When it comes to managing complex clinical conditions within health, social care, and education settings, there is often a stark disconnect between regulatory guidance and human reality.
Epilepsy affects more than 600,000 people in the UK. Yet, it remains one of the most widely misunderstood neurological conditions. For registered managers, service directors, and educational leaders, ensuring staff are truly competent – not just “trained” – is a constant balancing act.
In the latest episode of the Momentum Matters podcast, host TeeJay Dowe sits down with Tom Shillito from Epilepsy Action and Jez Orbell, who shares his powerful lived experience of navigating epilepsy for more than 30 years.
Together, they pull back the curtain on what epilepsy actually looks like day-to-day, exposing the gaps between standard training materials and real-world care.
Listen to the Full Episode Now:
🎧 Listen on Spotify
🍏 Listen on Apple Podcasts
Don’t forget to bookmark or save the episode to your library for your next team development session.
The Missed Presentations: It’s Not Always a Tonic-Clonic Seizure
When many people think of epilepsy, they picture a convulsive, tonic-clonic seizure. While these are critical to manage safely, they represent only a fraction of how epilepsy presents.
As Tom Shillito highlights during the episode, subtle or absence seizures are frequently missed or misinterpreted as confusion, non-compliance, or behavioral issues, especially in educational or supported living environments.
For a workforce to be safe, training cannot simply cover the mechanics of emergency medication like Buccal Midazolam. Staff must possess the observational competence to recognise the quiet, nuanced signs of neurological distress before a crisis occurs.
The Hidden Toll: Independence, Stigma, and Mental Wellbeing
Living with epilepsy brings profound psychological and emotional challenges that standard clinical guidelines rarely address. Jez Orbell speaks candidly in the episode about the reality of diagnosis, medication side effects, and the devastating loss of independence that accompanies driving restrictions.
Hearing Jez discuss the monumental milestone of regaining his driving licence after 34 years is a stark reminder for care providers: person-centered care is not a buzzword. It requires an understanding of how a clinical diagnosis impacts a person’s identity, their relationships, and their mental health.
When your staff understand the emotional gravity of the condition, their care delivery shifts from task-orientated to truly empathetic and proactive.
Navigating Systemic Care Gaps and Emerging Technology
The episode also tackles the broader, systemic issues facing the UK healthcare landscape, including long wait times for neurology specialists and geographical inequalities in epilepsy care.
With the NHS under strain, the responsibility of daily management and risk mitigation increasingly falls on social care providers and educational institutions. This is why staying ahead of emerging technology – such as AI-driven seizure monitoring, wearables, and advanced neurological safety tools (including SUDEP awareness) – is no longer optional. It is the future of safe practice.
Is Your Epilepsy Training Genuinely Adequate?
At Momentum People, we look at training through a different lens. Led by a multidisciplinary team of former nurses, pharmacist, neurostrategist, and mindset coach, we recognise that clinical safety cannot exist without psychological confidence.
If your team is relying on generic, off-the-shelf training videos or outdated certificates, you may be exposed to hidden operational risks. True competency isn’t achieved by checking a box; it’s achieved when your staff can confidently apply clinical guidance to a real human being whose presentation doesn’t match the textbook.
Is Your Epilepsy Training Genuinely Adequate?
We don’t just deliver courses; we partner with health, social care, and education organisations to audit, elevate, and transform their clinical workforce capabilities. Whether you need specialised competency assessments for Rectal or Buccal Midazolam administration, or a complete overhaul of your medicines management frameworks, we help you build a resilient, compliant, and deeply capable team.
Let’s evaluate your current training strategy together
Confront the gaps before they become incidents. Book a strategic consultation with our expert team today to review your current epilepsy training framework and explore a long-term workforce development partnership.



