				[maximum depth reached]
			),
			(int) 91 => array(
				[maximum depth reached]
			),
			(int) 92 => array(
				[maximum depth reached]
			),
			(int) 93 => array(
				[maximum depth reached]
			),
			(int) 94 => array(
				[maximum depth reached]
			),
			(int) 95 => array(
				[maximum depth reached]
			),
			(int) 96 => array(
				[maximum depth reached]
			),
			(int) 97 => array(
				[maximum depth reached]
			),
			(int) 98 => array(
				[maximum depth reached]
			),
			(int) 99 => array(
				[maximum depth reached]
			),
			(int) 100 => array(
				[maximum depth reached]
			),
			(int) 101 => array(
				[maximum depth reached]
			),
			(int) 102 => array(
				[maximum depth reached]
			),
			(int) 103 => array(
				[maximum depth reached]
			),
			(int) 104 => array(
				[maximum depth reached]
			),
			(int) 105 => array(
				[maximum depth reached]
			),
			(int) 106 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '3058',
			(int) 1 => '3059',
			(int) 2 => '3060',
			(int) 3 => '3061',
			(int) 4 => '3062',
			(int) 5 => '3063',
			(int) 6 => '3064',
			(int) 7 => '3065',
			(int) 8 => '3066',
			(int) 9 => '3067',
			(int) 10 => '3068',
			(int) 11 => '3069',
			(int) 12 => '3070',
			(int) 13 => '3071',
			(int) 14 => '3072',
			(int) 15 => '3252',
			(int) 16 => '3253',
			(int) 17 => '3075',
			(int) 18 => '3077',
			(int) 19 => '3076',
			(int) 20 => '3078',
			(int) 21 => '3254',
			(int) 22 => '3080',
			(int) 23 => '3081',
			(int) 24 => '3082',
			(int) 25 => '3083',
			(int) 26 => '3084',
			(int) 27 => '3085',
			(int) 28 => '3086',
			(int) 29 => '3087',
			(int) 30 => '3088',
			(int) 31 => '3089',
			(int) 32 => '3090',
			(int) 33 => '3091',
			(int) 34 => '3092',
			(int) 35 => '3093',
			(int) 36 => '3094',
			(int) 37 => '3095',
			(int) 38 => '3096',
			(int) 39 => '3097',
			(int) 40 => '3098',
			(int) 41 => '3099',
			(int) 42 => '3100',
			(int) 43 => '3101',
			(int) 44 => '3255',
			(int) 45 => '3103',
			(int) 46 => '3104',
			(int) 47 => '3105',
			(int) 48 => '3106',
			(int) 49 => '3107',
			(int) 50 => '3108',
			(int) 51 => '3109',
			(int) 52 => '3110',
			(int) 53 => '3111',
			(int) 54 => '3112',
			(int) 55 => '3113',
			(int) 56 => '3114',
			(int) 57 => '3116',
			(int) 58 => '3117',
			(int) 59 => '3118',
			(int) 60 => '3119',
			(int) 61 => '3120',
			(int) 62 => '3121',
			(int) 63 => '3122',
			(int) 64 => '3123',
			(int) 65 => '3124',
			(int) 66 => '3125',
			(int) 67 => '3126',
			(int) 68 => '3127',
			(int) 69 => '3128',
			(int) 70 => '3129',
			(int) 71 => '3130',
			(int) 72 => '3131',
			(int) 73 => '3132',
			(int) 74 => '3133',
			(int) 75 => '3134',
			(int) 76 => '3135',
			(int) 77 => '3136',
			(int) 78 => '3137',
			(int) 79 => '3138',
			(int) 80 => '3139',
			(int) 81 => '3140',
			(int) 82 => '3141',
			(int) 83 => '3142',
			(int) 84 => '3143',
			(int) 85 => '3144',
			(int) 86 => '3145',
			(int) 87 => '3146',
			(int) 88 => '3147',
			(int) 89 => '3148',
			(int) 90 => '3149',
			(int) 91 => '3150',
			(int) 92 => '3151',
			(int) 93 => '3152',
			(int) 94 => '3153',
			(int) 95 => '3154',
			(int) 96 => '3155',
			(int) 97 => '3156',
			(int) 98 => '3157',
			(int) 99 => '3158',
			(int) 100 => '3159',
			(int) 101 => '3160',
			(int) 102 => '3161',
			(int) 103 => '3162',
			(int) 104 => '3163',
			(int) 105 => '3164',
			(int) 106 => '3165'
		)
	),
	(int) 12 => array(
		'Course' => array(
			'id' => '112',
			'course_title' => 'Equality Diversity And Inclusion E-Learning',
			'description' => 'Welcome to this e-Learning package on Equality, Diversity and Human Rights. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1323',
			'thumbnail_media_id' => '1320',
			'logo_media_id' => null,
			'banner_align_id' => '4',
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			'created_user_id' => '8779',
			'course_length' => '60 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-08-05 09:12:40',
			'modified' => '2024-08-07 14:24:36',
			'term_ids' => array(
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			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1312076111-612x612_x600.jpg',
			'field_count' => (int) 42,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
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		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
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				[maximum depth reached]
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			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 490 => array(
				[maximum depth reached]
			),
			(int) 491 => array(
				[maximum depth reached]
			),
			(int) 492 => array(
				[maximum depth reached]
			),
			(int) 493 => array(
				[maximum depth reached]
			),
			(int) 494 => array(
				[maximum depth reached]
			),
			(int) 495 => array(
				[maximum depth reached]
			),
			(int) 496 => array(
				[maximum depth reached]
			),
			(int) 497 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
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			(int) 1 => '3017',
			(int) 2 => '3018',
			(int) 3 => '3019',
			(int) 4 => '3020',
			(int) 5 => '3021',
			(int) 6 => '3022',
			(int) 7 => '3023',
			(int) 8 => '3024',
			(int) 9 => '3025',
			(int) 10 => '3026',
			(int) 11 => '3027',
			(int) 12 => '3028',
			(int) 13 => '3029',
			(int) 14 => '3030',
			(int) 15 => '3031',
			(int) 16 => '3032',
			(int) 17 => '3033',
			(int) 18 => '3034',
			(int) 19 => '3035',
			(int) 20 => '3036',
			(int) 21 => '3037',
			(int) 22 => '3038',
			(int) 23 => '3039',
			(int) 24 => '3040',
			(int) 25 => '3041',
			(int) 26 => '3042',
			(int) 27 => '3043',
			(int) 28 => '3044',
			(int) 29 => '3045',
			(int) 30 => '3046',
			(int) 31 => '3047',
			(int) 32 => '3048',
			(int) 33 => '3049',
			(int) 34 => '3050',
			(int) 35 => '3051',
			(int) 36 => '3052',
			(int) 37 => '3053',
			(int) 38 => '3054',
			(int) 39 => '3055',
			(int) 40 => '3056',
			(int) 41 => '3057'
		)
	),
	(int) 13 => array(
		'Course' => array(
			'id' => '111',
			'course_title' => 'Fire General Safety Awareness Transcript ',
			'description' => 'Welcome to this e-Learning package on Fire Safety &ndash; Level 1. It has been designed to meet the relevant learning outcomes in the UK Core Skills Training Framework.&nbsp;&nbsp;&nbsp;<br />The e-learning covers the key points relating to the subject. To complete the package you will need to pass the quiz.',
			'banner_media_id' => '1647',
			'thumbnail_media_id' => '1648',
			'logo_media_id' => null,
			'banner_align_id' => '0',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '30 minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 13:04:44',
			'modified' => '2024-08-07 14:24:24',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/istockphoto-1287613988-612x612_3_x600.jpg',
			'field_count' => (int) 42,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 482 => array(
				[maximum depth reached]
			),
			(int) 483 => array(
				[maximum depth reached]
			),
			(int) 484 => array(
				[maximum depth reached]
			),
			(int) 485 => array(
				[maximum depth reached]
			),
			(int) 486 => array(
				[maximum depth reached]
			),
			(int) 487 => array(
				[maximum depth reached]
			),
			(int) 488 => array(
				[maximum depth reached]
			),
			(int) 489 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '2970',
			(int) 1 => '2971',
			(int) 2 => '2972',
			(int) 3 => '2973',
			(int) 4 => '2974',
			(int) 5 => '2975',
			(int) 6 => '2976',
			(int) 7 => '2977',
			(int) 8 => '2978',
			(int) 9 => '2979',
			(int) 10 => '2980',
			(int) 11 => '2981',
			(int) 12 => '2982',
			(int) 13 => '2983',
			(int) 14 => '2984',
			(int) 15 => '2985',
			(int) 16 => '2986',
			(int) 17 => '2987',
			(int) 18 => '2988',
			(int) 19 => '2989',
			(int) 20 => '2990',
			(int) 21 => '2991',
			(int) 22 => '2992',
			(int) 23 => '2993',
			(int) 24 => '2994',
			(int) 25 => '2995',
			(int) 26 => '2996',
			(int) 27 => '2997',
			(int) 28 => '2998',
			(int) 29 => '2999',
			(int) 30 => '3000',
			(int) 31 => '3001',
			(int) 32 => '3002',
			(int) 33 => '3012',
			(int) 34 => '3004',
			(int) 35 => '3005',
			(int) 36 => '3014',
			(int) 37 => '3015',
			(int) 38 => '3008',
			(int) 39 => '3009',
			(int) 40 => '3010',
			(int) 41 => '3011'
		)
	),
	(int) 14 => array(
		'Course' => array(
			'id' => '110',
			'course_title' => 'Conflict Resolution (Core Skill) Training',
			'description' => 'This e-learning session meets the statutory and mandatory training requirements and learning outcomes for Conflict Resolution Level 1&nbsp;in the UK Core Skills Training Framework (UK CSTF).',
			'banner_media_id' => '1651',
			'thumbnail_media_id' => '1650',
			'logo_media_id' => null,
			'banner_align_id' => '5',
			'type_id' => '0',
			'created_user_id' => '8779',
			'course_length' => '40 Minutes',
			'expiry_date' => null,
			'expired' => '0',
			'active' => '1',
			'created' => '2024-07-31 10:15:23',
			'modified' => '2024-08-07 14:23:51',
			'term_ids' => array(
				[maximum depth reached]
			),
			'thumbnail_src' => 'https://vault.ecloud.co.uk/elearning/2024/08/4_2.jpg',
			'field_count' => (int) 90,
			'answer_count' => (int) 0,
			'percent_complete' => (int) 0
		),
		'CourseLesson' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			)
		),
		'CourseLessonField' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldList' => array(
			(int) 467 => array(
				[maximum depth reached]
			),
			(int) 468 => array(
				[maximum depth reached]
			),
			(int) 469 => array(
				[maximum depth reached]
			),
			(int) 470 => array(
				[maximum depth reached]
			),
			(int) 471 => array(
				[maximum depth reached]
			),
			(int) 472 => array(
				[maximum depth reached]
			),
			(int) 473 => array(
				[maximum depth reached]
			),
			(int) 474 => array(
				[maximum depth reached]
			),
			(int) 475 => array(
				[maximum depth reached]
			),
			(int) 476 => array(
				[maximum depth reached]
			),
			(int) 477 => array(
				[maximum depth reached]
			),
			(int) 478 => array(
				[maximum depth reached]
			),
			(int) 479 => array(
				[maximum depth reached]
			),
			(int) 480 => array(
				[maximum depth reached]
			),
			(int) 481 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldAll' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
			),
			(int) 75 => array(
				[maximum depth reached]
			),
			(int) 76 => array(
				[maximum depth reached]
			),
			(int) 77 => array(
				[maximum depth reached]
			),
			(int) 78 => array(
				[maximum depth reached]
			),
			(int) 79 => array(
				[maximum depth reached]
			),
			(int) 80 => array(
				[maximum depth reached]
			),
			(int) 81 => array(
				[maximum depth reached]
			),
			(int) 82 => array(
				[maximum depth reached]
			),
			(int) 83 => array(
				[maximum depth reached]
			),
			(int) 84 => array(
				[maximum depth reached]
			),
			(int) 85 => array(
				[maximum depth reached]
			),
			(int) 86 => array(
				[maximum depth reached]
			),
			(int) 87 => array(
				[maximum depth reached]
			),
			(int) 88 => array(
				[maximum depth reached]
			),
			(int) 89 => array(
				[maximum depth reached]
			)
		),
		'LessonFieldIds' => array(
			(int) 0 => '2878',
			(int) 1 => '2879',
			(int) 2 => '2880',
			(int) 3 => '2881',
			(int) 4 => '2882',
			(int) 5 => '2883',
			(int) 6 => '2884',
			(int) 7 => '2885',
			(int) 8 => '2886',
			(int) 9 => '2887',
			(int) 10 => '2888',
			(int) 11 => '2889',
			(int) 12 => '2893',
			(int) 13 => '2891',
			(int) 14 => '2892',
			(int) 15 => '2894',
			(int) 16 => '2895',
			(int) 17 => '2896',
			(int) 18 => '2897',
			(int) 19 => '2898',
			(int) 20 => '2899',
			(int) 21 => '2900',
			(int) 22 => '2901',
			(int) 23 => '2902',
			(int) 24 => '2903',
			(int) 25 => '2904',
			(int) 26 => '2905',
			(int) 27 => '2906',
			(int) 28 => '2907',
			(int) 29 => '2908',
			(int) 30 => '2909',
			(int) 31 => '2910',
			(int) 32 => '2911',
			(int) 33 => '2912',
			(int) 34 => '2913',
			(int) 35 => '2914',
			(int) 36 => '2915',
			(int) 37 => '2918',
			(int) 38 => '2922',
			(int) 39 => '2920',
			(int) 40 => '2921',
			(int) 41 => '2916',
			(int) 42 => '2917',
			(int) 43 => '2923',
			(int) 44 => '2925',
			(int) 45 => '2924',
			(int) 46 => '2926',
			(int) 47 => '2927',
			(int) 48 => '2928',
			(int) 49 => '2929',
			(int) 50 => '2930',
			(int) 51 => '2931',
			(int) 52 => '2932',
			(int) 53 => '2933',
			(int) 54 => '2934',
			(int) 55 => '2935',
			(int) 56 => '2936',
			(int) 57 => '2937',
			(int) 58 => '2938',
			(int) 59 => '2940',
			(int) 60 => '2939',
			(int) 61 => '2941',
			(int) 62 => '2942',
			(int) 63 => '2943',
			(int) 64 => '2944',
			(int) 65 => '2945',
			(int) 66 => '2946',
			(int) 67 => '2947',
			(int) 68 => '2948',
			(int) 69 => '2949',
			(int) 70 => '2950',
			(int) 71 => '2951',
			(int) 72 => '2952',
			(int) 73 => '2953',
			(int) 74 => '2954',
			(int) 75 => '2955',
			(int) 76 => '2956',
			(int) 77 => '2957',
			(int) 78 => '2958',
			(int) 79 => '2959',
			(int) 80 => '2960',
			(int) 81 => '2961',
			(int) 82 => '2962',
			(int) 83 => '2963',
			(int) 84 => '2964',
			(int) 85 => '2965',
			(int) 86 => '2966',
			(int) 87 => '2967',
			(int) 88 => '2968',
			(int) 89 => '2969'
		)
	),
	(int) 15 => array(
		'Course' => array(
			'id' => '109',
			'course_title' => 'Autism Awareness E-Learning',
			'description' => 'A training package designed to ensure all Trust staff have a basic awareness of autism.',
			'banner_media_id' => '1272',
			'thumbnail_media_id' => '1254',
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			'description' => 'Some of the things you may have heard about autism just aren&rsquo;t true! Here are some common myths.&nbsp;',
			'lesson_order' => '1',
			'created_user_id' => '8779',
			'session_length' => '5 Minutes',
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			'course_id' => '109',
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			'lesson_order' => '2',
			'created_user_id' => '8779',
			'session_length' => '5 Minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 08:53:13',
			'modified' => '2024-07-31 09:54:09'
		),
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			'course_id' => '109',
			'lesson_title' => 'Autism Passports',
			'description' => 'Hospital Passports are designed to provide healthcare staff with important information about the individual&rsquo;s in their care.',
			'lesson_order' => '3',
			'created_user_id' => '8779',
			'session_length' => '2 Minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 08:56:38',
			'modified' => '2024-07-31 09:54:09'
		),
		(int) 4 => array(
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			'course_id' => '109',
			'lesson_title' => 'Quadrant of Impairment',
			'description' => 'For a formal diagnosis of autism, a&nbsp; person must have some deficit in all 4 areas of what is termed the &lsquo;quadrant of impairment&rsquo;.&nbsp;&nbsp;',
			'lesson_order' => '4',
			'created_user_id' => '8779',
			'session_length' => '2 Minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 09:01:43',
			'modified' => '2024-07-31 09:54:09'
		),
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			'course_id' => '109',
			'lesson_title' => 'Social Interaction',
			'description' => 'An insight into the ways and degrees to which people with autism may find social interactions problematic.',
			'lesson_order' => '5',
			'created_user_id' => '8779',
			'session_length' => '5 Minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 09:06:52',
			'modified' => '2024-07-31 09:54:09'
		),
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			'course_id' => '109',
			'lesson_title' => 'Communication',
			'description' => 'An insight into the struggles people with autism may have to receptive and expressive communication.',
			'lesson_order' => '6',
			'created_user_id' => '8779',
			'session_length' => '4 Minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 09:13:39',
			'modified' => '2024-07-31 09:54:09'
		),
		(int) 7 => array(
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			'course_id' => '109',
			'lesson_title' => 'Rigidity of Thought',
			'description' => 'An insight into the rigidity of thought people with autism can experience.',
			'lesson_order' => '7',
			'created_user_id' => '8779',
			'session_length' => '2 Minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 09:18:48',
			'modified' => '2024-07-31 09:54:09'
		),
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			'course_id' => '109',
			'lesson_title' => 'Sensory Difficulties',
			'description' => 'An insight in to sensory difficulties.',
			'lesson_order' => '8',
			'created_user_id' => '8779',
			'session_length' => '3 Minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 09:21:47',
			'modified' => '2024-07-31 09:54:09'
		),
		(int) 9 => array(
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			'course_id' => '109',
			'lesson_title' => 'Sensory Sensitivity ',
			'description' => 'An insight into sensory sensitivitys.&nbsp;',
			'lesson_order' => '9',
			'created_user_id' => '8779',
			'session_length' => '2 Minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 09:24:42',
			'modified' => '2024-07-31 09:54:09'
		),
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			'course_id' => '109',
			'lesson_title' => 'Mindblindness',
			'description' => 'Learn about mindblindness.',
			'lesson_order' => '10',
			'created_user_id' => '8779',
			'session_length' => '1 Minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 09:26:33',
			'modified' => '2024-07-31 09:54:09'
		),
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			'course_id' => '109',
			'lesson_title' => 'Parallel Universe',
			'description' => 'Seeing the world differently.',
			'lesson_order' => '11',
			'created_user_id' => '8779',
			'session_length' => '1 Minute',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 09:28:01',
			'modified' => '2024-07-31 09:54:09'
		),
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			'id' => '466',
			'course_id' => '109',
			'lesson_title' => 'Quiz',
			'description' => 'Answer the 6 questions correctly to complete this E-Learning.&nbsp;&nbsp;&nbsp;<br />If you do not pass you can retake the quiz or revisit the learning materials.&nbsp;&nbsp;',
			'lesson_order' => '12',
			'created_user_id' => '8779',
			'session_length' => '6 Minutes',
			'character_id' => '',
			'active' => '1',
			'created' => '2024-07-31 09:30:42',
			'modified' => '2024-07-31 09:54:09'
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			'description' => 'The Autistic Spectrum (AS), Autistic Spectrum Disorder (ASD) or Autistic Spectrum Condition (ASC) is a range of neurodevelopmental disorders that affects the way in which a group of people see, understand, and react to the world around them.   

It’s an umbrella term that includes autism, Asperger Syndrome, Pervasive Developmental Disorders (PDD) and Pathological Demand Avoidance (PDA).  

People with autism see, hear, and feel the world differently to others.  

Autism is not an illness or disease and cannot be ‘cured’. Often people feel being autistic is a fundamental aspect of their identity.  

There are more than 700,000 autistic people in the UK - that’s more than 1 in 100.   

It appears to affect men more than women. ',
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			'description' => 'Hospital Passports are designed to provide healthcare staff with important information about the individual’s health, daily activities, communication needs, likes and dislikes, as well as identifying any reasonable adjustments that need to be made to ensure care and treatment is person-centred and anti-discriminatory.  

Passports are provided to and completed by each individual, their family members, and/or Health Care Professionals. They can be completed in readiness for hospital appointments/stays or on admission to hospital to ensure the patient’s needs are provided for.  

  

Completed Autism Passports are uploaded to Lorenzo to ensure professionals have access to the information whether the individual has brought their paper copy or not. ',
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			'description' => 'If a patient doesn’t have a passport, you can encourage them to complete one.  <br><br>You can download or print passports from the UHMB Intranet:   <br><br>Corporate Services &gt; Safeguarding Children and Adults &gt; Learning Disability page <br><br>(or search for ‘passport’).   <br><br>https://www.uhmb.nhs.uk/visiting-our-hospitals/supporting-people-learning-disabilities-autism-and-hidden-disabilities <br><br><a href="https://www.uhmb.nhs.uk/visiting-our-hospitals/supporting-people-learning-disabilities-autism-and-hidden-disabilities">Autism Passports can also be downloaded from the Trust internet site.</a> ',
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			'description' => '',
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			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'For a formal diagnosis of autism, a  person must have some deficit in all 4 areas of what is termed the ‘quadrant of impairment’.  ',
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			'attachment_id' => '1259',
			'external_media_src' => '',
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			'description' => 'Some people with autism may find it hard to instinctively understand or recognise how other people are feeling. They may also find it hard to express their own emotions.   

This can make building and maintaining relationships problematic and highly stressful. Some people may not be aware of what's socially appropriate.   

Some may appear uninterested in people, whilst others are more likely to enjoy or want to develop social contacts, but, for example, may find mixing difficult.   

The ways and degrees to which people with autism find social interaction problematic vary by individual, but some degree of difficulty is characteristic. ',
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			'external_media_src' => '',
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			'attachment_pos' => '0',
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			'course_id' => '109',
			'course_lesson_id' => '459',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Non-verbal social communication ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Struggle with eye contact ","Difficulties interpreting people’s body language ","Difficulties interpreting peoples facial expressions  ","Difficulties interpreting subtle gestures  ","Invade people’s personal space  ","Social struggle with other’s non-verbal receptive and expressive communication "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:12:10',
			'modified' => '2024-07-31 09:12:10'
		),
		(int) 7 => array(
			'id' => '2860',
			'course_id' => '109',
			'course_lesson_id' => '459',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Verbal social communication ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Impairment of receptive and expressive language skills  ","Delay or difficulty in processing and interpreting information  ","Literal/concrete thinking and understanding  ","Interrupt other people’s conversation  ","Lack understanding of humour and sarcasm","Lack understanding of social uses and pleasures of communication  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:12:10',
			'modified' => '2024-07-31 09:12:10'
		),
		(int) 8 => array(
			'id' => '2861',
			'course_id' => '109',
			'course_lesson_id' => '460',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'People with autism may struggle with receptive communication. Difficulties may arise:  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["if the language used is too complex  ","if they take things very literally  ","if the context of the conversation changes (for example, communicating one on one and then moving to a group)  ","if the topic of conversation changes  ","if they have poor short-term memory or a low attention span  ","If they have sensory difficulties that mean distractions make it hard for them to focus and concentrate  ","If the conversation is uninteresting, they may appear aloof "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:17:31',
			'modified' => '2024-07-31 09:17:31'
		),
		(int) 9 => array(
			'id' => '2862',
			'course_id' => '109',
			'course_lesson_id' => '460',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Difficulties with expressive communication may include;   ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["limited language skills  ","speech too low, too loud, too slow, or too fast  ","an over-formal manner  ","echolalia (repeating what they hear)  ","vocalising thoughts (saying hurtful or truthful things e.g., ‘you’re fat, you smell’)  ","one-sided conversation – talking at length about their own interests, not acknowledging a lack of interest and missing social cues  ","interrupting other peoples’ conversations  ","conversations being out of proportion (e.g., interpreting things literally, fixation on a subject, being overly expressive etc.)  ","not understanding humour or sarcasm   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:17:31',
			'modified' => '2024-07-31 09:17:31'
		),
		(int) 10 => array(
			'id' => '2863',
			'course_id' => '109',
			'course_lesson_id' => '460',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Because of this, some people with autism may appear aloof, unfriendly, or unwilling to see things from others point of view.  

Remember, everybody is unique, so take the time to find out what works best for them.  

Ask if the person has an Autism Passport, Communication Passport, or any specific communication aids.  

It is important to read the information provided by the patient in order to ensure that communication with them is consistent and specific to their individual needs.  ',
			'field_order' => '2',
			'attachment_id' => '1263',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:17:31',
			'modified' => '2024-07-31 09:17:31'
		),
		(int) 11 => array(
			'id' => '2864',
			'course_id' => '109',
			'course_lesson_id' => '461',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'People with autism may have inflexible or rigid thinking.  

Changes to a predictable daily routines or rituals can be extremely problematic and distressing for some. Their lack of imagination can cause resistance to change – for example, the same activity in a different place, different sequence, or with different people and equipment can seem like a totally new experience.  

Some people with autism find it hard to interpret what others may be thinking, or believe they have the same thoughts and feelings as they do. It may be difficult for them to engage in imaginative activities when they see facts, not fiction.  

Some may have obsessional interests and find it difficult to understand that others don’t have the same interests, this can be problematic if the person is unable to stop this obsession.   

Some may have excellent long-term memory but struggle with short term memory. ',
			'field_order' => '0',
			'attachment_id' => '1264',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:21:17',
			'modified' => '2024-07-31 09:21:17'
		),
		(int) 12 => array(
			'id' => '2865',
			'course_id' => '109',
			'course_lesson_id' => '461',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Rigidity of thoughts and social imagination may result in;  ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Difficulty in using own experiences to understand new situations  ","Difficulty coping with change no matter how small (that’s why routine, familiarity and predictability are so important to people with autism)  ","Inability to predict what's happening next and the consequences of their actions   ","Special interests and obsessions  ","Difficulty with abstract thoughts and concepts  ","Strictly adhering to rules and instructions "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:21:17',
			'modified' => '2024-07-31 09:21:17'
		),
		(int) 13 => array(
			'id' => '2866',
			'course_id' => '109',
			'course_lesson_id' => '462',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Understanding sensory differences can help us to meet a persons’ sensory needs.   

People with autism can experience over-sensitivity (hyper) or under-sensitivity (hypo) in their sense of;  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Touch  ","Taste  ","Smell  ","Sight  ","Hearing  ","Body awareness and balance (e.g. difficulty with awareness of where your body is in space and how your different body parts are moving, trouble with going up and down steps, need to spin or rock your body, bumping into things, falling over)  ","Awareness of your internal state of your internal body (e.g. not feel when you’re hungry or thirsty, feeling hot or fatigued, not feel when you have a full bladder etc. may struggle to map and gauge severity of internal pain, emotions may not be felt e.g. fear because you don’t recognise when your muscles are tense, breathing is shallow and heart is racing that means you are frightened "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:23:49',
			'modified' => '2024-07-31 09:23:49'
		),
		(int) 14 => array(
			'id' => '2867',
			'course_id' => '109',
			'course_lesson_id' => '463',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'If you have access to speakers or headphones, watch this short video about autism and sensory sensitivity.  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/ycCN3qTYVyo?autohide=1&amp;showinfo=0&amp;controls=1&amp;enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/ycCN3qTYVyo/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:25:14',
			'modified' => '2024-07-31 09:25:14'
		),
		(int) 15 => array(
			'id' => '2868',
			'course_id' => '109',
			'course_lesson_id' => '464',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'If you have access to speakers or headphones, watch this short video about a psychological test used to investigate Theory of Mind in children with autism.   ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/O24Qx9Ezvbs?autohide=1&showinfo=0&controls=1&enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/O24Qx9Ezvbs/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:26:57',
			'modified' => '2024-07-31 09:26:57'
		),
		(int) 16 => array(
			'id' => '2869',
			'course_id' => '109',
			'course_lesson_id' => '465',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Lions: Sociable and live in packs 

Cheetahs: Relative loners 

They are both cats – they just see the world differently. ',
			'field_order' => '0',
			'attachment_id' => '1267',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:52:43',
			'modified' => '2024-07-31 09:52:43'
		),
		(int) 17 => array(
			'id' => '2870',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'Answer the following 6 questions correctly to complete this E-Learning.   

If you do not pass you can retake the quiz or revisit the learning materials.  

Which of the following statements are true?',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["People with autism see and hear the word differently to other people ","People with autism can develop meaningful relationships and friendships ","Autism affects more men than women ","Autism can be cured ","All people with autism are intellectually disabled ","Autism is caused by bad parenting when very young "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 18 => array(
			'id' => '2871',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'Which are the 4 elements of the ‘quadrant of impairment’?',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Cognitive difficulties ","Social interaction difficulties ","Communication difficulties ","Rigidity of Thought ","Sensory difficulties ","Physical impairment "]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 19 => array(
			'id' => '2872',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'All people with autism also have amazing skills or a gift.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 20 => array(
			'id' => '2873',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'People with autism should be able to adapt to a new environment and have the flexibility to take in new sensory experiences.',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 21 => array(
			'id' => '2874',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'All people with autism have a high pain threshold; they can tolerate extreme pain and have no fear of medical intervention.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 22 => array(
			'id' => '2875',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'John has an Autism Passport. It identifies that he struggles in noisy and busy environments and struggles with having to wait as it makes him anxious.  He comes to the emergency department after having a fall and thinks he may have broken a bone in his wrist. The department is extremely busy and there is at least a 2 hour wait to be seen. His Passport says if he becomes anxious and has a sensory overload he goes into meltdown. What do you do?',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Find John somewhere quiet to wait ","Attempt to get him seen quickly if possible ","Ask John if there is anything you can do to help him ","Print out his Hospital Passport and ensure the medical team read it before meeting John ","Tell the staff and other patients waiting that John has autism and they need to be careful ","Ask John if he has a carer and tell him they must be with him at all times "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 23 => array(
			'id' => '2876',
			'course_id' => '109',
			'course_lesson_id' => '455',
			'field_type' => 'image-hotspot',
			'field_label' => '',
			'description' => 'Some of the things you may have heard about autism just aren’t true! Here are some common myths. ',
			'field_order' => '0',
			'attachment_id' => '1269',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":132.016,"left":127,"annotation":"people with autism don’t want friends.  \n\npeople with autism want people in their lives that they can trust and build solid relationships and friendships through shared interests."},{"top":156.016,"left":183,"annotation":"people with autism can’t feel or express emotions.  \n\npeople with autism express feelings and emotions but they may do this differently to non-autistic people."},{"top":173.016,"left":233,"annotation":"people with autism have no empathy and can’t understand others’ emotions.  \n\npeople with autism may struggle to understand other’s emotions and not pick up on non-verbal cues but if feelings are communicated directly, they are more likely to feel empathy and compassion."},{"top":193.016,"left":289,"annotation":"people with autism are intellectually disabled and have no (or low) language skills.  \n\nautism is a spectrum, just like the general population some may have low or average cognition, whilst others may be extremely intelligent and successful."},{"top":224.016,"left":347,"annotation":"autism only affects children.  \n\na child with autism grows into an adult with autism; autism is a lifelong condition"},{"top":239.016,"left":395,"annotation":"autism is caused by bad parenting.   \n\nin the 1950’s the phase refrigerator mother theory suggested autism was caused by lack of warmth from parents however this is not true, and it has now been established autism is neurodevelopmental condition."},{"top":48.0156,"left":314,"annotation":"All people with autism are savants and have an amazing abilities in things such as  maths, memory, art or music  \n\nresearch suggests between 7% and 10% of people with autism are savants, a condition in which a person with significant cognitive disability displays certain abilities far in excess of average."},{"top":322.016,"left":92,"annotation":"autistic people have little potential for success.  \n\nfamous people considered autistic include; Albert Einstein, Bill Gates, Steve Jobs, Tim Burton, Isaac Newton, Mozart, Andy Warhol, Michelangelo, Charles Darwin, Alan Turing, Dan Ackroyd and Susan Boyle."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:56:20',
			'modified' => '2024-07-31 09:56:20'
		),
		(int) 24 => array(
			'id' => '2877',
			'course_id' => '109',
			'course_lesson_id' => '456',
			'field_type' => 'image-hotspot',
			'field_label' => '',
			'description' => 'The characteristics of autism include; ',
			'field_order' => '0',
			'attachment_id' => '1270',
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '{"width":500,"annotations":[{"top":58.0156,"left":94,"annotation":"social difficulties \n\nnot finding some social situations enjoyable – for example, not being comfortable in groups of people."},{"top":40.0156,"left":343.016,"annotation":"expressive and receptive communication difficulties  \n\nan example of expressive communication difficulties might be talking repetitively. An example of receptive communication difficulties might be that they struggle with taking turns in conversations."},{"top":174.016,"left":73,"annotation":"restrictive and repetitive patterns of behaviour, activities or interests  \n\nfor example they might only be interested in their own hobbies or interests, to the exclusion of all else."},{"top":184.016,"left":306,"annotation":"sensory processing difficulties, sensory sensitivity  \n\ne.g. not liking bright lights, loud noises, crowded places; only liking particular foods or clothing, etc."},{"top":154.016,"left":444,"annotation":"theory of mind deficit / mind blindness  \n\nunable to understand that we don’t all share the same knowledge, thoughts and beliefs. They may not tell you something because they think you already know it because you think and feel the same as they do."},{"top":235.016,"left":155,"annotation":"weak central coherence  \n\nthis means they focus on small details rather than the big picture – for example, spinning the wheels of a toy car, rather than playing with it as a car in the way a neurotypical child might."},{"top":258.016,"left":402,"annotation":"lack executive function skills  \n\nexecutive function is the ability to sequence events – for example, they might be able to make cup of tea at home but in an unfamiliar environment with different utensils etc. a seemingly familiar task can feel like an entirely new activity and difficult to achieve."}]}',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:58:36',
			'modified' => '2024-07-31 09:58:36'
		)
	),
	'LessonFieldList' => array(
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			(int) 0 => array(
				[maximum depth reached]
			)
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		(int) 457 => array(
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			(int) 1 => array(
				[maximum depth reached]
			)
		),
		(int) 458 => array(
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			),
			(int) 1 => array(
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		),
		(int) 459 => array(
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			(int) 2 => array(
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		(int) 460 => array(
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			'id' => '2849',
			'course_id' => '109',
			'course_lesson_id' => '454',
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			'description' => 'The Autistic Spectrum (AS), Autistic Spectrum Disorder (ASD) or Autistic Spectrum Condition (ASC) is a range of neurodevelopmental disorders that affects the way in which a group of people see, understand, and react to the world around them.   

It’s an umbrella term that includes autism, Asperger Syndrome, Pervasive Developmental Disorders (PDD) and Pathological Demand Avoidance (PDA).  

People with autism see, hear, and feel the world differently to others.  

Autism is not an illness or disease and cannot be ‘cured’. Often people feel being autistic is a fundamental aspect of their identity.  

There are more than 700,000 autistic people in the UK - that’s more than 1 in 100.   

It appears to affect men more than women. ',
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			'created' => '2024-07-31 08:49:16',
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		(int) 1 => array(
			'id' => '2876',
			'course_id' => '109',
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			'field_type' => 'image-hotspot',
			'field_label' => '',
			'description' => 'Some of the things you may have heard about autism just aren’t true! Here are some common myths. ',
			'field_order' => '0',
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			'field_choices' => '{"width":500,"annotations":[{"top":132.016,"left":127,"annotation":"people with autism don’t want friends.  \n\npeople with autism want people in their lives that they can trust and build solid relationships and friendships through shared interests."},{"top":156.016,"left":183,"annotation":"people with autism can’t feel or express emotions.  \n\npeople with autism express feelings and emotions but they may do this differently to non-autistic people."},{"top":173.016,"left":233,"annotation":"people with autism have no empathy and can’t understand others’ emotions.  \n\npeople with autism may struggle to understand other’s emotions and not pick up on non-verbal cues but if feelings are communicated directly, they are more likely to feel empathy and compassion."},{"top":193.016,"left":289,"annotation":"people with autism are intellectually disabled and have no (or low) language skills.  \n\nautism is a spectrum, just like the general population some may have low or average cognition, whilst others may be extremely intelligent and successful."},{"top":224.016,"left":347,"annotation":"autism only affects children.  \n\na child with autism grows into an adult with autism; autism is a lifelong condition"},{"top":239.016,"left":395,"annotation":"autism is caused by bad parenting.   \n\nin the 1950’s the phase refrigerator mother theory suggested autism was caused by lack of warmth from parents however this is not true, and it has now been established autism is neurodevelopmental condition."},{"top":48.0156,"left":314,"annotation":"All people with autism are savants and have an amazing abilities in things such as  maths, memory, art or music  \n\nresearch suggests between 7% and 10% of people with autism are savants, a condition in which a person with significant cognitive disability displays certain abilities far in excess of average."},{"top":322.016,"left":92,"annotation":"autistic people have little potential for success.  \n\nfamous people considered autistic include; Albert Einstein, Bill Gates, Steve Jobs, Tim Burton, Isaac Newton, Mozart, Andy Warhol, Michelangelo, Charles Darwin, Alan Turing, Dan Ackroyd and Susan Boyle."}]}',
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			'created' => '2024-07-31 09:56:20',
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		),
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			'course_id' => '109',
			'course_lesson_id' => '456',
			'field_type' => 'image-hotspot',
			'field_label' => '',
			'description' => 'The characteristics of autism include; ',
			'field_order' => '0',
			'attachment_id' => '1270',
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			'external_thumb_src' => null,
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			'field_choices' => '{"width":500,"annotations":[{"top":58.0156,"left":94,"annotation":"social difficulties \n\nnot finding some social situations enjoyable – for example, not being comfortable in groups of people."},{"top":40.0156,"left":343.016,"annotation":"expressive and receptive communication difficulties  \n\nan example of expressive communication difficulties might be talking repetitively. An example of receptive communication difficulties might be that they struggle with taking turns in conversations."},{"top":174.016,"left":73,"annotation":"restrictive and repetitive patterns of behaviour, activities or interests  \n\nfor example they might only be interested in their own hobbies or interests, to the exclusion of all else."},{"top":184.016,"left":306,"annotation":"sensory processing difficulties, sensory sensitivity  \n\ne.g. not liking bright lights, loud noises, crowded places; only liking particular foods or clothing, etc."},{"top":154.016,"left":444,"annotation":"theory of mind deficit / mind blindness  \n\nunable to understand that we don’t all share the same knowledge, thoughts and beliefs. They may not tell you something because they think you already know it because you think and feel the same as they do."},{"top":235.016,"left":155,"annotation":"weak central coherence  \n\nthis means they focus on small details rather than the big picture – for example, spinning the wheels of a toy car, rather than playing with it as a car in the way a neurotypical child might."},{"top":258.016,"left":402,"annotation":"lack executive function skills  \n\nexecutive function is the ability to sequence events – for example, they might be able to make cup of tea at home but in an unfamiliar environment with different utensils etc. a seemingly familiar task can feel like an entirely new activity and difficult to achieve."}]}',
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			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-07-31 09:58:36',
			'modified' => '2024-07-31 09:58:36'
		),
		(int) 3 => array(
			'id' => '2852',
			'course_id' => '109',
			'course_lesson_id' => '457',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Hospital Passports are designed to provide healthcare staff with important information about the individual’s health, daily activities, communication needs, likes and dislikes, as well as identifying any reasonable adjustments that need to be made to ensure care and treatment is person-centred and anti-discriminatory.  

Passports are provided to and completed by each individual, their family members, and/or Health Care Professionals. They can be completed in readiness for hospital appointments/stays or on admission to hospital to ensure the patient’s needs are provided for.  

  

Completed Autism Passports are uploaded to Lorenzo to ensure professionals have access to the information whether the individual has brought their paper copy or not. ',
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			'attachment_id' => '1258',
			'external_media_src' => '',
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			'modified' => '2024-07-31 09:00:57'
		),
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			'course_id' => '109',
			'course_lesson_id' => '457',
			'field_type' => 'text-links',
			'field_label' => '',
			'description' => 'If a patient doesn’t have a passport, you can encourage them to complete one.  <br><br>You can download or print passports from the UHMB Intranet:   <br><br>Corporate Services &gt; Safeguarding Children and Adults &gt; Learning Disability page <br><br>(or search for ‘passport’).   <br><br>https://www.uhmb.nhs.uk/visiting-our-hospitals/supporting-people-learning-disabilities-autism-and-hidden-disabilities <br><br><a href="https://www.uhmb.nhs.uk/visiting-our-hospitals/supporting-people-learning-disabilities-autism-and-hidden-disabilities">Autism Passports can also be downloaded from the Trust internet site.</a> ',
			'field_order' => '1',
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			'created' => '2024-07-31 09:00:57',
			'modified' => '2024-07-31 09:00:57'
		),
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			'id' => '2856',
			'course_id' => '109',
			'course_lesson_id' => '458',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'For a formal diagnosis of autism, a  person must have some deficit in all 4 areas of what is termed the ‘quadrant of impairment’.  ',
			'field_order' => '0',
			'attachment_id' => '1259',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '0',
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			'active' => '1',
			'created' => '2024-07-31 09:03:57',
			'modified' => '2024-07-31 09:03:57'
		),
		(int) 6 => array(
			'id' => '2855',
			'course_id' => '109',
			'course_lesson_id' => '458',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => '',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
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			'field_choices' => '["sensory difficulties   they may struggle with hypo (under) or hyper (over) sensitivity of any of the 7 senses. ","social interaction   they may struggle to make eye contact; be unable to engage in chit chat; see no point in engaging in social activities. ","rigidity of thought   they may take things very literally (for example, if you use the phrase ‘raining cats and dogs’ they might think it really is) – social imagination is filling in the gaps (an awareness of other people’s emotions and seeing social cues). ","communication   they may engage in repetitive speech; speak with a strange pitch or intonation; struggle to listen to what you’re saying. "]',
			'field_correct' => null,
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			'allow_retry' => '0',
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		),
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			'id' => '2857',
			'course_id' => '109',
			'course_lesson_id' => '459',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Some people with autism may find it hard to instinctively understand or recognise how other people are feeling. They may also find it hard to express their own emotions.   

This can make building and maintaining relationships problematic and highly stressful. Some people may not be aware of what's socially appropriate.   

Some may appear uninterested in people, whilst others are more likely to enjoy or want to develop social contacts, but, for example, may find mixing difficult.   

The ways and degrees to which people with autism find social interaction problematic vary by individual, but some degree of difficulty is characteristic. ',
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			'created' => '2024-07-31 09:12:10',
			'modified' => '2024-07-31 09:12:10'
		),
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			'course_id' => '109',
			'course_lesson_id' => '459',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Non-verbal social communication ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Struggle with eye contact ","Difficulties interpreting people’s body language ","Difficulties interpreting peoples facial expressions  ","Difficulties interpreting subtle gestures  ","Invade people’s personal space  ","Social struggle with other’s non-verbal receptive and expressive communication "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:12:10',
			'modified' => '2024-07-31 09:12:10'
		),
		(int) 9 => array(
			'id' => '2860',
			'course_id' => '109',
			'course_lesson_id' => '459',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Verbal social communication ',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Impairment of receptive and expressive language skills  ","Delay or difficulty in processing and interpreting information  ","Literal/concrete thinking and understanding  ","Interrupt other people’s conversation  ","Lack understanding of humour and sarcasm","Lack understanding of social uses and pleasures of communication  "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:12:10',
			'modified' => '2024-07-31 09:12:10'
		),
		(int) 10 => array(
			'id' => '2861',
			'course_id' => '109',
			'course_lesson_id' => '460',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'People with autism may struggle with receptive communication. Difficulties may arise:  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["if the language used is too complex  ","if they take things very literally  ","if the context of the conversation changes (for example, communicating one on one and then moving to a group)  ","if the topic of conversation changes  ","if they have poor short-term memory or a low attention span  ","If they have sensory difficulties that mean distractions make it hard for them to focus and concentrate  ","If the conversation is uninteresting, they may appear aloof "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:17:31',
			'modified' => '2024-07-31 09:17:31'
		),
		(int) 11 => array(
			'id' => '2862',
			'course_id' => '109',
			'course_lesson_id' => '460',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Difficulties with expressive communication may include;   ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["limited language skills  ","speech too low, too loud, too slow, or too fast  ","an over-formal manner  ","echolalia (repeating what they hear)  ","vocalising thoughts (saying hurtful or truthful things e.g., ‘you’re fat, you smell’)  ","one-sided conversation – talking at length about their own interests, not acknowledging a lack of interest and missing social cues  ","interrupting other peoples’ conversations  ","conversations being out of proportion (e.g., interpreting things literally, fixation on a subject, being overly expressive etc.)  ","not understanding humour or sarcasm   "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:17:31',
			'modified' => '2024-07-31 09:17:31'
		),
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			'id' => '2863',
			'course_id' => '109',
			'course_lesson_id' => '460',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Because of this, some people with autism may appear aloof, unfriendly, or unwilling to see things from others point of view.  

Remember, everybody is unique, so take the time to find out what works best for them.  

Ask if the person has an Autism Passport, Communication Passport, or any specific communication aids.  

It is important to read the information provided by the patient in order to ensure that communication with them is consistent and specific to their individual needs.  ',
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			'attachment_pos' => '1',
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			'show_correct' => '0',
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			'active' => '1',
			'created' => '2024-07-31 09:17:31',
			'modified' => '2024-07-31 09:17:31'
		),
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			'course_id' => '109',
			'course_lesson_id' => '461',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'People with autism may have inflexible or rigid thinking.  

Changes to a predictable daily routines or rituals can be extremely problematic and distressing for some. Their lack of imagination can cause resistance to change – for example, the same activity in a different place, different sequence, or with different people and equipment can seem like a totally new experience.  

Some people with autism find it hard to interpret what others may be thinking, or believe they have the same thoughts and feelings as they do. It may be difficult for them to engage in imaginative activities when they see facts, not fiction.  

Some may have obsessional interests and find it difficult to understand that others don’t have the same interests, this can be problematic if the person is unable to stop this obsession.   

Some may have excellent long-term memory but struggle with short term memory. ',
			'field_order' => '0',
			'attachment_id' => '1264',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:21:17',
			'modified' => '2024-07-31 09:21:17'
		),
		(int) 14 => array(
			'id' => '2865',
			'course_id' => '109',
			'course_lesson_id' => '461',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Rigidity of thoughts and social imagination may result in;  ',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Difficulty in using own experiences to understand new situations  ","Difficulty coping with change no matter how small (that’s why routine, familiarity and predictability are so important to people with autism)  ","Inability to predict what's happening next and the consequences of their actions   ","Special interests and obsessions  ","Difficulty with abstract thoughts and concepts  ","Strictly adhering to rules and instructions "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:21:17',
			'modified' => '2024-07-31 09:21:17'
		),
		(int) 15 => array(
			'id' => '2866',
			'course_id' => '109',
			'course_lesson_id' => '462',
			'field_type' => 'numbered-points',
			'field_label' => '',
			'description' => 'Understanding sensory differences can help us to meet a persons’ sensory needs.   

People with autism can experience over-sensitivity (hyper) or under-sensitivity (hypo) in their sense of;  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => null,
			'external_thumb_src' => null,
			'attachment_pos' => null,
			'field_choices' => '["Touch  ","Taste  ","Smell  ","Sight  ","Hearing  ","Body awareness and balance (e.g. difficulty with awareness of where your body is in space and how your different body parts are moving, trouble with going up and down steps, need to spin or rock your body, bumping into things, falling over)  ","Awareness of your internal state of your internal body (e.g. not feel when you’re hungry or thirsty, feeling hot or fatigued, not feel when you have a full bladder etc. may struggle to map and gauge severity of internal pain, emotions may not be felt e.g. fear because you don’t recognise when your muscles are tense, breathing is shallow and heart is racing that means you are frightened "]',
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:23:49',
			'modified' => '2024-07-31 09:23:49'
		),
		(int) 16 => array(
			'id' => '2867',
			'course_id' => '109',
			'course_lesson_id' => '463',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'If you have access to speakers or headphones, watch this short video about autism and sensory sensitivity.  ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/ycCN3qTYVyo?autohide=1&amp;showinfo=0&amp;controls=1&amp;enablejsapi=1',
			'external_thumb_src' => 'https://img.youtube.com/vi/ycCN3qTYVyo/hqdefault.jpg',
			'attachment_pos' => '0',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:25:14',
			'modified' => '2024-07-31 09:25:14'
		),
		(int) 17 => array(
			'id' => '2868',
			'course_id' => '109',
			'course_lesson_id' => '464',
			'field_type' => 'media-field',
			'field_label' => '',
			'description' => 'If you have access to speakers or headphones, watch this short video about a psychological test used to investigate Theory of Mind in children with autism.   ',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => 'https://www.youtube.com/embed/O24Qx9Ezvbs?autohide=1&showinfo=0&controls=1&enablejsapi=1',
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			'created' => '2024-07-31 09:26:57',
			'modified' => '2024-07-31 09:26:57'
		),
		(int) 18 => array(
			'id' => '2869',
			'course_id' => '109',
			'course_lesson_id' => '465',
			'field_type' => 'text-image',
			'field_label' => '',
			'description' => 'Lions: Sociable and live in packs 

Cheetahs: Relative loners 

They are both cats – they just see the world differently. ',
			'field_order' => '0',
			'attachment_id' => '1267',
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => '1',
			'field_choices' => null,
			'field_correct' => null,
			'show_correct' => '0',
			'allow_retry' => '0',
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			'active' => '1',
			'created' => '2024-07-31 09:52:43',
			'modified' => '2024-07-31 09:52:43'
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		(int) 19 => array(
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			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'Answer the following 6 questions correctly to complete this E-Learning.   

If you do not pass you can retake the quiz or revisit the learning materials.  

Which of the following statements are true?',
			'field_order' => '0',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["People with autism see and hear the word differently to other people ","People with autism can develop meaningful relationships and friendships ","Autism affects more men than women ","Autism can be cured ","All people with autism are intellectually disabled ","Autism is caused by bad parenting when very young "]',
			'field_correct' => '0,1,2',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 20 => array(
			'id' => '2871',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'Which are the 4 elements of the ‘quadrant of impairment’?',
			'field_order' => '1',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Cognitive difficulties ","Social interaction difficulties ","Communication difficulties ","Rigidity of Thought ","Sensory difficulties ","Physical impairment "]',
			'field_correct' => '1,2,3,4',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 21 => array(
			'id' => '2872',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'All people with autism also have amazing skills or a gift.',
			'field_order' => '2',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 22 => array(
			'id' => '2873',
			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'People with autism should be able to adapt to a new environment and have the flexibility to take in new sensory experiences.',
			'field_order' => '3',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
		),
		(int) 23 => array(
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			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'All people with autism have a high pain threshold; they can tolerate extreme pain and have no fear of medical intervention.',
			'field_order' => '4',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["True","False"]',
			'field_correct' => '1',
			'show_correct' => '1',
			'allow_retry' => '1',
			'field_html_content' => null,
			'active' => '1',
			'created' => '2024-07-31 09:44:34',
			'modified' => '2024-07-31 09:44:34'
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			'course_id' => '109',
			'course_lesson_id' => '466',
			'field_type' => 'multiple-choice',
			'field_label' => '',
			'description' => 'John has an Autism Passport. It identifies that he struggles in noisy and busy environments and struggles with having to wait as it makes him anxious.  He comes to the emergency department after having a fall and thinks he may have broken a bone in his wrist. The department is extremely busy and there is at least a 2 hour wait to be seen. His Passport says if he becomes anxious and has a sensory overload he goes into meltdown. What do you do?',
			'field_order' => '5',
			'attachment_id' => null,
			'external_media_src' => '',
			'external_thumb_src' => '',
			'attachment_pos' => null,
			'field_choices' => '["Find John somewhere quiet to wait ","Attempt to get him seen quickly if possible ","Ask John if there is anything you can do to help him ","Print out his Hospital Passport and ensure the medical team read it before meeting John ","Tell the staff and other patients waiting that John has autism and they need to be careful ","Ask John if he has a carer and tell him they must be with him at all times "]',
			'field_correct' => '0,1,2,3',
			'show_correct' => '1',
			'allow_retry' => '1',
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		(int) 8 => '2858',
		(int) 9 => '2860',
		(int) 10 => '2861',
		(int) 11 => '2862',
		(int) 12 => '2863',
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		(int) 14 => '2865',
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		(int) 17 => '2868',
		(int) 18 => '2869',
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		(int) 20 => '2871',
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		(int) 23 => '2874',
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)
$bannerMediaId = false
$bannerSrc = false
$userId = null
$isLoggedIn = false
$courseId = '109'
$k = (int) 15
CourseController::index() - ROOT/Controller/CourseController.php, line 564
ReflectionMethod::invokeArgs() - [internal], line ??
Controller::invokeAction() - CORE/Cake/Controller/Controller.php, line 499
Dispatcher::_invoke() - CORE/Cake/Routing/Dispatcher.php, line 193
Dispatcher::dispatch() - CORE/Cake/Routing/Dispatcher.php, line 167
[main] - ROOT/webroot/index.php, line 100

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