Health & Safety

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  • Topic: National Health Service, NHS mental health services trust, NHS special health authority
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The management of health, safety and welfare issues for NHS staff

New edition, 2005

A part of the NHS Confederation working on behalf of the

NHS Employers

Chapter 1 Chapter 2 Chapter 3 Chapter 4 Chapter 5 Chapter 6 Chapter 7 Chapter 8 Chapter 9 Chapter 10 Chapter 11 Chapter 12 Chapter 13 Chapter 14 Chapter 15 Chapter 16 Chapter 17 Chapter 18 Chapter 19 Chapter 20 Chapter 21 Chapter 22 Chapter 23 Introduction Main issues highlighted by the National Audit Office report Health assessment The Occupational Health Smart Card Managing sickness absence Managing risk The process of risk assessment Slips, trips and falls Manual handling The use of contractors and sub-contractors Dangerous substances in the workplace Alcohol and drugs A smoke-free NHS Mental health Stress management Rehabilitation and redeployment The NHS Pension Scheme and NHS Injury Benefit Scheme Blood-borne viruses Needlestick management Handling infected cadavers Latex Violence against NHS staff Occupational health and safety in primary care

1 2 3 4 Contractors health and safety competence appraisal form Needlestick injury Department of Health guidelines for handling bodies with infections Biohazard guidance table on the management of known or suspected infections

A B Further guidance and links Acknowledgements

Each chapter has separate page numbering. For example, 1.3 denotes chapter 1 page 3.

The management of health, safety and welfare issues for NHS staff, 2005




Chapter 1: Introduction

The management of occupational health and safety in the NHS has come a long way since the launch in 1998 of the ‘Blue Book’, The management of health, safety and welfare issues for NHS staff. Occupational health in the NHS has seen the number of consultants double and the introduction of a new association for NHS occupational health nurses. We have also seen the launch of NHS Plus which, we hope, has led to an increase in investment in NHS occupational health services. High-profile cases on the health and safety front have seen a substantial rise in the number of qualified health and safety managers in NHS organisations, particularly in the developing primary care sector. We have also seen a rise in expectations of what the service can and does provide. The roll-out of occupational health and safety services to general practitioners and their staff, and subsequently to dental practitioners, has seen NHS occupational health, and health and safety units, develop new ways of delivering services to meet the needs of a dispersed and fragmented client base. A successful campaign to recruit more staff for the NHS, including those from abroad, has seen the development of protocols for assessing fitness for work and an upsurge in the testing of staff for blood-borne viruses. New issues for occupational health assessments – and increased responsibility – have arisen from: • work-related stress rising to the top of the political agenda • the full introduction of the Disability Discrimination Act 1995 • targets for reducing ill-health retirement • a greater emphasis on rehabilitation. An increasing awareness of the need for multi-function working, to deal with issues such as stress, has seen occupational health professionals, and health and safety professionals, working more closely than ever before and the development of truly multi-professional teams. Occupational health smart cards (OHSCs) for doctors in training have focused the minds of occupational health staff on what information they are prepared to accept from other occupational health units and what proof they should require to ensure the validity of data.


The management of health, safety and welfare issues for NHS staff, 2005

Chapter 1: Introduction

The Association of NHS Occupational Health Practitioners (ANHOPS) and the Association of NHS Occupational Health Nurses (ANHONS) came together for the first time to...
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