This chapter examines some of the tensions that may exist between e-learning and accessibility in higher
education, and aims to redress the balance between them. The chapter necessarily involves some significant
technical detail. It examines and reports on the accessibility issues associated with particular
e-learning technologies that are either current or emerging in this dynamic field. The discussion attempts
to provide practitioners with practical advice that will assist them in designing multimedia-based elearning
that is both innovative and inclusive. Integral to this is a framework for best practice for the development of accessible educational multimedia.