Health, Safety

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Health, Safety Security

• Delivered by-
• Anita Ryan
• Health, Safety Security Manger
• The Risk Standards Team

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Why Bother?

• Moral
• Deaths
• Accidents
• Injuries or Health Problems

• Financial
• Costs to the Country
• Costs to the Organisation
• Costs to employees

• Legal
• HS at Work Act 1974
• Regulations
• Civil and Criminal Law

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NHS Standards for Better Health

• The national minimum standards that ANY patient
  should expect from ANY organisation providing NHS
  services.
• The compliance with these standards are assessed
  annual by the Health Care Commission through the
  Annual Health Check

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CRIMINAL AND CIVIL LAW

• Criminal law
• Intended to punish with, e.g. fines
• Initiated by State, e.g. Police
• Cannot insure against sanctions
• Burden of Proof beyond reasonable doubt
• Civil law
• Compensate victim for damages etc
• Initiated by person sustaining damage
• Can insure against claims, risk transfer
• Burden of Proof balance of probability

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2006/07

• 241 Fatal Injuries
• 29,450 Major Injuries
• 114,222 Other Injuries (more than 3 day
  absence)
• Health Social Care
• 5 Fatal Injuries
• 1561 Major Injuries
• 10,550 over 3 day injuries

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Top Three Major Injuries in the Health Service
2006/07

• 841 Slips or trips - 53
• 241 handling, lifting or carrying 15
• 169 physical assault 11

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Top Three Over 3 Day Injuries in the Health
Service 2006/07

• 5426 handling, lifting or carrying - 51
• 1930 Slips or trips 18
• 1606 physical assault 15

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Alison Hockaday
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• Two slip accidents
• Thirty-two operations
• 600,000 compensation

Youth slipped on water from ice machine. Put hand
into deep-fat fryer
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• What is the most
• important piece of legislation
• ever introduced, (probably)?

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HEALTH, SAFETY WELFARE AT WORK ACT 1974
An enabling Act
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AIM-
A safe environment for everyone
Safe systems of work
Ensure safety of visitors and general public from
work activities
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Enforcement of HS Law

• Health and Safety Executive or Local Authority
• Provide advice as well as enforcing law
• Wide powers including
• Right of entry to premises
• To examine premises, equipment, etc
• To order premises left undisturbed
• To seize or render harmless any article
• To require any person to give help

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How Safe Are You?

• Do you know
• Evacuation procedures?
• First Aid arrangements?

Local Arrangements Site specific by Line
Manager Building Operation Manual located at
Reception of each building.
Where the Health Safety Policy is?
Location at your site Risk Standards Web
address - www.burypct.nhs.uk/636.html
Where to get an Incident Reporting Form?

• How to report a fault?

Who is your HS representative?
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Practical Crime Prevention Advice

• Lock away valuables and equipment
• Lock doors, cupboards, desks when an area/office
  is vacated or left unattended for any length of
  time.
• If you have a locker, use it.
• Regularly check that all windows and door locks
  are in working order.
• Never put yourself at risk - call for assistance.
  
• Make sure patient records and all other sensitive
  information are kept secure.
• Remember certain equipment can be very attractive
  to thieves, e.g. mobile phones, lap tops etc.
•  

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Practical Crime Prevention Advice

• If your car has an alarm, use it.
• If you have a steering wheel lock or other
  security device - use it.
• When driving be aware of what is happening around
  you especially at traffic lights and road
  junctions and keep your doors locked.
• Try to recognise ploys to stop your car, dont
  stop, call the police
•  

Never leave any items on view in your car. Lock
them in the boot. Whenever practical, always
park in such a way as to drive away easily. Try
to park in a well lit, busy area.
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Managing Violence and Aggression

• Bury PCT Policy
• Conflict Resolution Training
• Promoting Safer Therapeutic Services
• National Statistics
• Reporting Incidents

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Violence Aggression Figures
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Bury PCT

• Policies Procedures in place include
• Incident Reporting Learning Policy
• Manual Handling
• Medical Devices
• Display Screen Equipment
• Lone Worker
• Management of Violence Aggression
• To name just a few
• Undertake Risk Assessments
• Supply Staff Training
• Provide Information Advice
• Support Staff
• Health Safety Working Group

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Lone Worker Device Clip
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REPORTING
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Reporting Faulty Equipment including Medical
Devices

• Line Manager
• Estates Helpdesk e-mail Estateshelpdesk_at_burypct
  .nhs.uk
• Estate Helpdesk Telephone [phone]

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Estates Facilities Communication Flow Chart
PLEASE NOTE All Requests/ jobs in Health Centres
must be reported via the Health Centre
Administrator or other PCT admin function. This
includes all estates facilities functions e.g.
domestics, telecoms, pest control. All issues
must be reported to the main contact point as
indicated any override of the system will
automatically be referred back to the start
point. Unsatisfactory outstanding issues may be
referred to the 2nd Contact after a reasonable
working time has elapsed. In order to manage the
service it is requested that the Helpdesk is
notified on completion of jobs.
Issue
1st Contact
2nd Contact
Capital Investment Build/Improvements General
Maintenance Operational Estates Security Health
Safety
Robert Bentley 0161 762 3160
Steve Treadgold 0161 762 3172
Medical Equipment Medical Devices Procurement/
Maintenance/ Disposal Intranet Issues
Steve Treadgold 0161 762 3172
Alistair Mirfin 0161 762 3164
General Repairs Handyman Jobs Deliveries Invoices/
ID badges/ Security passes Telecoms/
Communication Systems First Aid/ Fire Training
Will Stanners 0161 762 3174
Jenna McNulty 0161 762 3120 HELPDESK
estateshelpdesk_at_burypct.nhs.uk
Facilities Manager 0161 762 3173
Facilities Health Centre Administration
Jenna McNulty 0161 762 3120
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What is an Incident?

• Incidents - Untoward/unexpected event
• Accidents - Incidents that result in loss or
  injury
• Clinical Incidents - That is either of the above
  occurring during or because of treatment
• Unexpected Death
• Unexpected/Unexplained Clinical Outcomes
• Violence Aggression including verbal abuse
• Security Breaches Suspected or Proven
• Theft
• Near Misses any of the above that nearly
  happened or may happen in the future

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The big Yellow Book
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Incident Report Form

• Clearly written in black ink
• The individual
• Full name and address
• Contact telephone number
• DOB
• The Incident
• Location, which site
• Exact Location where at the site
• Full description of the incident, if necessary
  continue on a separate sheet, record only the
  facts (not opinion).

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Incident Report Form

• Description of Injuries
• What the injury was
• State what part of the body was injured
• Witnesses full details
• Person Completing
• full details contact numbers
• Grading

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Incident reporting procedures reporting to
external agencies by the Risk Management Team

• HSE - RIDDOR guidelines by telephone, form
  within 10 working days
• - Injuries to staff, patient, visitor
• Serious untoward incidents
• - Unexpected death during NHS care or significant
  potential media interest (example lost/stolen
  laptops)
• - STEIS Strategic Executive Information System
  (or successor) system for review by StHA and DH
• NPSA National Reporting and Learning System
• - NRLS weekly via website
• CFSMS Physical Assault Reporting System
• - PARS within 48 hours by e-mail

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Incident reporting procedures serious incidents

• Serious as defined by grading matrix (red)
• Notified immediately to risk managers or on-call
  manager for incident management
• Involve other agencies as appropriate
• Health Safety Executive, Medicines and
  Healthcare Regulatory Agency, police, coroner,
  Social Services, Environmental Agency. StHA
  CFSMS
• Invoke Major Incident Policy if appropriate

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Incident Clip
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Incident grading matrix redserious
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Learning from Incidents

• Weekly Incident Meetings
• Quarterly Incident Review Group Meetings
• Lesson of the week

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Incident reporting procedures anonymous reporting

• PCT promotes no-blame culture
• Staff encouraged to discuss incident with line
  manager or any senior manager
• If not practical or not desired, can report in
  confidence using Whistleblowing Policy

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Always take notice of Warning Signs
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Heathrow Update   27L Re - opens -- BAA    make
minor modifications  to landing lights 
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Risk Standards

• Trevor Tyrrell Risk Manager
• 0161 762 5720
• Trevor.tyrrell_at_burypct.nhs.uk
• Anita Ryan Health, Safety Security Manager
• 0161 762 5711
• Anita.ryan_at_burypct.nhs.uk