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Health and safety
- 1. Health & safety including patient welfare
- 2. The Health & Safety Department Lee Dodds Health & Safety Lead Steve Bell Health & Safety Advisor Michelle Collins Health & Safety Advisor Kevin Oxley Director of Estates, Procurement & ICT
- 3. Learning Outcomes • Know why we have health and safety • Understand responsibility and risk in health and safety • Raise awareness of health and safety legislation • Understand the culture of health and safety
- 4. Why We Have Health and Safety • Adopting correct attitudes • Following correct procedures and guidelines • Being aware of risks • Making sensitive choices • Learning from our mistakes
- 5. The Health and Safety Executive (HSE) Is the UK’s regulator, he is responsible for enforcement of health and safety law. Where there is a breach of health and safety law, the inspector will decide on what action to take. Inspectors have the right to enter any workplace without notice.
- 6. Health and Safety Legislation The Health and Safety at Work Act 1974 (HSWA) • This Act puts the onus on employers for them to find safe methods of working. • It is an enabling Act which paved the way for more specific regulations e.g. • Management of Health & Safety at Work Regulations • Control of Substances Hazardous to Health • Manual Handling Regulations
- 7. The Health and Safety at Work Act 1974: • Employers have specific health & safety duties towards their staff (Section 2) as well as duties towards any person, such as patients, visitors, contractors etc, who may be affected by their undertaking (Section 3) • 'Employees have a responsibility to work safely and not put themselves or others at risk'. (Section 7)
- 8. Employee's Obligations • Take reasonable care for their own health and safety and that of others who may be affected by what they do or do not do • Co-operate with the employer on health and safety • Correctly use work items provided by the employer, including personal protective equipment, in accordance with training or instructions • Not interfere with or misuse anything provided for health, safety or welfare
- 9. Financial Implications • Human/Moral • Economic • Legal
- 10. A Culture of Health and Safety • Being open and honest • Assessing the risks and putting safeguards in place • Reporting incidents when they happen • learn from our mistakes
- 11. Health and Safety Arrangements • Policies and Procedures • Information, Training and Supervision • Fully Trained Risk Assessors • Incidents Reporting • HS24 Inspection Tool
- 12. Hazard’s and Risk’s Crossing the road involves risk. You have to judge the level of risk every time you step onto the pavement. • Is it a high or low risk? • What is the likelihood of an accident? • And how dangerous might it be? • What factors influenced your decision?
- 13. • Look for hazards • Evaluate the risks • Decide who might be harmed and how • Record your findings • Review your assessment The Risk Assessment Process
- 14. Incident Reporting Click on Systems
- 15. Datix
- 16. Electronic Form
- 17. (Reporting of Injuries, Disease and Dangerous Occurrences Regulations 1995) Injuries to Staff or Public - could include: • fractured bones, loss of consciousness, poisoning and others. Dangerous Occurrences - could include: • failure of lifting equipment, release of dangerous substances and others. Diseases - could include: • occupational asthma, asbestosis and others. Reporting Under RIDDOR
- 18. RIDDOR
- 19. Health and Safety (Sharp Instruments in Healthcare) Regulations 2013 How do the Regulations change my responsibilities for managing risks when using sharps? • Avoid the unnecessary use of sharps • Use safer sharps (incorporating protection mechanisms) • Safe disposal of sharps • Employee training
- 20. Sharp Injuries
- 21. Control of Substances Hazardous to Health (COSHH) • Hazardous materials • Storage • Disposal • Training • Investigations • Occupational Health
- 22. Manual Handling • Where possible avoid • Use mechanical aids as much as possible • Team lifting & handling • Training • Do the risk assessment before you start!
- 23. Display Screen Equipment Regulation 4 of The Display Screen Equipment Regulations 1992 states that employer must ensure that: • Risk assessments are completed to assess and reduce risks to DSE Users • Controls measures are put in place • Employers must provide information and training • Provision of eyesight tests • Review the assessment when the user or DSE changes.
- 24. Slips, Trips and Falls (Patients)
- 25. Slips, Trips and Falls (Staff)
- 26. Lone Working • Involving workers when considering potential risks and measures to control them • Taking steps to ensure risks are removed where possible, or putting in place control measures, e.g. carefully selecting work equipment to ensure the worker is able to perform the required tasks in safety • Instruction, training and supervision • Reviewing risk assessments periodically or when there has been a significant change in working practice Please contact Chris Spence, Local Security Management Specialist ext. 54669 for further information on lone workers
- 27. Stress Stress-related disorders encompass a broad array of conditions, including: • psychological disorders (e.g., depression, anxiety, post-traumatic stress disorder) • emotional strain (e.g. dissatisfaction, fatigue, tension, etc.) • maladaptive behaviours (e.g., aggression, substance abuse), and • cognitive impairment (e.g. concentration and memory problems).
- 28. Violence and Aggression Rapid response numbers James Cook/Friarage 2323 Community Staff 999
- 29. Safe Environment • Traffic Routes • Signage • Electricity • Access • Egress
- 31. Waste Waste Management Policy - HS12.doc
- 33. How to Find Us Click on A- Z
- 34. Click on link to access the Health and Safety Web Site For further advice or support please email us at: health.safety@stees.nhs.uk
- 36. Any Questions? Contact the Health & Safety department on 01642 854632
Editor's Notes
- The Team consists of
- These are the learning outcomes you will cover today We will look at why H&S is important Understand how H&S affects you Compliance with the law And how we can promote a culture of H&S within the organisation.
- Health and safety is all about behaviour, it involves making sure staff are aware of the risks they may encounter whilst at work. It is about looking at how risks can be reduced or prevented so that accidents do not occur in the first place. Therefore it is important that we do all we can to avoid accidents in the workplace to help us do this we need to Adopt correct attitudes Follow Trust Policy, procedures and guidelines Be risk aware rather than risk averse We need to make sensitive choices but more importantly we need to ensure that we learn from our mistakes
- His powers include: Informal notification for minor breaches of the Act Issuing organisations with improvement notices for more serious breaches of the Act. Ban any activity where it involves a serious risk of personal injury Prosecute including imprisonment for failure to comply with an improvement or prohibition notice Issue Monetary Penalty – With unlimited fines
- Health and safety law consists of The Health and Safety at Work Act 1974 such as Management of Health & Safety at Work Regulations Control of Substances Hazardous to Health Manual Handling Regulations and others Provision and Use of Work Equipment Regulations……Display Screen Equipment Regs Workplace Regulations and Personal Protective Equipment at Work Regulations
- Under the HSW Act we have a legal duty for each other's safety at workUnder Section 2 and 3 of the Act Employers have specific duties to provide a safe work environment for everyone And Under section 7 Employees have a responsibility to work safely without risk to themselves or others
- As an employee you must look after the health and safety of yourself and others who may be affected by your actions. You must comply with organisational policies and procedures You must use personal protective equipment where it has been provided to you for your protection and never interfere or misuse anything that has been provided for your health, safety or welfare
- When things go wrong we need to consider these 3 points Human and moral An injury could seriously impact on your life in the short term, affecting what you can and cant do. Your quality of Life may be affected if the injury is serious/long-term Economic Aspect - As an Employee costs to you could include: Loss of earnings including the possibility of career end if you are unable to continue with your current role due to injury. Legal fees should you choose to seek compensation for costs associated with your injury As an employer the costs could be: Sick pay Replacement of staff and any training costs to do with this Legal fees/compensation claims The Legal Aspect could involve: Media interest – resulting in a poor reputation for safety Costs to both you and the organisation There is also the risk of prosecution and imprisonment as tougher sentencing laws where introduced in January 2009 We also have the Corporate Manslaughter Act and Corporate Homicide Act 2007. Any accident resulting in death must be reported to the HSE who can then prosecute large companies if gross negligence is identified as the cause.
- In order to make our workplaces as safe as possible, we need to develop a 'culture of health and safety'. This means that we all need to become more aware of how accidents are caused, how they can be prevented and how we can learn from the mistakes that are made. Reporting is key and we need to be as open and honest as possible.
- The Trust has policies and procedures in place that staff must follow these are available on the south tees intranet site. As an organisation we must provide you with information, training and supervision to enable you to carry out your duties safely. Every area should have key people responsible for H&S…… including fully trained risk assessors Staff should be aware that incidents must be reported using the organisations incident reporting system DATIX And all wards and departments need to complete the HS24 inspection tool which provides an overview of the current trust position on H&S
- So when we look at hazards and risks I am going to look at something we can all relate to for example Crossing the road!! So if you think about the last time you crossed the road on a busy street. Where did you cross? Did you use a crossing? What made you think that where you crossed was the best place? were you in a hurry?
- So if we take crossing the road we need to think about the risk assessment process for this and we can look at these 5 key steps: Look at the Hazard The act of crossing a road itself is a hazard because it could lead to harm Evaluate the Risks The level of risk is determined by the likelihood and consequence. So What is Risk how likely is it that, the car will cause harm and how severe might that harm be to you or others; likelihood x consequence = Risk You should always Record Your Findings It is important to record information as it can be used to by management to determine: Which risks are dealt with, and prioritise these. Your findings are there to inform and train staff and can be used to populate a Risk Register. They form the basis for implementing safe systems of work as well as policies and procedures Always Review Your Assessment This should be done on an Annual basis but always after an accident, when a task or activity significantly changes, when equipment, the environment or materials change, Remember: risk assessments trigger actions.
- I mentioned reporting earlier to access the Trusts incident reporting tool Datix You need to click on Systems shown here All incidents should be reported as soon as possible after the event by the staff involved Staff must enter as much details as possible so that an investigation can take place Reporting is everyone's responsibility.
- Once the page opens you will see the Datix icon shown here All incidents should be reported as soon as possible after the event by the staff involved
- This is the form and staff must enter as much details as possible in order for the investigation to take place Reporting is everyone's responsibility.
- As part of the reporting process the RIDDOR regs require employers to report specific occupational injuries, diseases and dangerous occurrences to the Health and Safety Executive (HSE). Staff must complete an incident report for any work-related incident or accident where the injury to the person results in them being off work for more than 7 days As an organisation we have a responsibility to report any incident to the HSE within 15 days Things we report are listed here but if in doubt staff can contact us for support and advice regarding what is reportable under RIDDOR.
- Example of where the RIDDOR section is on the form with the explanation of what is a RIDDOR it is a mandatory field so you need to click Yes or No
- The H&S Exec introduced the Sharp Instruments in Healthcare Regulations in May 2013 The regulations apply to how we manage sharps……..Including avoiding unnecessary use where possible Using safer sharps Use of sharp smart bins for correct disposal Provision of information and training to employees Reporting, recording and investigating sharp injuries and sharing lessons learned Injured employee’s have a duty to notify their employer of a sharps incident they must seek treatment and regularly review procedures. Consideration must be given to: Self managing patients, e.g. diabetics they also need to be aware of Trusts policy for managing their sharps appropriately.
- All sharp injuries must be reported through the Datix system, providing as much detail as possible to allow for investigation. Sharp injuries cost the organisation Its not just the cost of an injury…. staff may also suffer psychological issues whilst waiting for blood results to come through. So if we think about how injuries occur We have staff who accidently stab themselves usually when re-sheathing Staff who stab each other this could be when disposing of sharps…and Then we have staff who should never come in to contact with sharps e.g. Porters and Domestic staff there injuries are through no fault of their own and are due to incorrect disposal in to normal waste or dropped needles caught up in mop heads.
- Whilst at work you may come in to contact with substances, some of these may be hazardous All chemicals used on wards and departments should have a suitable and sufficient risk assessment and a Material Safety Data Sheet this is a minimum requirement. Staff must be made aware of the chemicals that they use in their own areas. and Ward/ Department Managers must ensure that staff understand the chemicals they are using and the risks involved. Personal Protective Equipment should be worn if identified in the COSHH Assessment. All Substances must be disposed of correctly and any injury received must be investigated and reported to occupational health. If you come in to contact with Chemotherapy drugs you must let our department know and FYI – Medications and pharmaceuticals don’t come under the COSHH regs
- Staff should never attempt any manual handling activity if they have not been fully trained and a risk assessment should be completed before you start. Where possible manual handling should be avoided and the use of mechanical aids should be used when available Where team lifting is in place make sure that everyone knows when to lift e.g after 3
- These Regulations only apply to those workers who regularly use DSE as a significant part of their normal work (this includes daily or for continuous periods of an hour or more). Staff who use tough books or laptops come under these regs. There are a number of Health risks associated with working with DSE such as: Fatigue, eye strain, upper limb problems and backache from overuse or improper use . As an organisation we need to make sure that staff are provided with a risk assessment this includes eyesight tests. Any control measures identified from the assessment must be put in place and this includes reimbursement for the cost of an eyesight test and where identified South Tees will provide up to £40 towards the cost of glasses required for use with a VDU only……….you cant go out and buy designer glasses and expect them to be paid for.
- Most falls occur on the JCUH site and the main causes of slips, trips and falls for patients are due to their medical condition uneven floor surfaces unsuitable floor coverings wet floors changes in levels trailing cables poor lighting poor housekeeping.
- Its not just about patient falls staff fall too and slips and trips are the most common cause of injuries at work, last year the figure was higher so we are seeing an improvement Falls account for over a third of all major work injuries.
- Working in the health care sector can involve dealing with unpredictable client behaviour and situations especially for staff in the Community going to patients homes. Employers have a duty to assess risks to lone workers and take steps to avoid or control risks where necessary. This must include: Carrying out a risk assessment and putting control mechanisms in place for example some staff may need to carry a panic alarms or attend client homes in twos. For further information on keeping safe Chris Spence is the Trusts LSMS he can provide you with advice and support.
- It is important that we identify the signs of Stress before it is too late workloads should be in line with workers' capabilities and resources. Staff should have clearly defined roles and responsibilities. Workers should be involved in decisions and actions affecting their jobs. The stress risk assessment can be found in the HR Policy P04
- Staff should not have to tolerate violence and aggression at work but unfortunately this is becoming more common due to the world we live in and the type of clients we receive through our doors. These are the rapid response numbers you need to ring if you experience any issues you can also contact Chris Spence LSMS for help and advice on violent patients.
- JCUH is a busy site with staff and visitors all trying to find their way around We need to be aware that patients are transported via from one area to another in beds and wheelchairs We also have staff operating small electronic vehicles to transport waste carts and other staff moving food trolleys around Signage is there for your safety e.g X-ray departments, theatres using laser technology, wet floor signs Safe access and egress – CCTV operates on site, the Trust has key pads and lock down in place for some areas these are usually in place out of hours but should a fire occur doors would open up automatically
- If you discover a faulty medical device you need to take the following action Remove it from service Report it to the H&S team The H&S team will then contact the company in order for them to start an investigation in to what the issues are and more importantly to cascade to other Trusts who may have the same equipment.
- The Trust must ensure that waste is disposed of appropriately and the Trust Waste management policy has been developed to provide staff with information on the correct procedures for disposal. Unfortunately some items have managed to find there way to the Laundry some are shown here but we have also had: Blades Needles I Phones, Hand bags, Waste bins Remember we owe a duty of care to all our staff and many of these items have dropped from height as the laundry bags are transported via a rail suspended from the ceiling in the laundry.
- To conclude Everything covered today should be available via the H&S web site To access this please go to the south tees home page and click on Services A – Z or you can use the search option next to it. Click
- Once you have entered the site you can click on the H which will take you to the H&S link once you enter the site go to next slide
- All the information you require will be accessible to you from here…….. if it isn't please let us know either by ringing or emailing us.