This document discusses the development, delivery, and direction of Massive Open Online Courses (MOOCs) in health sciences at the University of Birmingham. It provides enrollment numbers for existing MOOCs on topics like dental photography, Shakespeare, and brain health. It then outlines the key aspects of developing a MOOC, including design and development, delivery and data collection, and providing direction and driving participation. The remainder of the document discusses potential discussion topics for a workshop on creating a new MOOC, such as what makes good MOOC material, defining roles and responsibilities, and addressing challenges.