1. health and fitness

Agenda Item:
Board of Directors
Meeting
Report
Subject: Health and Safety Annual Report
Date:
5 September 2013
Author: Robert Dabbs, Health and Safety Manager
Lead Director: Karen Fisher Director of HR
Executive Summary
This annual report highlights the work undertaken by the Trust’s health and safety function
during 2012/13 to protect staff, visitors and contractors from those risks created by the work
that the Trust undertakes.
The main highlighted risks in this report include:
•
•
•
The trust’s management of work related violence and aggression.
Slips, trips and falls
The prevention of sharps injuries
The first pages of the report cover the main risks and the controls in place, or in the process
of being put in place, to mitigate these main risks.
The remainder of the report contains comprehensive data on the health and safety
performance of the Trust together with an analysis of current successes and areas for future
work.
The report also covers the how the health and safety function works in partnership with staff
and the staff side unions to mitigate and control health and safety risks. There is a list of the
risks and issues considered by the Trust’s Health and Safety Committee during the year and
the actions that have been taken to manage those risks.
Recommendation
The Board of Directors are asked to note the Health and Safety Annual Report for 2012/13
and approve the plan of work for 2013/14.
Relevant Strategic Objectives (please mark in bold)
Achieve the best patient experience
Improve patient safety and provide high
quality care
Attract, develop and motivate effective teams
Achieve financial sustainability
Build successful relationships with
external organisations and regulators
Links to the BAF and Corporate
Risk Register
Links to risks on the corporate risk register
Details of additional risks
associated with this paper (may
Compliance with NHSLA standards 4.2, 4.3,4.5 4.7
and CQC essential standards outcome 10 and 11 and
include CQC Essential Standards,
NHSLA, NHS Constitution)
the NHS Occupational Health and Safety Standards
(The NHS Staff Council)
Links to NHS Constitution
Have healthy and safe working conditions and an
environment free from harassment bullying or violence.
None
Financial Implications/Impact
Legal Implications/Impact
Demonstrates that the Board is actively analysing and
planning health and safety activity
Partnership working & Public
The work plan is shaped by the work of the Health and
Engagement Implications/Impact Safety Committee which involves joint working with
Trust staff side representatives
Committees/groups where this
Health and Safety Committee
item has been presented before
Monitoring and Review
Is a QIA required/been
completed? If yes provide brief
details
Through the Risk Assurance Committee and the next
Health and Safety Annual report
No
Health and Safety Annual Report 2012/13
1.0 Summary
The moral and legal case for effective occupational health, safety and wellbeing in NHS
organisations has been well made over a number of years. This is recognised within the
NHS Constitution, which states that staff have the right to work in healthy and safe
working conditions in an environment free from harassment bullying or violence.
An appropriately qualified and experienced health and safety manager assisted by
administration and external professional support provide the core health and safety
function within the Trust. The team is responsible for advising managers, safety
representatives and staff on health and safety at work, maintaining a safe working
environment and the development, delivery and co-ordination of health and safety
training along with the implementation of health and safety policies and procedures to
secure the safety of staff, visitors and contractors.
This annual report highlights the health and safety at work aspects of risk management
undertaken within the Trust during the period 1 April 2012 to 31 March 2013. The report
primarily covers the work of the health and safety team and the health and safety
committee with some comments on the data available on health and safety incidents
during 2012/13. The report is not a complete audit of all the Trust’s health and safety
responsibilities and it does not seek to provide assurance on all health and safety duties
that relate to the work of the Trust and the management of its estate.
The main health and safety issues encountered during 2012/13 related to the delivery of
the HSE violence and aggression action plan, a risk assessment programme for all
clinical wards and departments, slips and trips and falls from height, the security and
demolition of the Dukeries building, Legionella control and the reduction of sharps
injuries.
Development work concentrated on the establishment of a health and safety
management system and the subsequent development of a training programme for all
managers/supervisors with health and safety responsibilities.
Training is also supported by the use of workbooks that focus on a key priority area for
the year. The mandatory workbook for 2013/14 will concentrate on the control and
management of hazardous substances. Online training is increasingly important and an
online training course on the safe use of computer workstations has been developed
during the year.
Detailed in the report below are a number of key health and safety indicators captured
and reported within the Trust. The paper also considers key risks and issues handled
by the health and safety function, the main objectives for 2013/14 with a plan of work
showing when these will be tackled are also included.
Page 1 of 14
2.0 Staff Health and Safety Incidents
Incidents by Type 2012/13
Staff Health & Safety Incidents Year
2012/13
Abusive, violent, disruptive or self-harming behaviour
Accident caused by some other means
Adverse events that affect staffing levels
Environmental matters
Exposure to electricity, hazardous substance, infection etc
Qtr 1
Qtr 2
Qtr 3
Qtr 4
25
16
5
3
7
43
21
2
5
12
53
17
51
15
10
12
4
11
Fires, fire alarms and fire risks
Infrastructure or resources - other
Injury caused by physical or mental strain
1
3
7
1
7
1
5
1
8
12
28
38
3
23
155
46
3
28
183
32
5
27
158
Lack of/delayed availability of facilities/equipment/supplies
Lifting accidents
1
Medical device/equipment
Needlestick injury or other incident connected with Sharps
Other
Slips, trips, falls and collisions
30
126
Total
2012/13
Totals
2011/12
Totals
172
69
7
22
42
0
2
12
1
32
0
144
11
108
622
219
48
1
7
32
5
14
26
1
38
3
151
11
128
684
The most likely reason for submitting a staff health and safety related incident report is
abusive, violent, disruptive or self-harming behaviour (28%) followed by needlestick
injury or other incident connected with sharps (23%) and slips, trips falls and collisions
(17%). Together these three areas of risk account for 68% of all health and safety staff
incident reports submitted via Datix. These main health and safety areas of risk remain
unchanged from the previous year.
900
800
700
600
500
400
300
200
100
0
2011 2011 2011 2011 2011 2011 2011 2011 2011 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2013 2013 2013
04
05
06
07
08
09
10
11
12
01
02
03
04
05
06
07
08
09
10
11
12
01
02
03
All Incidents
Staff Health & Safety Incidents
Page 2 of 14
The above graph shows that the reporting of staff health and safety incidents via the
Datix system remains very consistent over time. Total incidents reported have risen
steadily since the end of 2011 and the Trust is an above average reporter of incidents
compared with other similar Trust’s (NHS Commissioning Board April – September
2012). The Trust reported 7.4 incidents per 100 admissions compared with a median of
6.7 incidents per 100 admissions.
Violence and Aggression
There was a 22% reduction in reports of staff being involved in incidents of abuse or
violence, 172 incidents compared to 219 incidents in the previous reporting year. It is
thought that the actions pursued in relation to the HSE violence and aggression
improvement plan including improved levels of conflict resolution training may be
reducing the incidents that staff consider reportable under the Datix system.
Actions
Violence and Aggression
The HSE violence and aggression report action plan 2012/13 described actions to put in
place a credible training response to support staff under pressure from increasing
numbers of patients with conditions that mean they are more likely to hit out. This
aggression is aimed primarily at nursing and healthcare assistants when they are
providing the patient with necessary care and treatment.
Three models for training were considered that offered staff the opportunity to develop
physical skills allied to verbal skills for assault avoidance and disengagement. They
also offered limited passive holding skills to help care to be provided in the best
interests of patients. Following trials the Trust chose Maybo as a training provider and
uses a mix of external and internal training to provide these physical intervention skills.
At present this training is being rolled out to clinical staff in the areas assessed as being
most likely to suffer from physical assaults from patients.
The Trust continued to promote its conflict resolution training model as the primary
training for all staff interacting with the public.
Needlestick and Sharps Injuries
Reported needlesticks and sharps incidents remained largely unchanged but measures
undertaken during 2012/13 to introduce safer sharps are aimed at reducing the number
of sharps injuries recorded by the Trust in 2013/14. Of the 144 incidents reported 99
were injuries from dirty sharps a reduction from 111 in the previous year, an
improvement of 11%.
Actions
Needlestick and sharps Injuries
The Trust established a multidisciplinary working group chaired by the Health and
Safety Manager during 2012/13. The aim of this group is to reduce the number of
needlestick or ‘sharps’ injuries reported by staff and ensure compliance with the Health
and Safety (Sharp Instruments in Healthcare) Regulations 2013 due to come into Force
Page 3 of 14
on 11 May 2013. The latest data shows that over 51% of the sharp consumables
purchased by the trust now have a safety device fitted compared to just 22% at the start
of 2012/13.
RIDDOR Reports by Year
The number of staff accidents reported to the Health and Safety Executive under the
Reporting of Injuries, Diseases and Dangerous Occurrences (RIDDOR) Regulations
1995 decreased from 17 to 15. The decrease was mainly due to changes made in April
2012 to the reporting requirements for RIDDOR. As from April 2012 the requirement to
report over three day injuries to employees changed to over 7 day injuries. Due to
these changes direct comparisons with data from previous years for employee
accidents is not really possible.
Year
2012/13
2011/12
2010/11
2009/10
2008/9
2007/8
2006/7
2005/6
RIDDOR Reports by Year
Number of
Number of RIDDOR
Employee
Reports re
RIDDOR Reports
Members of the
public
15
3
17
14
23
8
29
10
22
8
20
25
24
27
20
13
Total
18
31
31
39
30
45
51
33
Staff RIDDOR reports by Type and Year
Staff RIDDOR reports by Type and Year
Type
Moving and
handling patient
Manual handling
object
Violence and
aggression from
a patient
Burn from hot
food or beverage
Slip
Trip
Hit by moving or
falling object
Hit a stationary
object
Contact with a
hazardous
substance
2012/13
2011/12
2010/11
2009/10
2008/9
2007/8
2006/7
2005/6
2
7
7
11
5
6
6
7
-
3
4
5
3
2
3
2
-
-
-
2
1
1
4
3
-
-
-
1
2
1
1
1
3
3
3
3
1
1
6
2
7
1
0
1
5
4
4
2
1
5
0
3
2
2
1
2
1
-
1
0
0
0
1
-
1
1
0
0
2
2
Page 4 of 14
Other
TOTAL
2
15
17
3
23
1
29
1
22
1
20
1
20
24
No. of Riddor Reported Incidents
Staff Yearly Comparison
12
10
8
6
4
2
0
Qtr
1
Qtr
2
Qtr
3
Qtr
4
Qtr
1
2007/8
Qtr
2
Qtr
3
Qtr
4
2008/9
Qtr
1
Qtr
2
Qtr
3
Qtr
4
Qtr
1
2009/10
Qtr
2
Qtr
3
Qtr
4
20010/11
Qtr
1
Qtr
2
Qtr
3
Qtr
4
Qtr
1
2011/12
Qtr
2
Qtr
3
2012/13
Patient RIDDOR reports by Type and Year
The number of patient RIDDOR reports reported during 2012/13 decreased to an all
time low of just 3 reports and was the major contributor to an all time low overall
reporting against RIDDOR of just 18 reports in total. There are a number of factors at
play that could in part account for this reduction. Firstly, the Datix system now
specifically asks reporters to contact governance or health and safety leads to check
that a patient incident is reportable. This will have stopped some unnecessary
reporting. However, factors such as increased emphasis on patient safety and patient
safety initiatives such as intentional rounding will also be contributing to a reduction in
accidents to patients that require reporting to the HSE.
Type
Unobserved fall
Fell from
chair/toilet
commode
Fell from
bed/trolley
Walking to toilet
unassisted
Mobilising
without
assistance
Slip
Trip
Patient transfer
Other
TOTAL
2012/13
2011/12
2010/11
2009/10
2008/9
2007/8
2006/7
2005/6
2
-
2
4
2
1
5
0
2
1
8
4
8
4
7
1
-
4
1
2
0
2
4
1
1
-
1
0
6
5
1
1
-
2
2
2
2
4
1
3
1
2
-
2
0
1
0
1
27
1
8
1
2
0
0
8
1
14
0
0
0
0
10
Page 5 of 14
1
1
25
1
13
Qtr
4
No. of Riddor Reported Incidents
Patients Yearly Comparison
12
10
8
6
4
2
0
Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
2007/8
2008/9
2009/10
2010/11
2011/12
2012/13
3.0 Risks and Issues during 2012/13
A full list of the risks and issues that were considered by the Health and Safety
Committee is attached at appendix 2.
The main risks and issues highlighted during the year were:
•
•
•
•
•
•
•
•
The security and demolition of the Dukeries building
An electrical accident involving a damaged air mattress cable
The specification, trial and selection of a clinical holding and disengagement
skills course for use by Trust staff at risk of physical assault.
The introduction of a new water flushing regime for the prevention and control of
legionella
The prevention of dermatitis
The development and roll out of a new health and safety management course
Falls in the main entrance and the installation of a new powered door
The roll out of safety devices on blood collection needles
Although all the above risks are either closed or reduced so far as is reasonably
practicable, there is one significant risk issue outstanding and this is the provision of
visual skin checks for all staff frequently washing their hands. This issue will be tacked
again during 2013/14 to try and find a method of providing these checks that provides
assurance but does not create an unwieldy complex system.
4.0 Partnership Working
Health and safety is an issue for everybody that works at the Trust. The Health and
Safety Manager works closely with a wide range of staff groups in securing the health
and safety of staff, visitors and contractors. The main mechanism for consulting with
staff side organisations is the Trust’s Health and Safety Committee.
The Health and Safety Committee meets bi-monthly and is chaired by the Executive
Director of Human resources. Staff side representatives from the RCN, UNITE, GMB
and UNISON, regularly attend the committee. Divisional management teams are also
Page 6 of 14
represented but due to the number of recent management changes the representation
from the divisional management teams needs to be refreshed.
The Health and Safety Committee also sends quarterly reports to the Trust JSPF
outlining any risks or issues raised in the committee and action being taken to address
them. The Health and safety Committee minutes are also presented at the bi-monthly
Newark JSPF to ensure that staff and managers on this site are properly updated and
have a chance to influence the work of the Committee.
Staff side representatives are also involved with the health and safety audits undertaken
within the Trust.
The Health and Safety Committee also works in partnership with the Trust’s PFI
partners, CNH, Medirest and SFS. All of these organisations are active participants on
the committee. The Trust’s Health and Safety Manager also sits on the Medirest Health
and Safety Committee so that safety concerns where Trust activity impacts on the
safety of Medirest employees can be discussed and resolved. For example, problems
with the old Dukeries site security, changes made to fire door opening times, sharps
injuries and the location of corridor traffic mirrors have all been discussed at this
meeting and resolved within the Trust.
The School of nursing are also represented on the Trust Health and Safety Committee.
5.0 Annual Staff Survey
The annual NHS staff survey provides the Trust with valuable feedback on staff’s
perception of the Trust’s performance on a range of measures relating to health,
wellbeing and safety. There were a number of changes in the 2012 staff survey that
reduced the amount of data available on health and safety matters and made direct
comparisons with previous year’s data on some scores more difficult. The returns from
the staff survey continue to inform the priority areas for work in 2013/14 for the health
and safety function.
Of the eleven measures provided by the 2012 survey for staff pledge 3; “to provide
support and opportunities for staff to maintain their health, wellbeing and safety”, the
Trust is better than the average nationally for acute trusts in 5 areas and worse than
average in 4, with 2 key findings being at the national average.
It was encouraging to see the Trust is better than average for staff experiencing
harassment bullying or abuse from patients, relatives or the public in the last 12 months
but disappointing that physical violence from patients, relatives or the public still remains
an issue. As mentioned earlier there are already plans in place to tackle this problem
with the introduction of clinical holding and disengagement skills for staff working in high
risk areas during 2013/14. The Trust is also now close to being in the top 20% of trusts
for training staff on issues around violence and aggression.
The main areas of challenge for the Trust from the 2012 staff survey relate to staff
experiencing physical violence from patients, relatives or the public, increasing
perception of the fairness and effectiveness of the incident reporting system and
increasing staff opportunities for health and safety training.
6.0 Audits and Assurance
Page 7 of 14
The table below provides an overview of the Health and Safety policies, procedures and
risk assessments currently in place and the dates for review.
List of Review Requirements
Risk Assessment/ Audit/ Policy/ Guidance
Date Due for
Review
Date Review
Completed
General Site Audit General Car Parking
Traffic and Pedestrian management
General site Audit Access to Height
General site Audit Car Parking (Newark)
Traffic and Pedestrian management (Newark)
Health and Safety Policy
Risk Assessment Access to Height KMH
Risk Assessment Form-Slips, Trips, Falls
2012
Risk Assessment Access to Height (Newark)
General Site Audit Risk Assessment Slips
Trips and Falls (Newark)
Lone Worker Policy
Lone Worker Guidance
February 2013
February 2013
March 2013
March 2013
March 2013
May 2013
August 2013
August 2013
July 2013
June 2013
July 2013
June 2013
May 2013
June 2013
July 2013
October 2013
October 2013
May 2013
May 2013
Policy for the Management of Work Related
Violence and Aggression
Guidance for the Management of Work
Related Violence and Aggression
Risk Assessment Policy
COSHH Policy
Policy for Managing Work Related Stress
Site Audit Speed Control
Guidance for Electricity at Work
November 2013
Policy for Visual Display Unit Policy
(Display Screen Equipment)
February 2014
Guidance for Visual Display Unit Policy
(Display Screen Equipment)
Guidance for New and Expectant Mothers
Policy for Slips, Trips and Falls
Guidance for Slips, Trips and Falls
Occupational Road Risk Policy
Occupational Road Risk Guidance
Guidance for Young Persons at Work
February 2014
November 2013
November 2013
November 2013
November 2013
November 2013
January 2014
January 2014
February 2014
February 2014
February 2014
February 2014
March 2014
March 2014
March 2014
The Trust has a comprehensive Health and Safety Audit document available for use by
ward and department leaders in conjunction with safety representatives. This document
and procedure was reviewed and revised during 2012/13. Initial improvements made
using the new streamlined procedure and the oversight of the Risk Management
Committee are now beginning to see deterioration. The results for the last round of
audits show that they were completed by just 29 out of 55 areas, a completion rate of
just 53%. Therefore file reports will be provided for the Director of Operations and the
Risk Assurance Committee with a view to securing improvements in completion of these
audits.
Page 8 of 14
There are joint audits of the working environment made between the Trust, CNH and
SFS as part of the workplace audits undertaken by the Trust to secure compliance with
outcome 10 of the CQC essential standards. These will remain ongoing throughout
2013/14.
7.0 On the Horizon
During 2013/14 there will be a number of changes to the legal framework for managing
health and safety as a result of Professor Löfstedt’s independent review of health and
safety legislation ‘Reclaiming health and safety for all’. In particular the following pieces
of legislation and approved codes of practice will be revised:
•
•
•
•
Approved Code of Practice (ACOP) L24 - "Workplace health, safety and welfare".
Legionnaires ’ disease the control of Legionella in water systems (L8)
Revised version of the Control of Substances Hazardous to Health Regulations
2002 (as amended) Approved Code of Practice (ACOP).
Proposals to simplify the reporting requirements of the Reporting of Injuries,
Disease and Dangerous Occurrences Regulations 1995.
The HSE have so far taken a low key response to the enforcement of the Health and
Safety (Sharp Instruments in Healthcare) Regulations 2013. Traditionally HSE start to
increase the oversight of duty holders 12 months from the date of the regulations
coming in to force.
As part of other changes designed to deal with the perceived compensation culture the
framework for civil claims is also changing. The introduction of claims portals and fixed
legal costs will mean that incidents likely to result in a claim will need to be investigated
quickly to meet the reduced timescales involved (30 days for EL claims and 40 days for
Pl claims).
8.0 Priority Areas for the Health and Safety Function in 2013/14
Based on the analysis above the following will be priority areas for the health and safety
function during 2013/14.
•
•
•
•
•
•
•
•
•
•
•
Ensuring compliance with the Health and Safety (Sharps Instruments in
Healthcare) Regulations 2013
Complying with the Changes to RIDDOR and various Approved Codes of
Practice expected in October 2013
Introduction of annual visual skin checks for the prevention of dermatitis
Improving the rate of completion for local health and safety audits.
Implementing and embedding staff training on de-escalation and disengagement
skills to help prevent physical assaults from patients.
Implementing a training program for managers, supervisors and safety
representatives with health and safety responsibilities.
Implementing a train the trainers program for respirator face fit testing.
Improving compliance with Health and Safety Audits
Improving the system for the reporting and recording of the water flushing regime
within the Trust.
Reviewing the Health and Safety Policy to ensure that it remains fit for purpose.
Ensuring that those policies that contribute to NHSLA level 1 remain fit for
purpose.
Page 9 of 14
Appendix 1
•
Health and Safety Function Work Plan for 2013/14
Page 10 of 14
Apr13
May13
Jun13
Jul-13
Aug13
Sharps
Safety Poster
Risk Assessments
Position Statement
Trials for Safety Engineered Injection
Devices
Policies/Guidance
Revised Health & Safety Policy
Lone Worker Policy
Violence & Aggressions Policy
Risk Assessment Policy
COSHH Policy
VDU Policy
Prevention of Slips Trips & Falls Policy
Safety Guidance for New and Expectant
Mothers
Safety Guidance for Young Persons at
Work
Violence
Improve awareness of need to report
violence and aggression
Review Maybo Physical Interventions
Training
Audits
Review H&S Audit Form
Conduct H&S Audits
Explore new water flushing audit process
with IT
CQC outcome 10 audits
Training
Health and Safety Management Training
Respirator Face Fit Testing
Page 11 of 14
Sep13
Oct13
Nov13
Dec13
Jan14
Feb14
Mar14
Appendix 2 Risks and Issues at the H&S Committee 2012-2013
Dates Risk
Highlighted
12 April 2012
12 April 2012
12 April 2012
12 April 2012
12 April 2012
12 April 2012
Description
Day Case Unit Theatre Doors
Pat Slides
Security in X-Ray at KMH
FM Corridor (Flooding)
Pathology (Lighting)
Ward 12 Electrical Accident
Dealt with
Date
July 2013
June 2012
June 2012
June 2012
June 2012
21 June 2012
12 April 2012
Bed Head Electrical Socket Damage
June 2012
12 April 2012
12 April 2012
9 Aug 2012
Slips Flooring Assessment (incident within a wet room)
Clinical Holding Skills (Physical Interventions training)
Clinical Holding Skills Funding
12 April 2012
HSE Inspection of Microbiology
12 April 2012
12 April 2012
12 April 2012
21 June 2012
12 April 2012
21 June 2012
9 Aug 2012
12 April 2012
12 April 2012
12 April 2012
21 June 2012
New Main Entrance KMH safety (complaint letter to HSE)
RIDDOR - changes to reporting
Dukeries Building
- Break-ins
- Removal of asbestos
- Demolition
Water Flushing Regime
Flushing/recording
Take to HCN Meeting
Revised Guidance for New & Expectant Mothers
Revised Guidance on Young Persons at Work
Smoking Shelters
Staff Survey
11 Oct 2012
21 June 2012
Staff Survey – Staff Perception of V&A action by employer
Dermatitis HSE Investigation re RIDDOR
Page 12 of 14
Outcome
June 2012
June 2012
May 2013
Power operated doors to be fitted
Advice given
Advice given
Works undertaken by SFS
Works undertaken by SFS
MEMD to action training and measures to
prevent cable damage
New Bed Head bumper fitted in towers 1 and 2
and KTC.
Slip resistance checked
Pilot Course organised
Pilot Course completed
Dates set & Advertised for training in Feb 2013
No formal action, minor verbal issues dealt with
by Pathology
New main entrance installed
RIDDOR guidance provided
Demolition of building
21 June 2012
9 Aug 2012
Improved results
Further Progress Higher returns
April 2012
April 2012
April 2012
11 Oct 2012
11 Oct 2012
Guidance on H&S Intranet
Guidance on H&S intranet
Official shelters not provided
Physical assaults avoidance training.
Conflict resolution training
9 Aug 2012
Policy Drafted & Questionnaire
21 June 2012
9 Aug 2012
14 Feb 2013
April 2012
Dates Risk
Highlighted
9 Aug 2012
Dermatitis – Visual Checking
21 June 2012
H&S Management Training – new course
21 June 2012
21 June 2012
Patient Falls HSE Riddors (x3)
H&S Audits - Low numbers
11 Oct 2012
13 Dec 2012
9 Aug 2012
9 Aug 2012
11 Oct 2012
12 Dec 2012
12 Dec 2012
9 Aug 2012
H&S Audits – Target certain areas
H&S Audits – Need to include thermometers when bathing
patients
Moving & Handling (Incidents High)
Generic Moving & Handling Risk Assessment
Moving & Handling – Hoists/damage to paint
Moving & Handling – Risk Register
Moving & Handling – Lifting devices - Mortuary
HSE Consultation Documents
9 Aug 2012
Generic Risk Assessment
9 Aug 2012
Doors – closing when porters are moving beds
9 Aug 2012
Fire Training in the Community
11 Oct 2012
Violence & Aggression Risk Assessment – review & feedback
required
NHSLA Standards, Assessor required, apply for level 2
Supporting Staff involved in Incidents, Complaints and Claims
Policy for the Management of Work Related Stress
Access to Height – concerns re ladders at flat roofs
HSE Fee for Intervention
Counselling sessions – concerns over 6 week wait
11 Oct 2012
11 Oct 2012
11 Oct 2012
11 Oct 2012
11 Oct 2012
Description
Dealt with
Date
11 Oct 2012
ONGOING
Page 13 of 14
9 Aug 2013
11 Oct 2012
And now
Ongoing
June 2012
9 Aug 2012
11 Oct 2012
13 Dec 2012
Outcome
RM Group agreed to include visual inspections
as part of mandatory training.
Visual inspection of skin still to be resolved.
Training organised (every 2 wks)
Training ongoing and available to book on-line
Issues feedback to falls group
Action Plan & Form Revised & Circulated
New Form available on intranet
Most departments now completed
11 Oct 2012
11 Oct 2012
Serious Falls Group, Risk & Fall Plan
Presented for Feedback
September
2012
September
2012
September
2012
September
2012
November
2012
Ongoing
Oct 2012
Advice provided
Take lead for standard 4.
Policy approved and promoted via intranet.
Ongoing
Oct 2012
Oct 2012
Work costed awaiting funding
Advice provided to organisation
Feedback to wellbeing group and HR
Used as part of H&S Risk assessment policy
Door timings altered after consultation with
interested parties.
Training to be provided for community staff
Feedback received and assessment completed
Dates Risk
Highlighted
11 Oct 2012
11 Oct 2012
13 Dec 2012
Description
Histopathology – Chemical spillage
Staff Wellbeing Event
Ligature Point Risk Assessment Tool
Dealt with
Date
Dec 2012
13 Dec 2012
Dec 2012
13 Dec 2012
RPE Face Fit Testing
July 2013
13 Dec 2012
Sharp Instruments in Healthcare Regulations
13 Dec 2012
14 Feb 2013
13 Dec 2012
Committee Structures
June 2013
13 Dec 2012
14 Feb 2013
Violent Person Warning Marker
Estates Alert : Sharps containers transported in vehicles
Dec 2012
July 2013
14 Feb 2013
14 Feb 2013
14 Feb 2013
14 Feb 2013
Proposed Mandatory Training Workbook - COSHH
Risk Assessment for mobile MRI Scanner
Recent relevant HSE Prosecutions at other Trusts
Flu Vaccination
April 2013
Feb 2013
Feb 2013
Feb 2013
14 Feb 2013
Security – School of Nursing
Feb 2013
Page 14 of 14
Outcome
Use of cleaning chemical by contractor revised
Positive feedback
Pilot risk assessment conducted in A&E. Paper
by Interim Head of Estates on issues involved
required.
12 people trained to provide respirator face fit
testing.
Funding Agreed
Roll out of new devices BD clip needle & safety
device for cannulations
TOR for the committee amended now reports to
Risk Assurance Committee
Passed to safeguarding nurses to take forward.
Safety alert shared with staff likely to carry
sharps.
Safe system of work developed.
Lease car companies contacted
Workbook in use for 2013/14
New MRI Scanner safely installed
Lessons disseminated
Good inoculation rates achieved. Grab a jab
working well.
Funding issue with school of nursing.