I&R (Eng) - Mandatory E-learning modules

Mandatory e-Learning

There are three mandatory modules on the e-Learning for Health (e-LfH) website that need to be completed for entry to either the Medical Performers List (MPL) or satisfactory completion of the I&R scheme.

Registration on the e-LfH website requires:

  • An NHS England email address (this is not usually issued until the clinical placement is confirmed and inclusion to the MPL has been confirmed by NHS England regional team)
  • Existing candidates can email iandr@hee.nhs.uk to request access
  • Register through the GPNRO (this is done at the closing registration date to the MCQ)


Access to the e-LfH website will be valid for 12 months.

Guidance for accessing the mandatory e-learning modules is available in this handbook.

During the I&R placement applicants are required to complete the following three mandatory modules:

  • Induction for international and returning GPs
  • Safeguarding children level 3 (if not already completed)
  • Safeguarding for adults

Additional modules are available including:

  • Induction for international doctors
  • e-Learning for GP (a programme covering the RCGP curriculum. Each module is made up of reflective and interactive sessions to support preparation for appraisal and revalidation)
  • Information governance
  • NICE guidance
  • Safe prescribing (for foundation doctors)
  • Shared decision making
  • Supporting self-care
  • Sexual and reproductive healthcare