I worked for four NHS Trusts (as a contractor) for years and two of them adopted this approach of clinical staff only getting face to face training. The problem is how do you define 'clinical?'

Health care assistants, porters, receptionists and cleaners will all be working with in patients and on night shifts (the higher risk time in many ways) and the public will expect them to know what to do.

One trust cut the annual training course to one hour - not a lot of time to go through what is required, particularly as so many NHS staff are useless at being punctual. But e-learning does seem to be the way forward for less risk critical staff. It makes perfect sense in these cash strapped days, but it's that definition of the risk critical staff which may cause interesting debates with fire safety professionals having a different view from NHS managers

Easy
you identify the training, make up a matrix
get in touch with your Learning and development staff
Get a slot for induction that way you will be covering all of the new joiners, once every 2 weeks for us
get a slot in manditory training for clinical, covers all clinical staff, 3 slots a week
get a slot on the manditory training for non clinical, covers non clinical, 2 slots a fortnight
put on a specialist slot for student nurses and 3rd parties, 1 slot a month

then identify hospitals that need ski pad training just 2 out of my 8 use ski pads, thats a practical done once a year at each site one is a 10 storey building this is covered at induction and the staff show them the basics on local induction

carry out your risk assessments and train the staff on specialist areas as identified on the matrix
this way we train everyone annually thats 8500 staff the records are kept by learning and development
we dont allow e learning unless its approved by me and it never will be

then its extinguishers videos for everyone during lectures, pratical for high risk areas
then there is the 89 clinics they come to our manditory training more staff

however there are 2 fire safety officers in the trust, as i could not do this on my own with all the security and health and safety on top,

Pretty much as hospital boy says - those in face to face patient roles (including doctors) have face to face others have face to face one year on line elearning the next. there is scope for this in the HTM guidance. But you are right achieving this with large numbers of staff and very few fire safety staff is a huge challenge given that training budgets for bringing in external trainers and the like is always first line for cuts when budgets are up for review.