The reporting of accidents and incidents within NHSGGC will enable the safety performance of the organisation to be monitored and allow statistics relative to the accidents and incidents occurring to be compiled. These statistics will provide information about the hazards that employees, patients, visitors and others encounter on Division premises and ensure that suitable precautions can be taken to minimise these hazards and prevent a recurrence of an incident that has already caused or could potentially cause injury.
The incident report is a primary tool for collecting data about an incident, analysing the data and translating the information into a strategy for change.
Definitions
Incident
Any unplanned event that has resulted in, or could result in, injury or ill health to people, damage to or loss of property, plant or materials. This would apply to all people on hospital property including patients, staff and visitors. This definition takes account of the usual accident where personal injury results, and of near miss reporting where an incident could have resulted in injury and includes any act of non-consensual physical violence or verbal abuse.
Near Miss
As a result of chance or intervention the outcome could have lead to harm but on this occasion it did not. Reporting a near miss is just as important as reporting an actual incident. Near misses indicate difficulties that may be due to incorrect or missing procedures being in place. It is important that these are recorded. Although staff may only see an isolated incident within their area, this may have wider implications.
If you wish to report an incident, please click here. (Only available when logged into NHSGGC)
RIDDOR Reporting
Reportable incidents
Incidents fall into the following categories:
Death
Specified injury
8 stated categories of Occupational Diseases
A dangerous occurrence
over 7 day injury to an employee
Death or major injury to a person not at work.
Specified Injuries
The list of ‘specified injuries’ in RIDDOR 2013 includes:
A fracture, other than to fingers, thumbs and toes
Amputation of an arm, hand, finger, thumb, leg, foot or toe
Permanent loss of sight or reduction of sight
Crush injuries leading to internal organ damage
Serious burns (covering more than 10% of the body, or damaging the eyes, respiratory system or other vital organs)
Scalpings (separation of skin from the head) which require hospital treatment
Unconsciousness caused by head injury or asphyxia
Any other injury arising from working in an enclosed space, which leads to hypothermia, heat-induced illness or requires resuscitation or admittance to hospital for more than 24 hours.
Reportable Occupational Diseases
This includes:
Carpal tunnel syndrome
Severe cramp of the hand or forearm
Occupational dermatitis
Hand-arm vibration syndrome
Occupational asthma
Tendonitis or tenosynovitis of the hand or forearm
Any occupational cancer
Any disease attributed to an occupational exposure to a biological agent.
NB Where an employee who sustains a high risk needlestick injury subsequently sero-converts to a reportable disease, a RIDDOR Reportable Disease report will require to be submitted in addition to the report of the Dangerous Occurrence
Dangerous occurrences
These are certain, specified ‘near-miss’ events (incidents with the potential to cause harm.) Not all such events require reporting. There are 27 categories of dangerous occurrences that are relevant to most workplaces, for example:
The collapse, overturning or failure of load-bearing parts of lifts and lifting equipment
Plant or equipment coming into contact with overhead power lines
Explosions or fires causing work to be stopped for more than 24 hours
An employee is injured by a sharp known to be contaminated with a blood borne virus.
Over seven day injuries
Only when they occur at work – over seven day injuries, not counting the day of the accident but including weekends and rest-days, which result in an employee being away from work or unable to do their normal duties for more than seven days (including non-working days).
Injuries to non-workers
If the accident occurred at a hospital, the report only needs to be made if the injury is a ‘specified injury’ (see above).
Staff can be identified as being lone workers if their working activities involve periods of time where they are without any kind of close or direct supervision, or in contact with any other colleagues. The NHSGGC Policy on Lone Working provides further guidance on identifying lone workers.
When a manager identifies that they have staff who are lone workers, a risk assessment is required to identify the risks involved and any measures to control the risks. Guidance on undertaking a lone worker risk assessment can be found in the NHSGGC Lone Worker Policy. There are many potential control measures, of which one is the lone worker support service, currently provided by Reliance Protect.
This service uses a specialist Lone Worker Device. If the lone worker’s safety is compromised, they can discreetly use the device to summon support and/or emergency assistance.
This service should only be considered after undertaking a lone worker risk assessment in conjunction with the guidance provided within the NHSGGC Lone Worker Policy. If the Lone Worker Support Service is identified as a potential control measure, this should be discussed and agreed with the appropriate budget holder who will be paying for the service.
If the services require additional lone worker devices please contact the Health & Safety Service in the first instance.
Guidance
Guidance
Guidance presentation used during training for using the Lone Worker Support Identicom Device.
An escalation protocol outlines how a service will use the lone worker support service and details what to do in the event an alert is raised by a lone worker. An example protocol is provided here.
Champions Training
These sessions are for those identified by managers as staff who will provide support and help with managing the use of the Dedicated Lone Worker Devices issued by Reliance Protect. Training sessions, further information and nominations are available on request.
Make changes to lone worker details associated with a device
Changes to details associated with a device – all changes should be notified directly to Reliance Protect’s customer service department using servicedesk@reliancehightech.co.uk or 0800 840 7121 (Option 1). This includes changes to a lone workers personal details, for example, car registration, personal mobile; or work details, for example, work mobile phone or managers details. Both the lone work and the manager named at the top of the escalation form associated with the group can make these changes.
Make changes to escalation form details
Changes to escalation form details associated with a lone working group should benotified directly to Reliance Protect’s customer service department using to servicedesk@reliancehightech.co.uk or 0800 840 7121 (Option 1). This includes changes to lone workers on the form and contact details of any of the escalation point. The manager named at the top of the escalation form associated with the group can make these changes. Any requests must include the email addresses of any persons that the change relate to.
Make changes/additions to managers
Changesassociated with an escalation form should be notified directly to Reliance Protect’s customer service department using servicedesk@reliancehightech.co.uk or 0800 840 7121 (Option 1). The Manager named at the top of the escalation form receives the monthly reports directly from Reliance Protect and can make changes to the form. The manager can add additional ‘managers’ to the group/escalation form. Any requests must include the email addresses of any persons that the change relate to.
When a lone worker leaves employment
When a lone worker leaves employment, the device should be retained by the manager and re-assigned to their replacement. Reliance Protect should be contacted directly to inform them of this change to both the lone workers details associated with the device and the escalation form. Contact Reliance Protects customer service department using servicedesk@reliancehightech.co.uk or 0800 840 7121 (Option 1)
I need a replacement part/accessoryfor the device
For example, a new pin, lanyard or charger. These are available at extra cost and should be ordered from Reliance High Tech using a non-stock order form. Ensure the order form is clearly marked ‘Lone Worker device accessory’ and the supplier is ‘Reliance High Tech’.
Additional Information
For further information, contact Health and Safety through the internal email system or through the main HR contact number 0141 278 2700.
Respiratory Protection (FFP3 Masks)
FFP3 Masks
The need for FFP3 Mask (oral nasal disposable mask respiratory protection) to be worn is identified through clinical risk assessment. The mask is used to protect against respiratory borne pathogens. To use these masks, relevant staff must be ‘face fit tested’ to ensure that they can achieve a suitable face fit of the mask and that it operates at the required efficiency.
The following documentation is used specifically in relation to face fit testing:
After checking, if you believe a fit test record is not on eESS that should be, please contact the Health and Safety Service: wig-movhan736@ggc.scot.nhs.uk.
FFP3 Mask Supply
Prior to the onset of COVID-19, NHSGGC fit tested to 3 masks – Alpha Solway 3030V and S-3V; and, the 3M 1863+. In early March 2020, significant challenges to worldwide supplies of FFP3 disposable masks occurred and as a result a number of different FFP3 masks were sourced and introduced.
Changes to mask availability due to the above, is likely to continue to occur during the next few months of 2020 and as such the Face Fit Test flow chart below identifying which masks should be fit tested against and are available, will be updated regularly
On completing the fit test, the record will be emailed to both the testee and the tester for reference and record keeping
Fit test records will be uploaded on a regular basis to eESS OLM. The record can be found within a course entitled ‘PPE – FFP3 Mask’ in the Health and Safety category and viewed by both the testee and their direct line manager.
Guidance Documents
Guidance including for donning and fit checking an FFP3 mask is provided below:
A Powered Air-Purifying Respirator (PAPR) is a type of respirator used to safeguard workers against contaminated air. PAPR consists of headgear and a fan which takes air from the surrounding environment, passes it through a filter and delivers it through a hose to the users face via the hood.
Within NHSGGC the need for respiratory protection to be worn is identified through clinical risk assessment. The first choice control measure is an FFP3 mask to which staff must be face fit tested, to ensure a tight seal is achievable. Staff will only be considered for PAPR if no available FFP3 masks are suitable for them and they are required to undertake / work in Aerosol Generating procedures/environments.
If you have been identified as requiring PAPR you will require to undertake learning, complete a self assessment and be competency assessed by GGC PAPR trainers, to ensure you are competent to Don, Operate, Doff, Decontaminate and Maintain/Manage the system. If you are assessed as competent to use PAPR safely, you will be enabled to use the system during AGP work activities. PAPR must be stored at your place of work.
The head gear will always be specific to you, however the rest of the system, fan unit, hose, belt, battery and charger may be used by multiple people. Arrangements for how and where to store the PAPR and the designated areas to put on and take off the system will be explained to you by your line manager prior to you using the equipment for AGP activities.
Training in PAPR will be specific to the PAPR system you will be issued, that is, after the training you will only be able to use the specific make and model you have been trained on and issued with.
Actichlor Plus usage guide – Blood Spills **New 26th Jan 2021**
Actichlor Plus usage guide – General Use – **New 26th Jan 2021**
Checklists
A step by step guide relating to the management process, including how to use the documentation below, for staff who have received training in the use of PAPR within NHSGGC, can be found here
Pre-use checklist – this must be completed and signed prior to every use of the PAPR system and kept within the box where the PAPR is stored – ** Updated 28th Jan 2021**
Filter change record – filters are valid for 1 month after opening. The date of opening must be recorded on this record and kept within the box where the PAPR is stored.
Monthly checklist – this must be kept with the pre-use checklist and completed every month when the PAPR has not been used
Box Poster – This poster should be completed and stuck to the box that contains the PAPR unit.
Every day, seemingly lawful actions such as sending text or email, making phone calls, posting messages on social media sites or sending private messages can become a stalking offence if they occur twice or more and if the perpetrator knew, or ought to have known, that their actions would cause fear and alarm.
What is stalking?
The following are some examples of stalking behaviours:
Sending unwanted letters or cards
Sending unwanted emails, texts of social media posts
Making unwanted phone calls
Delivering unwanted gifts to a workplace or home
Waiting outside someone’s home or workplace
Following someone or spying on them
Sharing intimate pictures of someone, without their consent e.g. via text, on a web/social media site
Posting information, publicly about someone on web/social media sites
Making public accusations
Making threats.
Stalking can also be a form of domestic abuse. Those experiencing stalking, may also be exposed to other forms of domestic abuse too. Please see our Protection from Abuse resources for more support and guidance.
Despite its prevelance and the harm it can cause, stalking is a crime that is often not reported to the police. It is believed that people don’t report for 3 reasons:
People who experience stalking are unaware that they can get help
People who experience stalking do not have the confidence to come forward to the police
When it is reported, historically, authority figures, have not realised they are dealing with a stalking crime and have dismissed the report.
Physical, Psychological and Social Effects of Stalking
It is estimated that stalking affects approximately 1.5 million people each year. 1 in 5 women and 1 in 12 men will be affected at some point in their lifetime. It can have a very profound physical, psychological, emotional and socially traumatic effect.
Effects can include:
Physical
Sleep disturbance
Panic attacks
Increased risk of being physical attacked by stalker (Women are more at risk)
Increased risk or being killed by stalker (Women are more at risk).
Psychological and emotional
Intense feelings of fear and anxiety
Feelings of guilt and shame
Feelings of terror
Nightmares
Flashbacks
Agoraphobia
Depression
Post-traumatic stress disorder
Thoughts of hopelessness and suicide.
Social
Reluctance to leave the house
Difficulty in forming new friendships and relationships
Damaged relations with families and friends
Loss or change of Job
Having to move home
Financial ramifications and hardship.
Online and cyber-stalking
Cyber-stalking can have a very serious impacts on those who experience it. It can become a constant presence in the person’s life.
What is cyber-stalking?
Cyberstalking can include the following:
Sending unwanted messages on a social media account
Sending unwanted texts and emails
Making malicious claims about a person online
Gaining unauthorised access to online accounts – including social media, email and online bank accounts
Gaining unauthorised access to someone’s mobile phone/mobile devices so that they can track phone calls, texts and location at any given time.
This can become extremely invasive of someone’s life and they may need to make significant changes to their day to day routines and online security measures.
Where to get help
If you believe you are being cyber-stalked, it is essential that you contact Police Scotland to report this. You will also need to get expert help as quickly as possible too. The following link can help you get this support: The Cyber Helpline. Further support organisations are listed at the bottom of the page.
NHSGGC strategy for managing stalking – guidance
NHSGGC uses the following strategy to help support staff who are being stalked:
Promote the law and people’s lawful rights in relation to stalking
Identify, record and report incidents of stalking
Implement best practice in managing/reducing cyber/online stalking
Promote and adopt safety strategies
Provide signposting to NHSGGC services to support those exposed to stalking
Provide signposting to Police Scotland and third sector organisations who specialise in supporting those who are exposed to stalking.
1. Promote the law and people lawful rights in relation to stalking
The Criminal Justice and Licensing (Scotland) Act 2010 makes any form or stalking a criminal offence. This can include, seemingly, harmless and subtle behaviours.
For example, a text message saying ‘you looked nice when I saw you earlier’ seems trivial, but if it is intended to cause fear and alarm (or the perpetrator should have known that it would) and it happens, at least, twice, then it can be classified as stalking and becomes a criminal offence.
(Please note – if this only happens once, it would not be counted as a stalking offence, at that stage. Instead, it would be counted as an incident of abuse and harassment under the Criminal Justice and Licensing (Scotland) Act 2010) and you wold still be within your rights to report it to the police).
You always have a lawful right to report incidents of stalking (and abuse and harassment) to the Police. This is always the case, irrespective of the alleged perpetrators, personal circumstances, or other people’s opinions.
You can report any incident of stalking to the police, online, or you can contact them on 101, or 999, in the case of an emergency.
The following links can provide you with more information about your lawful rights:
NHSGGC’s Staff Witness Support Service can also provide support and information to any member of staff who may need to go to court.
2. Identify, record and report incidents of stalking
This is also called ‘building a case’. In order to do this, it is essential that you record any and all incidents where you believe a stalking incident has occurred – no matter how, seemingly, insignificant the incident may be. To do this you should keep a safe record of the following details:
When did it happen?
Where did it happen?
What happened?
Who was it?
What details do you have about the person?
How did it make you feel?
Were there any witnesses?
What did they see?
What did you do after?
Do you have any video, photo, screenshot evidence?
This app can be used to help you record any relevant details, safely and securely. It has been designed in collaboration with The Crown Prosecution Service, Police Scotland and other stakeholders including Rape Crisis Scotland and Scottish Women’s Aid, to ensure that it meets the needs of women who are being stalked and that it is compliant with Scot’s Law.
In addition the Suzy Lampugh Trust, also provides guidance, resources and apps that can help anyone record any relevant details of stalking incidents. Information about personal safety apps can be found in their ‘Help and Advice’ section
It is then essential that you report these incidents to the Police either online, via 101 or 999 (in the case if an emergency).
If incidents occur within NHS property, or is associated with your work, you should also complete a Datix incident report.
3. Implement best practice in managing/reduce cyber/online Stalking
Cyberstalking can be very traumatic and can has severe repercussions on those who experience it. It is essential that you take, immediate steps to secure your online identity and accounts. As a well as taking the steps outlined here, you should also refer to our Online and Cyber Stalking Resources page for advice.
4. Promote and adopt safety strategies
If you are being stalked, it is vital that you take steps to promote your safety. Unfortunately, these can sometimes can significant effects on your daily life and routines, but they may be needed to ensure your safety. As well as the measures already outlined here e.g. recording & reporting incidents, contacting the police and protecting your online identity you may need to consider the following: Change your daily routine Inform people you trust of your concerns Record and report incidents to the Police Change your online passwords and use a password manager to protect them Take advice from specialist services
Additionally, line managers may need to adopt flexible work patterns and arrangements for any staff member(s) who are being stalked this could include, altering the staff members start and finish times, moving them a more secure work base & giving them access to additional technology (mobile phones, alarms, Reliance devices)
This must always involve the person who is being stalked and they must be central to the decision making process.
5. Provide signposting to NHSGGC services that support those exposed to stalking
NHSGGC has a number of different services who can offer support to you if you believe you are being stalked. These are:
6. Provide signposting to Police Scotland and third sector organisations who specialise in supporting those who are exposed to stalking
As a part of NHSGGC’s commitment to supporting our staff who are being stalked, we want to establish better relationships with Police Scotland and other Third Sector organisations that specialise in supporting those affected by stalking. Part of that includes providing you with a route to access to those services. The list below are public and voluntary bodies that can provide you with expert support and guidance:
NHSGGC want all our employees to know that we take safety and well-being of our staff extremely seriously and will offer all relevant support to staff who are being, or believe they are being, stalked.
Contact the police
Wherever an employee is being stalked, or believes that they are being stalked, we want to support them to report this to the police as soon as possible.
Call the Police on 101 (or 999, in the event of an emergency)
Visit your local Police station to speak to an officer in person.
NHSGGC support
Any member of staff, who believes they are being stalked should contact the Occupational Health Service and the Health and Safety Service for advice, guidance and support.
Specialist support
The following organisations can also be contacted and will be able to offer specialist advice and support:
Clinical Handling Competency Assessment within NHSGGC
All Induction (Foundation) courses remain the same, however, rather than providing refresher training for everybody irrespective of need, a process of assessment is used to identify where additional support may be required.
NHSGGC Moving and Handling Bariatric Guidelines contain guidance related to moving and handling plus sized (bariatric) patients. Information about suitable equipment available within the main hospital sites is here
Rental information for bariatric beds
The bariatric beds on the Clinical Therapy Bed Contract, including advice on which one to order and ordering instructions are in the resource folder. In addition to the bariatric beds, other specialist beds are also available on this contract, including low level beds and spinal beds
Arjo rental phone number to order bariatric or low-level beds 08457 342000.
NHSGGC’s patient hoists and standing aids are currently serviced every six months by contractors Drive DeVilbiss. When you go to use the hoist or standing aid, as well as your normal pre-use checks, if it does not have an up to date service sticker attached to it, please report this to your local Estates department.
NHSGGC’s patient hoists, standing aids and fabric slings are inspected as per the Lifting Operations & Lifting Equipment Regulations (LOLER) every six months. Currently the inspections are undertaken by Allianz. When you go to use the hoist, standing aid, as well as your normal pre – use checks if it does not have an up to date inspection sticker attached to it, please take the equipment out of use and report this to your local Estates department.
Bed Maintenance Programme
NHSGGC’s patient beds are serviced annually and is currently undertaken by Drive DeVilbiss. When the bed has been serviced a label will be placed on the bed frame at the brake end.
Guidance on reporting faults to electric beds can be found here.
These Notes are developed in response to incidents that have occurred or hazards that have been identified. They are designed to be used by Local Managers to communicate key safety messages to their staff, taking no more than two minutes. They can be presented in a number of ways including at handovers, safety briefings and staff meetings. Not all Notes will be relevant to all areas.
The risk assessments are generic in that they will apply to a number of areas within NHSGGC. You can download them to be included in your ward / departments Health and Safety Management Manual. If you do so however, you must ensure that you have altered the generic principles of the risk assessment to your own specifc area, for example, you may have to take into account specifc risks associated with the environment you work in or the equipment you have access to.
Musculoskeletal disorders (MSDs) are problems affecting the muscles, tendons, ligaments, nerves or other soft tissues and joints. The back, neck and upper limbs are particularly at risk. The aims of the NHSGGC Guidance for Managing Musculoskeletal Disorders are to:
Inform all staff of the systems in place for the prevention and treatment of MSDs
Provide guidance to Line Managers to support employees with MSDs
Occupational Hygiene is the applied science concerned with the identification, measurement, appraisal and control of physical, chemical and biological factors in the workplace which may affect the health of those at work or in the community.
Moving and handling education within NHSGGC is divided into two parts. Induction courses for employees who are new to NHSGGC and do not have a Scottish Manual Handling Passport and update education.
The requirement for an update for staff undertaking higher risk manual handling activities, is identified through competency assessment. Induction courses remain the same, however rather than providing refresher training for all staff irrespective of need, a process of competency assessment is used to identify where additional support may be required.
Booking
Nominations for all NHSGGC Moving and Handling courses to be made through eESS.
Please ensure delegate is aware of dress code for Moving and Handling Training, appropriate clothing and footwear for practical work. Class register requires payroll number or eESS ID, bring copy of this to the training day.
Attendance will be recorded on eESS. In addition local managers should keep local training records and to assist with this if a delegate does not attend the nominating person will be contacted within 24 hours to inform them of the non-attendance.
Courses
Induction for all patient handling staff new to NHSGGC
Staff should have completed Manual Handling Theory on Learnpro prior to attending the practical course, staff should bring evidence of completing module to practical training.
Practical moving and handling training is now a one day course, dates and venues available to view on eESS.
Competency Assessors course for patient handling staff
Staff who complete a one day competency assessor course will be able to carry out moving and handling assessments within ward / department.
Competency Assessors update for patient handling staff
Staff who have previously attended a one day course and require an update can attend a half day session, book through eESS.
Load Handling Training – Induction and Competency Assessor
Please request by sending details to the M & H inbox & a member of the team will be in touch to arrange a session.
Onsite Coaching
Please request through Moving and Handling teams, if requiring contact details of local teams email M & H inbox.