These are certainly very straightened times in the world of work, commerce, selling, banking – in fact every single area of industry is struggling with downturns in orders. The key for this change in a previously bustling economy is to ensure our staff, at all levels, are fully trained and at the peak of their performance. E-learning, online education courses and role focused management is even more critical when the chips are down and every single opportunity has to be chased to within an inch of its life. Within the healthcare sector, there are so many more things that can be offered at the local medical centre or doctors’ surgery. Blood pressure monitoring and management, lifestyle change courses, anything that doesn’t need a hospital or clinic but still needs trained nursing and councilling staff. All these activities need constant updating for the practitioner – to ensure all the latest trends, statutes and guidelines are being fully met.